揉推罐联合耳穴压豆治疗围绝经期失眠伴抑郁状态的效果分析

Effect of rubbing and pushing cupping therapy combined with auricular acupoint pressing bean on perimenopausal insomnia with depression

目的探讨揉推罐联合耳穴压豆治疗围绝经期失眠伴抑郁状态的临床效果。方法前瞻性研究。抽取2022年1月至2023年12月于河南省中医院门诊就诊的围绝经期失眠伴抑郁患者94例,采用随机数字表法分为对照组与观察组,每组47例。对照组实施耳穴压豆治疗,观察组在对照组基础上联合实施揉推罐治疗,两组均连续治疗4周。比较两组临床疗效,比较两组治疗前后的焦虑抑郁状态[汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分]和睡眠质量[匹兹堡睡眠质量指数(PSQI)]。结果治疗4周后,观察组治疗总有效率(95.74%,45/47)优于对照组(80.85%,38/47),P<0.05;两组HAMA、HDMA评分均较治疗前降低,且观察组低于对照组(P<0.05);两组PSQI评分均较治疗前降低,且观察组低于对照组(P<0.05)。结论揉推罐联合耳穴压豆治疗围绝经期失眠伴抑郁的疗效确切,可有效缓解患者的焦虑及抑郁情绪,促进睡眠质量恢复。

Objective To investigate the effect of rubbing and pushing cupping therapy combined with auricular acupoint pressing bean on perimenopausal insomnia with depression.Methods Prospective study was adopted in this study.A total of 94 patients with perimenopausal insomnia and depression who visited the Outpatient Department of Henan Provincial Hospital of Traditional Chinese Medicine from January 2022 to December 2023 were selected,and they were divided into a control group and an observation group using a random number table method,with 47 cases in each group.The control group was treated by auricular acupoint pressing bean,while the observation group was treated by rubbing and pushing cupping therapy based on the treatment of the control group;both groups were treated for 4 weeks continuously.The clinical efficacy of two groups were compared;the anxiety status assessed by Hamilton anxiety scale(HAMA)score,depression status assessed by Hamilton depression scale(HAMD)score,and sleep quality evaluated by Pittsburgh sleep quality index(PSQI)were compared between the two groups before and after treatment.Results After 4 weeks of treatment,the total effective rate of the observation group(95.74%,45/47)was better than that of the control group(80.85%,38/47),P<0.05.After 4 weeks of treatment,the HAMA and HDMA scores of both groups decreased compared with the scores before treatment,and the above indicators in the observation group were lower than those in the control group(P<0.05).After 4 weeks of treatment,the PSQI scores of both groups decreased compared with scores before treatment,and the PSQI score of the observation group was lower than that of the control group(P<0.05).Conclusions Rubbing and pushing cupping therapy combined with auricular acupoint pressing bean has a definite therapeutic effect on perimenopausal insomnia with depression,which can effectively alleviate anxiety and depression in patients and promote the recovery of sleep quality.