子午流注法穴位贴敷治疗焦虑型失眠的临床效果

Clinical effect of acupoint application of midnight-noon ebb-flow method in the treatment of anxiety-type insomnia

目的探讨子午流注法穴位贴敷治疗焦虑型失眠的临床效果。方法选取2022年5月至2023年5月陕西省汉中市中医医院接收的210例焦虑型失眠患者为研究对象,按随机数字表法将其分为空白组(70例,不予以任何助眠药物或操作干预)、对照组(70例,常规西医治疗)和观察组(70例,子午流注法穴位贴敷治疗)。比较三组的症状改善情况、心理情绪、睡眠改善情况及不良反应发生情况。结果干预后,观察组的入睡困难、多梦易醒、心悸烦躁、神疲乏力评分低于空白组,但略高于对照组(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于空白组,但略高于对照组(P<0.05)。干预后,观察组的匹兹堡睡眠质量指数(PSQI)各维度评分低于空白组,但略高于对照组(P<0.05)。观察组的不良反应总发生率低于对照组(P<0.05)。结论子午流注法穴位贴敷治疗焦虑型失眠可在一定程度上缓解患者症状,改善心理情绪与睡眠状况,且安全性较高。

Objective To explore the clinical effect of acupoint application of midnight-noon ebb-flow method in the treatment of anxiety-type insomnia.Methods A total of 210 patients with anxiety-type insomnia admitted in Hanzhong Hospital of TCM in Shaanxi Province from May 2022 to May 2023 were selected as the research objects,according to the random number table method,and the patients were divided into blank group(70 cases,without any sleep aid drugs or operation intervention),control group(70 cases,conventional western medicine treatment)and observation group(70 cases,acupoint application with midnight-noon ebb-flow method).The improvement of symptoms,psychological mood,sleep improvement and adverse reactions were compared among the three groups.Results After intervention,the scores of difficulty in falling asleep,dreaminess,palpitation irritability and fatigue in the observation group were lower than those in the blank group,but slightly higher than those in the control group(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the blank group,but slightly higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Pittsburgh Sleep Quality Index(PSQI)in the observation group were lower than those in the blank group,but slightly higher than those in the control group(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion The acupoint application of midnight-noon ebb-flow method in the treatment of anxiety-type insomnia can alleviate the symptoms of patients to a certain extent,improve psychological mood and sleep status,and has high safety.