耳穴埋豆联合刮痧在围绝经期阴虚火旺型失眠患者中的应用及对其睡眠质量的影响

Application of Auricular Acupoint Burying Soybean Combined with Guasha in Peri-Menopausal Patients with Insomnia Due to Yin Deficiency and Vigorous Fire Type and Its Effect on Sleep Quality

目的探讨在围绝经期失眠(阴虚火旺型)患者中联合应用耳穴埋豆、刮痧对其睡眠质量的影响。方法从2022年6月至2023年12月福州市中医院诊治的阴虚火旺型围绝经期患者中抽取符合标准的50例为对象,按随机数字表法将50例患者分为对照组(25例,常规西医干预)和观察组(25例,基于常规西医增加耳穴埋豆和刮痧)。对比两组干预前后的睡眠质量、中医证候积分、焦虑程度。结果两组干预后匹兹堡睡眠质量指数(PSQI)评分以及中医证候中的主证(入睡艰难、虚烦不得眠、夜寐烦躁不安、彻夜不寐)、次证(口干津少、手心足热、腰酸梦遗)积分比干预前下降,且观察组较对照组低(均P<0.05);干预后观察组焦虑程度较对照组轻(P<0.05)。结论围绝经期失眠(阴虚火旺型)患者接受耳穴埋豆、刮痧联合干预能够缓解其失眠症状,舒缓焦虑情绪,提高睡眠质量。

Objective To explore and analyze the effects of combined application of ear-point burying bean and Guasha on sleep quality in patients with perimenopausal insomnia(Yin deficiency and vigorous fire type).Methods Fifty patients(from June 2022 to December 2023)with Yin deficiency and vigorous fire type perimenopause diagnosed and treated in Fuzhou Hospital of Traditional Chinese Medicine were selected as subjects,and the 50 patients were divided into control group(25 cases,conventional western medicine intervention)and observation group(25 cases,based on conventional western medicine added ear point burying bean and guasha)according to random number table method.The sleep quality,TCM syndrome score and anxiety degree of the two groups were compared before and after intervention.Results After intervention,the score of Pittsburgh sleep quality index(PSQI)and the scores of the main syndrome(difficulty falling asleep,deficiency and restlessness,restlessness and sleepless night)and secondary syndrome(dry mouth and less fluid,hot hands and feet,and lumbago dream)in the two groups were lower than before intervention,and the observation group was lower than the control group(all P<0.05).After intervention,the anxiety degree of observation group was less than that of control group(P<0.05).Conclusions Perimenopausal insomnia(Yin deficiency and vigorous fire type)patients receiving ear point embedding beans,guasha combined intervention can alleviate their insomnia symptoms,relieve anxiety,improve sleep quality.