磁珠耳穴贴压治疗肝硬化失眠患者疗效观察  

Therapeutic Observation of Auricular Point Sticking with Magnetic Bead for Insomnia in Hepatocirrhosis

作　　者：黄怡寒[1] 顾莉华[1] 高月求[1] 卓蕴慧[1] 孙学华[1] 聂红明[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海200021

出　　处：《上海针灸杂志》2015年第6期503-504,共2页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金项目(81072792;81102570);科技部"十一五"国家科技重大专项研究项目(2008ZX10502);国家中医药管理局"十二五"重点专科建设培育项目[沪卫中医(2012)11号];国家中医药管理局中医护理重点学科建设项目[2012(32)];上海市中医药事业发展三年行动计划项目(ZYSNXD-CC-YJXYY)

摘　　要：目的观察磁珠耳穴贴压法治疗肝硬化伴失眠患者的临床疗效。方法选择肝硬化并发失眠的患者90例,随机分为治疗组和对照组,每组45例。治疗组采用磁珠耳穴贴压的方法干预,对照组仅以医用胶布贴敷耳穴。两组均连续治疗2星期,观察失眠严重指数(ISI)评分变化情况,并按照"精神疾病治疗效果评定标准修正草案"中失眠的疗效标准对治疗结果进行评价。结果治疗组治疗前后ISI明显改善,差异有统计学意义(P<0.05),与对照组相比,治疗前后ISI改善情况有统计学意义(P<0.05)。治疗组总有效率为86.7%,对照组总有效率为60.0%,两组比较差异有统计学意义(P<0.01)。结论磁珠耳穴贴压治疗肝硬化伴失眠患者,操作简单,疗效良好。Objective To observe the clinical efficacy of auricular point sticking with magnetic bead in treating insomnia in hepatocirrhosis patients. Method Ninety patients with hepatocirrhosis complicated with insomnia were randomized into a treatment group and a control group, 45 in each group. The treatment group was intervened by auricular point sticking with magnetic bead, while the control group was by auricular point sticking with medical adhesive tape. After successive 2-week treatments, the Insomnia Severity Index （ISI） and the Evaluation Criteria of Therapeutic Efficacy for Mental Disorders were observed for evaluating the treatment result. Result The ISI was significantly improved in the treatment group after intervention （P〈0.05）, and the improvement was significantly different from that in the control group （P〈0.05）. The total effective rate was 86.7% in the treatment group versus 60.0% in the control group, and the difference was statistically significant （P〈0.01）. Conclusion Auricular point sticking with magnetic bead is easy-to-operate and can produce a satisfactory efficacy in treating insomnia of hepatocirrhosis patients.

关 键 词：耳穴贴压 失眠症/肝硬化 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]