耳穴贴压疗法辅助治疗肝火扰心型亚健康失眠的临床研究  

Clinical study on auricular plaster therapy in the auxiliary treatment of insomnia caused by liver fire disturbance in a sub-healthy population

作　　者：陈默[1] 梁碧 Chen Mo;Liang Bi(Department of Neurology,Wenzhou Hospital of Traditional Chinese Medicine,Wenzhou 325000,Zhejiang Province,China)

机构地区：[1]温州市中医院神经内科,浙江省32500

出　　处：《中国基层医药》2021年第3期335-339,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温州市公益性科技计划项目(Y20170715)。

摘　　要：目的研究心理疗法联合耳穴贴压疗法治疗肝火扰心型亚健康失眠的临床效果。方法选择温州市中医院2017年6月1日至2018年12月31日收治的肝火扰心型亚健康失眠患者80例为观察对象,采用随机数字表法分为观察组和对照组,每组40例。对照组给予认知和行为治疗(CBT),观察组在对照组基础上给予耳穴贴压疗法,两组均治疗4周。采用多导睡眠监测(PSG)对两组治疗前后的睡眠情况进行评估,采用匹兹堡睡眠质量指数(PSQI)量表评估患者失眠严重程度,采用世界卫生组织(WHO)生活质量测定量表简明版(QOL-BREF)评估患者生活质量程度,并对两组患者的治疗效果进行评估。结果治疗后对照组总睡眠时间[(421.25±11.58)min比(456.25±11.23)min]、睡眠效率[(70.32±4.44)%比(76.58±5.89)%]、非快速眼动2(N2)期睡眠[(43.25±4.44)%比(45.62±4.36)%]、N3期睡眠[(14.25±4.52)%比(18.52±5.55)%]、快速眼动(R)期睡眠[(21.98±5.21)%比(24.66±4.87)%]均短于或低于观察组(t=13.723、5.367、9.035、2.408、3.772、2.376,均P<0.05),治疗后对照组睡眠质量[(1.85±0.54)分比(1.10±0.42)分]、入睡时间[(1.52±0.51)分比(1.08±0.35)分]、睡眠时间[(1.30±0.41)分比(0.75±0.41)分]、睡眠效率[(1.53±0.44)分比(1.02±0.33)分]、睡眠障碍[(1.20±0.41)分比(0.78±0.31)分]、催眠药物[(0.11±0.02)分比(0.04±0.01)分]、日间功能障碍[(1.65±0.47)分比(1.03±0.28)分]及总分[(9.11±1.33)分比(5.80±1.01)分]均高于观察组(t=6.933、4.499、5.999、5.864、5.167、19.789、7.167、12.535,P<0.05)。治疗后对照组生理领域[(13.85±2.22)比(17.86±2.01)]、心理领域[(15.52±1.89)比(16.35±1.33)]、社会领域[(16.01±1.58)比(19.52±1.85)]、环境领域评分[(17.52±1.90)比(20.89±2.22)]均低于观察组(t=8.468、4.499、9.124、7.294,均P<0.05)。治疗后观察组总有效率[95.0%(38/40)]明显高于对照组[72.5%(29/40)](χ^(2)=7.440,P<0.05)。结论心理疗法联合耳穴贴压疗法可显著提�Objective To investigate the clinical efficacy of psychotherapy combined with auricular plaster therapy in the auxiliary treatment of insomnia caused by liver fire disturbance in a sub-healthy population.Methods Eighty sub-healthy patients with insomnia caused by liver fire disturbance who received treatment in Wenzhou Hospital of Traditional Chinese Medicine from June 1,2017 to December 31,2018 were included in this study.These patients were randomly assigned to receive cognitive behavioral therapy(control group,n=40)or cognitive behavioral therapy combined with auricular plaster therapy(observation group,n=40)for 4 weeks.Polysomnography was used to evaluate the sleep condition before and after treatment.The Pittsburgh Sleep Quality Index was used to evaluate the severity of insomnia.The World Health Organization Quality of Life Scale Brief Version(WHOQOL-BREF)was used to evaluate the quality of life of patients.The therapeutic effect was compared between the two groups.Results After treatment,total sleep time[(421.25±11.58)min vs.(456.25±11.23)min],sleep efficiency[(70.32±4.44)%vs.(76.58±5.89)%],non-rapid eye movement stage 2(N2)sleep[(43.25±4.44)%vs.(45.62±4.36)%],N3 sleep[(14.25±4.52)%vs.(18.52±5.55)%],rapid eye movement(R)sleep[(21.98±5.21)%vs.(24.66±4.87)%]in the control group were significantly shorter or lower than those in the observation group(t=13.723,5.367,9.035,2.408,3.772,2.376,all P<0.05).After treatment,sleep quality[(1.85±0.54)points vs.(1.10±0.42)points],sleep-onset latency[(1.52±0.51)min vs.(1.08±0.35)min],sleep duration[(1.30±0.41)min vs.(0.75±0.41)min],sleep efficiency[(1.53±0.44)points vs.(1.02±0.33)points],sleep disturbance[(1.20±0.41)points vs.(0.78±0.31)points],hypnotics[(0.11±0.02)points vs.(0.04±0.01)points],daytime dysfunction[(1.65±0.47)points vs.(1.03±0.28)points]and total scores[(9.11±1.33)points vs.(5.80±1.01)points]in the control group were significantly higher than those in the observation group(t=6.933,4.499,5.999,5.864,5.167,19.789,7.167,12535,P<0.05).

关 键 词：心理疗法 医学 中国传统 入睡和睡眠障碍 耳穴贴压疗法 肝火扰心型 亚健康 治疗结果 

分 类 号：R256.23[医药卫生—中医内科学]