耳穴定向磁疗治疗职业性颈性失眠:随机安慰剂对照试验  

Effect of auricular directional magnetotherapy in the treatment of occupational cervical insomnia:a randomized,placebo-controlled trial

作　　者：刘彬[1] 高翔[1] 刘道矩[1,2] LIU Bin;GAO Xiang;LIU Daoju(Traditional Chinese Medicine Department,Tianjin Occupational Diseases Precaution and Therapeutic Hospital,Tianjin 300011,China;Tianjin Occupational Diseases Precaution and Therapeutic Hospital,National Traditional Magnetotherapy Training Base for Intangible Cultural Heritage,Tianjin 300011,China)

机构地区：[1]天津市职业病防治院中医科,天津300011 [2]天津市职业病防治院,全国非物质文化遗产传统磁石疗法传习基地,天津300011

出　　处：《天津中医药》2021年第4期466-473,共8页Tianjin Journal of Traditional Chinese Medicine

基　　金：天津市名老中医传承工作室中华传统经络疗法建设项目(津卫中[2012]180号,津卫中[2013]611号);中国中医科学院、中医基础理论研究所“院所协同创新”科研专项基金项目(YZ-1649)。

摘　　要：[目的]观察耳穴定向磁疗对职业性颈性失眠患者睡眠障碍及心身健康的影响。[方法]将90例职业性颈性失眠患者随机分为耳穴定向磁疗组、耳穴非定向磁疗组、耳穴伪磁疗组,每组30例。3组均接受对症支持治疗,在此基础上,3组分别于耳穴给予定向磁珠穴贴、非定向磁珠穴贴和伪磁珠穴贴,耳穴均取交感、神门、枕、皮质下、肾、肝、脾、心,每日按压3次,每次10~15 min,2~3 d更换1次,双耳交替,治疗30 d,并于3个月后随访。观察3组治疗前后及随访期匹兹堡睡眠质量指数量表(PSQI)及简明健康状况量表(SF-36)评分,评定睡眠质量与心身健康状况,并比较3组临床疗效。[结果]84例完成试验。治疗后及随访期,3组PSQI总分均较治疗前降低(耳穴定向磁疗组、耳穴非定向磁疗组P<0.01,耳穴伪磁疗组P<0.05),耳穴定向磁疗组、耳穴非定向磁疗组PSQI评分低于耳穴伪磁疗组(P<0.01或P<0.05);治疗后,耳穴定向磁疗组PSQI评分低于耳穴非定向磁疗组(P<0.01)。与治疗前比较,耳穴定向磁疗组、耳穴非定向磁疗组两组治疗后SF-36各维度评分及耳穴伪磁疗组除生理机能、精神健康、总体健康状况外的5个维度评分均提高(P<0.05);随访期,耳穴定向磁疗组除社会功能外的7个维度,耳穴非定向磁疗组除生理机能、社会功能、躯体疼痛外的5个维度,以及耳穴伪磁疗组生理职能、情感职能两维度评分均高于治疗前(P<0.05);治疗后,耳穴定向磁疗组除情感职能外的7个维度得分高于耳穴伪磁疗组(P<0.05或P<0.01),耳穴非定向磁疗组在精神健康维度得分高于耳穴伪磁疗组(P<0.05),耳穴定向磁疗组在生理机能、生理职能、社会功能、活力各维度得分高于耳穴非定向磁疗组(P<0.05);随访期,耳穴定向磁疗组除社会功能、总体健康状况外的6个维度得分高于耳穴伪磁疗组(P<0.05或P<0.01);耳穴非定向磁疗组在生理机能、精神健康、情感�[Objective]To observe the effect of auricular directional magnetotherapy on somnipathy and psychosomatic health in patients with occupational cervical insomnia.[Methods]The 90 patients with insomnia were randomly divided into auricular directional magnetotherapy group,auricular non-directional magnetotherapy group,and auricular sham-magnetotherapy group,30 cases in each group.Symptomatic supportive treatment was applied in three groups.Based on above treatment,auricular directional magnetic bead sticking was added in auricular directional magnetotherapy group,and auricular non-directional magnetic bead sticking in auricular non-directional magnetotherapy group,and auricular sham magnetic bead sticking in auricular sham-magnetotherapy group.Following auricular points were selected for all groups:jiaogan(AH6a)and shenmen(TF4),zhen(AT3)and pizhixia(AT4),shen(CO10)andgan(CO12),pi(CO13)andxin(CO15),press 3 times a day and 10~15 minutes at a time,replacement once in 2~3 days and alternate two ears,treating for 30 days and follow-up 3 months later.The scores of Pittsburgh Sleep Quality Index(PSQI)and Short Form 36-item Health Survey(SF-36)were observed before and after treatment and follow-up period in each group.Sleep quality and psychosomatic health were assessed,and clinical efficacy was compared in each group.[Results]Atotal of 84 cases completed the test.After treatment and follow-up,the scores of PSQI decreased in all groups compared with that before treatment(auricular directional magnetotherapy group and auricular non-directional magnetotherapy group:P<0.01,auricular sham-magnetotherapy group:P<0.05).The scores of PSQI in auricular directional magnetotherapy group and auricular non-directional magnetotherapy group were lower than that in auricular sham-magnetotherapy group(P<0.01 or P<0.05).After treatment,the score of PSQI in auricular directional magnetotherapy group was lower than that in auricular non-directional magnetotherapy group(P<0.01).Compared with before treatment,scores of each dimension inside SF-3

关 键 词：职业性颈椎病 失眠 耳穴定向磁疗 随机对照试验 安慰剂效应 

分 类 号：R246.6[医药卫生—针灸推拿学]