子午流注择时耳穴与酸枣仁对心脾两虚型消渴伴失眠患者睡眠质量的影响  

Effect of Ear Acupuncture Based on Midnight-Noon Ebb-Flow and ZiziphiSpinosae Semen on Sleep Quality of Patients withDiabetes and Insomnia(Syndrome of Deficiency in Heart and Spleen)

作　　者：钟淑琴 张广清 丁美祝 黄媛 ZHONG Shu-qin;ZHANG Guang-qing;DING Mei-zhu;HUANG Yuan(Hunan University of Chinese Medicine,Changsha Hunan 410000;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510515;Nanfang Hospital,the First Clinical Medical College of Southern Medical University,Guangzhou Guangdong 510120)

机构地区：[1]湖南中医药大学,湖南长沙410000 [2]南方医科大学第一临床医学院南方医院,广东广州510515 [3]广州中医药大学第二附属医院,广东广州510120

出　　处：《世界中西医结合杂志》2022年第5期945-949,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：广东省中医药局科研项目;广东省中医院名医传承项目;路志正名医工作室(20192030)。

摘　　要：目的探讨子午流注择时耳穴对心脾两虚型消渴伴失眠患者睡眠质量的影响。方法选取2018年5月—2019年4月期间于广东省中医院大院分泌科住院的90例心脾两虚型消渴伴失眠患者作为研究对象,按随机数字表法分为耳穴组、酸枣仁组和对照组,每组各30例。对照组给予常规治疗,酸枣仁组给予酸枣仁治疗,耳穴组给予子午流注择时耳穴治疗。治疗14 d后,观察比较3组患者临床疗效,治疗前后中医证候积分、睡眠进程参数、睡眠质量。结果治疗后耳穴组总有效率为100%,酸枣仁组总有效率为96.67%明显高于对照组,差异有统计学意义(P<0.05)。治疗后3组患者中医证候积分均较治疗前降低,差异有统计学意义(P<0.05);且耳穴组及酸枣仁组中医证候积分均低于对照组,耳穴组中医证候积分低于酸枣仁组,差异有统计学意义(P<0.05)。治疗后3组患者睡眠潜伏期时间、睡眠效率、总睡眠时间、觉醒时间、快速眼动睡眠期潜伏期时间均低于治疗前,睡眠效率、总睡眠时间高于治疗前,差异有统计学意义(P<0.05);且耳穴组及酸枣仁组睡眠潜伏期时间、睡眠效率、总睡眠时间、觉醒时间、快速眼动睡眠期潜伏期时间均低于对照组,睡眠效率、总睡眠时间高于对照组,差异有统计学意义(P<0.05);耳穴组睡眠潜伏期时间、觉醒时间、快速眼动睡眠期潜伏期时间低于酸枣仁组,睡眠效率、总睡眠时间高于酸枣仁组,差异有统计学意义(P<0.05)。治疗后3组患者睡眠质量评分均较治疗前降低,差异有统计学意义(P<0.05);且耳穴组及酸枣仁组睡眠质量评分均低于对照组,差异有统计学意义(P<0.05);耳穴组睡眠质量评分低于酸枣仁组,差异有统计学意义(P<0.05)。结论子午流注择时耳穴明显改善心脾两虚型消渴伴失眠患者睡眠质量。Objective This article aims to explore the effect ofear acupuncture based on midnight-noon ebb-flow and ZiziphiSpinosae Semen on sleep quality of patients with diabetes and insomnia(syndrome of deficiency in heart and spleen).Methods This study enrolled90 patients with diabetes and insomnia(syndrome of deficiency in heart and spleen deficiency)hospitalized in the Department of Endocrinology,Guangdong Provincial Hospital of Traditional Chinese Medicine.The patients were assigned into an ear acupuncture group(30 patients,ear acupuncture based onmidnight-noon ebb-flow),a ZiziphiSpinosae Semen group(30 patients,ZiziphiSpinosae Semen),and a control group(30 patients,conventional therapy)according to the random number table method.The treatment lasted for 14 days,and then the outcomes were compared among the three groups.The TCM syndrome scores,sleep progress parameters,and sleep quality were evaluated before and after treatment.Results The total effective rates of the ear acupuncture group and the ZiziphiSpinosae Semen group were 100%and 96.67%,respectively,which were higher than that of the control group(P<0.05).The treatments in all the three groups decreasedthe TCM syndromescores compared with those before treatment(P<0.05).Moreover,the TCM syndromescores showed a trend ofearacupuncture group<ZiziphiSpinosae Semen group<control group(P<0.05).The treatments in all the three groups shortenedthe sleep latency,awakening time,and rapid eye movement(REM)latency,and increased thesleep efficiency and total sleep time(P<0.05).In addition,thesleep latency,awakening time,and REM latency showed a trend of earacupuncture group<ZiziphiSpinosae Semen group<control group(P<0.05),while the sleep efficiency and total sleep time presented a trend of earacupuncture group>ZiziphiSpinosae Semen group>control group(P<0.05).After treatment,the sleep quality score declined compared with that before treatment(P<0.05),which was in a descending order of control group>ZiziphiSpinosae Semen group>ear acupuncture group(P<0.05).Conclusion The ear

关 键 词：子午流注择时耳穴 酸枣仁 心脾两虚型 消渴病 失眠 睡眠质量 

分 类 号：R256.23[医药卫生—中医内科学]