基于全息理论的辨证分型耳穴压豆治疗原发性失眠的临床研究  

Clinical study on the treatment of primary insomnia by auricular pressing therapy based on the holographic theory

作　　者：吴凤琼 李娟[1] 李今 代娣 吴艳 程佳伟 程超 Wu Fengqiong;Li Juan;Li Jin;Dai Di;Wu Yan;Cheng Jiawei;Cheng Chao(Department of TCM,the First Affiliated Hospital of USTC,Divisionof Life Sciences and Medicine,University of Science and Technology of China,Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)中医科,合肥230001 [2]中国科学技术大学附属第一医院(安徽省立医院)骨科,合肥230001

出　　处：《中国临床保健杂志》2022年第4期519-522,共4页Chinese Journal of Clinical Healthcare

摘　　要：目的探索基于全息理论的辨证分型耳穴压豆治疗在原发性失眠患者中的应用效果。方法选取2019年1月至2020年5月中国科学技术大学附属第一医院(安徽省立医院)中医科收治的符合原发性失眠诊断标准的92例患者作为研究对象,按照随机数字表法分为干预组44例,对照组48例。对照组予常规药物治疗及护理,干预组除常规药物治疗外给予全息辨证分型的耳穴压豆治疗。治疗10周后,比较2组患者睡眠的改善情况及失眠相关症状的改善情况。结果干预组治疗前的匹兹堡睡眠指数(PSQI)评分为(16.98±3.52)分,治疗10周后为(3.89±1.72)分,对照组治疗前PSQI评分为(16.21±2.27)分,治疗后为(8.54±3.39)分,干预前2组差异无统计学意义(P=0.213),干预后2组差异有统计学意义(P<0.05)。2组患者干预前的汉密尔顿焦虑评分差异无统计学意义,干预后差异显著(P<0.001)。对照组治疗有效为30例(62.50%),干预组治疗有效为41例(93.18%);2组治疗效果比较,差异有统计学意义(P<0.05)。结论基于全息理论的辨证分型耳穴压豆治疗原发性失眠不仅改善患者的睡眠情况疗效显著,同时还可改善患者因失眠引起焦虑等症状,临床效果显著。Objective To explore the application effect of auricular pressing therapy based on holographic theory in patients with primary insomnia.Methods From January 2019 and May 2020,92 patients who met the diagnostic criteria for primary insomnia who were in the TCM outpatient or TCM hospitalized department of the First Affiliated Hospital of USTC were selected as the research objects,and were randomly divided into intervention group of 44 cases and control group of 48 cases.The control group was given conventional medical treatment and nursing,and the intervention group was given holographic dialectical type auricular pressing therapy in addition to the conventional medical treatment.After 10 weeks of treatment,the sleep improvement and insomnia-related symptoms of the two groups were compared.Results The PSQI score of the intervention group before treatment was(16.98±3.52)points,after 10 weeks of treatment it was(16.21±2.27)points,and it was(8.54±3.39)after treatment.There was no difference between the two groups before the intervention(P=0.213),and the difference between the two groups after the intervention was statistically significant(P<0.05).There was no statistically significant difference in Hamilton anxiety score between the two groups of patients at the time of enrollment,and the difference was significant after intervention(P<0.001).The control group was effective in 30 cases(62.50%),and the intervention group was effective in 41 cases(93.18%).the difference was statistically significant between the two groups(P<0.05).Conclusions The dialectical classification of auricular pressing therapy based on the holographic theory is not only effective in improving patients'sleep status,but also in improving patients'anxiety and other symptoms caused by insomnia.

关 键 词：入睡和睡眠障碍 穴位全息性 辨证分型 耳穴疗法 

分 类 号：R246.6[医药卫生—针灸推拿学]