耳穴贴压治疗慢性阻塞性肺疾病急性加重期伴失眠临床研究  

Clinical Study on Auricular Point Pressing for Acute Exacerbation of Chronic Obstructive Pulmonary Disease Complicated with Insomnia

作　　者：唐娉婷 殷璀颖 蔡莉娟[1] TANG Pingting;YIN Cuiying;CAI Lijuan

机构地区：[1]浙江中医药大学附属第三医院,浙江杭州310000

出　　处：《新中医》2023年第4期182-185,共4页New Chinese Medicine

摘　　要：目的:观察耳穴贴压治疗慢性阻塞性肺疾病急性加重期(AECOPD)伴失眠的临床疗效。方法:选取92例AECOPD伴失眠患者,按随机数字表法分成对照组和研究组各46例。对照组给予专科护理干预及艾司唑仑片治疗,研究组在此基础上给予耳穴贴压治疗,2组均治疗4周,随访4周。比较2组临床疗效,治疗期间及随访4周内的不良反应发生率,以及治疗前后匹兹堡睡眠质量指数(PSQI)评分、夜间睡眠时间、入睡时间、睡眠潜伏期。结果:治疗后,2组PSQI评分均较治疗前降低(P<0.05),研究组PSQI评分低于对照组(P<0.05)。治疗后,2组夜间睡眠时间均较治疗前增加(P<0.05),入睡时间、睡眠潜伏期均较治疗前缩短(P<0.05);研究组夜间睡眠时间长于对照组(P<0.05),入睡时间、睡眠潜伏期均短于对照组(P<0.05)。研究组临床疗效总有效率91.30%,高于对照组71.74%(P<0.05)。治疗期间及随访4周,研究组不良反应发生率4.35%,低于对照组19.57%(P<0.05)。结论:在常规专科护理干预基础上加用耳穴贴压联合艾司唑仑片治疗AECOPD伴失眠疗效显著,能有效缓解失眠症状、改善睡眠质量。Objective:To observe the clinical effect of auricular point pressing for acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated with insomnia.Methods:A total of 92 cases of patients with AECOPD complicated with insomnia were selected and divided into the control group and the study group according to the random number table method,with 46 cases in each group.The control group was treated with specific nursing and Estazolam Tablets,and the study group was additionally treated with auricular point pressing based on the treatment of the control group.Both groups were treated for 4 weeks and followed up for 4 weeks.The incidence of adverse reactions during treatment and within 4 weeks of follow-up,the scores of Pittsburgh Sleep Quality Index(PSQI),the sleep time at night,the time for falling asleep and the sleep latency before and after treatment,and the clinical effects were compared between the two groups.Results:After treatment,PSQI scores in the two groups were decreased when compared with those before treatment(P<0.05),and PSQI score in the study group was lower than that in the control group(P<0.05).After treatment,the sleep time at night in the two groups were increased when compared with those before treatment(P<0.05),the time for falling asleep and the sleep latency were decreased when compared with those before treatment(P<0.05).The sleep time at night in the study group was longer than that in the control group(P<0.05),and the time for falling asleep and the sleep latency were shorter than those in the control group(P<0.05).After treatment,the total clinical effective rate was 91.30% in the study group,higher than that of 71.74% in the control group(P<0.05).During the treatment and in 4 weeks of follow-up,the incidence of adverse reactions was 4.35% in the study group,lower than that of 19.57% in the control group(P<0.05).Conclusion:Auricular point pressing can effectively relieve the insomnia symptoms of patients with AECOPD complicated with insomnia,and improve the sleep quality w

关 键 词：慢性阻塞性肺疾病 急性加重期 失眠 耳穴贴压 睡眠质量 

分 类 号：R563[医药卫生—呼吸系统] R256.23[医药卫生—内科学]