新型压穴腕踝带的设计及在轻度焦虑性失眠中的应用评价  

Design of new type of acupressure wrist-ankle strap and its value for treating mild anxiety insomnia

作　　者：袁影 李伟红 尤艳利 代仟细 方凡夫 YUAN Ying;LI Wei-hong;YOU Yan-li;DAI Qian-xi;FANG Fan-fu(Department of Acupuncture and Moxibustion,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;School of Traditional Chinese Medicine,Naval Medical University,Shanghai 200433,China;Department of Rehabilitation Medicine,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院针灸推拿科,上海200433 [2]海军军医大学中医系,上海200433 [3]海军军医大学第一附属医院康复医学科,上海200433

出　　处：《医疗卫生装备》2024年第4期78-82,共5页Chinese Medical Equipment Journal

基　　金：上海市卫健委中医药科研项目(2020LQ003);军队科研项目(后卫函〔2022〕280号)。

摘　　要：目的:设计一种新型压穴腕踝带,并评价其治疗轻度焦虑性失眠的效果。方法:新型压穴腕踝带包括固定带以及压穴组件2个部分。选取2020年10月至2023年1月于某院招募的94例失眠伴轻度焦虑患者为研究对象,采用随机数字表法将其分为观察组48例(使用压穴腕踝带)和对照组46例(使用假压穴腕踝带),对比治疗前后2组患者的匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)总评分和汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分,并采用两因素重复测量方差分析法进行分析。采用SPSS 21.0统计学软件进行数据分析。结果:治疗后2组PSQI总评分、HAMA评分较治疗前均有改善,差异有统计学意义(P<0.05)。2组时间因素对PSQI总评分、HAMA评分影响差异有统计学意义(P<0.05),2组时间×组别的交互作用对PSQI总评分、HAMA评分影响差异有统计学意义(P<0.05)。结论:新型压穴腕踝带可在自行操作、无创无痛、无不良反应的前提下,改善轻度焦虑性失眠患者的总体睡眠情况和焦虑状态。Objective To design a new type of acupressure wrist-ankle strap and evaluate its clinical effect on the treatment of patients with mild anxiety insomnia.Methods The acupressure wrist-ankle strap was composed of a fixation band and an acupressure part.Totally 94 insomnia patients with mild anxiety at some hospital from October 2020 to January 2023 were selected as the subjects and divided into an observation group(n=48)and a control group(n=46)with the random number table method.The observation group was treated with the acupressure wrist-ankle strap,and the control group was given with placebos.The two groups were compared before and after treatment in terms of Pittsburgh sleep quality index(PSQI)and Hamilton anxiety scale(HAMA)with two-way repeated measures ANOVA.SPSS 21.0 software was used for data analysis.Results The PSQI and HAMA scores of the two groups were enhanced significantly after treatment(P<0.05).The two groups had statistically significant difference in the effect of the time factor on PSQI and HAMA scores(P<0.05),and also in the effect of the time×group interaction on PSQI and HAMA scores(P<0.05).Conclusion The acupressure wrist-ankle strap contributes to improving the sleep and anxiety of mild anxiety insomnia patients in a self-administered,non-invasive,painless,and non-adverse manner.

关 键 词：压穴腕踝带 轻度焦虑性失眠 失眠 焦虑 

分 类 号：R318[医药卫生—生物医学工程] TH789[医药卫生—基础医学]