中医健康教育联合耳穴贴压对绝经相关性失眠的临床研究  

Clinical Study of Chinese Medicine Health Education Combined with Auricular Acupressure on Menopause-Related Insomnia

作　　者：郭悦忆 王宏 张丽瑛 施琦 GUO Yueyi;WANG Hong;ZHANG Liying;SHI Qi(Rehabilitation Hospital Affiliated to Fujian University of Chinese Medicine,Fuzhou 350003,China;不详)

机构地区：[1]福建中医药大学附属康复医院,福建福州350003

出　　处：《中外医学研究》2024年第24期160-163,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：福建中医药大学校管课题项目(XB2023067)。

摘　　要：目的:调查绝经相关性失眠患者的临床现状并分析中医健康教育联合耳穴贴压的临床疗效,以期为临床针对该类患者预后干预提供科学的理论指导。方法:选取2023年7月—2024年1月福建中医药大学附属康复医院体检中心就诊的66例围绝经期失眠患者作为研究对象,按随机数表法分为观察组及对照组,每组各33例。对照组患者采用中医健康教育,观察组患者在此基础上联合耳穴贴压。分析两组患者匹兹堡睡眠质量指数表(PSQI)、女性绝经期自测表(Kupperman)评分及失眠症疗效情况。结果:观察组患者睡眠质量、睡眠时间、睡眠障碍、入睡时间、睡眠效率、日间功能及PSQI总分低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者Kupperman评分低于对照组,差异有统计学意义(P<0.05)。观察组患者治疗失眠症总有效率高于对照组,差异有统计学意义(P<0.05)。结论:中医健康教育联合耳穴贴压可有效治疗绝经相关性失眠,改善患者生活习惯,调节人体阴阳平衡,促进气血流通,进一步改善失眠症状及绝经症状。Objective:To investigate the clinical status of patients with menopause-related insomnia and to analyze the clinical efficacy of traditional Chinese medicine health education combined with auricular acupoint pressure,with a view to providing scientific and theoretical guidance for clinical prognostic interventions for this group of patients.Method:66 cases of perimenopausal insomnia patients attending the Physical Examination Center of Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from July 2023 to January 2024 were selected as the study subjects,and they were divided into the observation group and the control group according to the random number table method,with 33 cases in each group.The patients in the control group received Chinese medicine health education,and the patients in the observation group received auricular acupressure on this basis.The Pittsburgh Sleep Quality Index Scale(PSQI),Female Menopause Self-Test Scale(Kupperman)scores and insomnia efficacy were analyzed in the two groups.Result:The patients in the observation group had lower sleep quality,sleep duration,sleep disorders,time to fall asleep,sleep efficiency,daytime functioning and total PSQI scores than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the Kupperman score of patients in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of treating insomnia in patients of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:TCM health education combined with auricular acupressure can effectively treat menopause-related insomnia,improve patients'living habits,regulate the balance of yin and yang in the human body,promote the flow of qi and blood,and further improve insomnia symptoms and menopausal symptoms.

关 键 词：中医健康教育 围绝经期失眠症 耳穴贴压 临床疗效 

分 类 号：R248.9[医药卫生—中医临床基础]