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作 者:陈思[1] 周晓卿 张菶 吴海滨[1] CHEN Si;ZHOU Xiaoqing;ZHANG Beng;WU Haibin(The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine,Shenzhen,Guangdong 518000;Department of Acupuncture,Beijing University of Chinese Medicine Shenzhen Hospital(Longgang),Shenzhen,Guangdong 518000)
机构地区:[1]广州中医药大学第四临床医学院,广东深圳518000 [2]北京中医药大学深圳医院(龙岗)针灸科,广东深圳518000
出 处:《河北中医》2024年第12期2052-2055,2059,共5页Hebei Journal of Traditional Chinese Medicine
基 金:教育部产学合作协同育人项目(编号:230714184507236);深圳市中医院首届医院管理研究课题(深中医〔2023〕133号)。
摘 要:目的观察麦粒灸联合针刺对围绝经期失眠患者睡眠质量及焦虑、抑郁状态的影响。方法将100例围绝经期失眠患者采用计算机随机分组法分为2组,对照组40例予针刺治疗,治疗组60例在对照组治疗基础上加麦粒灸治疗,均治疗2周。比较2组治疗前后匹兹堡睡眠质量指数量表(PSQI)、医院焦虑抑郁量表(HADS)评分变化,并统计比较2组临床疗效、不良反应及治疗后简明健康调查问卷(SF-36)评分。结果治疗组总有效率93.33%(56/60),对照组总有效率80.00%(32/40),治疗组总有效率明显高于对照组(P<0.05)。治疗后,2组PSQI各维度评分及总分均较本组治疗前显著降低(P<0.05),且治疗后治疗组睡眠时间、睡眠效率、睡眠障碍和日间功能障碍评分及总分均低于对照组(P<0.05)。治疗后,2组焦虑、抑郁评分均较本组治疗前显著降低(P<0.05),且治疗组均低于对照组(P<0.05)。治疗后治疗组SF-36各维度评分均高于对照组(P<0.05)。2组不良反应发生率比较差异无统计学意义(P>0.05),且均无严重不良反应发生。结论麦粒灸联合针刺治疗围绝经期失眠相较于常规针刺治疗,能够更好地促进患者失眠和负性情绪改善,提高患者生活质量。Objective To analyze the effect of wheat grain moxibustion combined with acupuncture treatment on sleep quality and anxiety&depression in perimenopausal insomnia women.Methods One hundred perimenopausal insomnia patients were selected and assigned into control group(n=40)and treatment group(n=60)by computer random method.All patients received acupuncture treatment,and those in the treatment group additionally received wheat grain moxibustion for two weeks.The aim was to compare inter-group Pittsburgh Sleep Quality Index(PSQI)and Hospital Anxiety and Depression Scale(HADS)scores before and after treatment.The inter-group clinical efficacy,adverse reactions and the Short Form-36(SF-36)scores were evaluated after treatment.Results The total effective rate in the treatment group was significantly higher than that in the control group(93.33%[56/60]vs 80.00%[32/40],P<0.05).The PSQI scores including dimension scores(sleep duration,sleep efficiency,sleep disturbances and daytime dysfunction)and total score in the two groups after treatment were significantly decreased(P<0.05),and which in the treatment group were significantly lower than those in the control group(P<0.05).After treatment,significantly decreased HADS scores and increased SF-36 scores in the two groups were detected(both P<0.05),and the improvements in the treatment group were more pronounced in the control group(both P<0.05).There was no significant difference in the incidence of adverse reactions between groups,and without serious adverse reactions(P>0.05).Conclusion The combination of wheat grain moxibustion with acupuncture for perimenopausal insomnia can better improve patients'sleep quality,negative emotions,and the quality of life relative to the conventional acupuncture treatment.
关 键 词:围绝经期 麦粒灸疗法 针刺 入睡和睡眠障碍 焦虑 抑郁
分 类 号:R271.116.05[医药卫生—中医妇科学] R245.8[医药卫生—中医学] R246.3R256.23
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