耳穴压豆治疗失眠的效果探讨  

Study on the effect of auricular points plaster therapy on insomnia

作　　者：孙翠玲 王芳 SUN Cui-ling;WANG Fang(Yantai Municipal Government Hospital,Yantai 264000,China)

机构地区：[1]烟台市市直机关医院,264000

出　　处：《中国现代药物应用》2025年第6期147-149,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析耳穴压豆治疗失眠患者的临床效果。方法70例失眠患者作为研究对象,依据随机数字表法分为对照组(35例)以及观察组(35例)。对照组采取常规治疗,观察组在对照组基础上采取耳穴压豆治疗。比较两组患者治疗前后中医证候评分、汉密尔顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分、睡眠质量。结果观察组治疗后失眠日久、躁扰不宁、夜寐不安评分分别为(1.89±0.38)、(1.76±0.31)、(1.81±0.29)分,比对照组的(2.67±0.43)、(2.49±0.42)、(2.73±0.32)分更低(P<0.05)。观察组治疗后HAMA、HAMD评分分别为(13.72±3.00)、(10.38±3.45)分,比对照组的(19.51±3.27)、(17.45±2.60)分更低(P<0.05)。观察组治疗后入睡前所需时间、睡眠失调、白天功能失调、睡眠持续时间、习惯性失眠效率、总体睡眠质量评分分别为(1.26±0.34)、(1.46±0.30)、(1.31±0.26)、(1.17±0.20)、(1.07±0.19)、(1.16±0.18)分,比对照组的(1.82±0.37)、(1.95±0.32)、(1.87±0.35)、(1.63±0.22)、(1.54±0.34)、(1.78±0.27)分更低(P<0.05)。结论耳穴压豆治疗失眠患者的效果确切,能够有效改善患者的心理状态及睡眠质量,值得推广。Objective To analyze the clinical effect of auricular points plaster therapy on insomnia.Methods 70 patients with insomnia as study subjects were divided into control group(35 cases)and observation group(35 cases)according to random numerical table.The control group was treated with conventional therapy,and the observation group was treated with auricular points plaster therapy on the basis of the control group.The traditional Chinese medicine syndrome score,Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores and sleep quality of the two groups were compared before and after treatment.Results After treatment,the scores of insomnia,restlessness and restless sleep in the observation group were(1.89±0.38),(1.76±0.31)and(1.81±0.29)points,which were lower than(2.67±0.43),(2.49±0.42)and(2.73±0.32)points in the control group(P<0.05).After treatment,HAMA and HAMD scores in the observation group were(13.72±3.00)and(10.38±3.45)points,which were lower than(19.51±3.27)and(17.45±2.60)points in the control group(P<0.05).After treatment,the scores of sleep latency,sleep disorder,daytime dysfunction,sleep duration,habitual insomnia efficiency and overall sleep quality in the observation group were(1.26±0.34),(1.46±0.30),(1.31±0.26),(1.17±0.20),(1.07±0.19)and(1.16±0.18)points,which were lower than(1.82±0.37),(1.95±0.32),(1.87±0.35),(1.63±0.22),(1.54±0.34)and(1.78±0.27)points in the control group(P<0.05).Conclusion The effect of auricular points plaster therapy on insomnia patients is definite,and it can effectively improve the psychological state and sleep quality of patients,and is worth promoting.

关 键 词：耳穴压豆 失眠 艾司唑仑 

分 类 号：R256.23[医药卫生—中医内科学]