耳穴压豆改善青少年儿童抑郁症失眠患者睡眠质量的随机对照研究  

Research on Improvement of Sleep Quality in Adolescents and Children with Depression and Insomnia through Auricular Acupoint Pressing Beans

作　　者：樊元元 井荣 FAN Yuanyuan;JING Rong(Zhumadian Second People's Hospital,Zhumadian 463000,Henan,China)

机构地区：[1]驻马店市第二人民医院,河南驻马店463000

出　　处：《实用中医内科杂志》2025年第4期129-131,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省科技攻关项目(232102310033)。

摘　　要：目的探究青少年儿童抑郁症失眠患者采用耳穴压豆改善睡眠质量的应用效果。方法选取2023年1月—2024年3月驻马店市第二人民医院儿童青少年心理科收治的150例青少年儿童抑郁症失眠患者作为研究对象。将患者随机分为观察组(75例)和对照组(75例)。对照组采用常规抗抑郁治疗,观察组在对照组基础上联合耳穴压豆治疗,比较两组患者的临床总有效率、失眠改善情况、睡眠质量、生活质量及中医症状评分。结果治疗后,观察组PSQI各项评分及总分均低于对照组,睡眠质量得到明显改善。差异有统计学意义(P<0.05)。观察组中医症状评分低于对照组,症状情况减轻,差异有统计学意义(P<0.05)。观察组失眠改善情况优于对照组,入睡时间缩短,睡眠时间增长。差异有统计学意义(P<0.05)。观察组总有效率高于对照组,治疗效果显著,差异有统计学意义(P<0.05)。观察组生活质量评分优于对照组,心理状态及社会关系等方面都有提升,差异有统计学意义(P<0.05)。结论耳穴压豆对青少年儿童抑郁症失眠患者的治疗效果显著,可以改善患者的睡眠质量及失眠情况,还可以改善症状情况,还能提升生活质量。该方法操作相对简便,且具有较高的安全性,为临床治疗此类患者提供了一种新的有效途径,还具有一定的临床应用和推广价值。Objective To explore the application effect of auricular acupoint pressing bean on improving sleep quality in adolescent and children with depression and insomnia.Methods A total of 150 adolescent and children with depression and insomnia admitted to the Department of Children and Adolescent Psychiatry in the Second People's Hospital of Zhumadian from January 2023 to March 2024 were selected as the research objects.The patients were randomly divided into an observation group(75 cases)and a control group(75 cases).The control group was treated with conventional antidepressant therapy,while the observation group was treated with auricular acupoint pressing bean on the basis of the control group.The clinical total effective rate,improvement of insomnia,sleep quality,the quality-of-life score and the changes in depressive state of the two groups were compared.Results After treatment,each score and the total score of Pittsburgh Sleep Quality Index(PSQI)in the observation group were lower than those in the control group,and the sleep quality was significantly improved.The difference was statistically significant(P<0.05).The TCM symptom scores of the observation group were lower than those of the control group,the depressive symptoms were alleviated,and the emotional state was more stable.The difference was statistically significant(P<0.05).The improvement of insomnia in the observation group was better than that in the control group,with the time to fall asleep shortened and the sleep time prolonged.The difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,and the treatment effect was remarkable.The difference was statistically significant(P<0.05).The quality-of-life score of the observation group was better than that of the control group,and the psychological state and social relations were improved.The difference was statistically significant(P<0.05).Conclusion Auricular acupoint pressing bean has a significant therapeutic effect o

关 键 词：耳穴压豆 青少年儿童 抑郁症 失眠 睡眠质量 匹兹堡睡眠质量指数 治疗效果 生活质量 

分 类 号：R277.7[医药卫生—中医学]