耳部全息刮痧辅助治疗心脾两虚型失眠症  

Ear Holographic Gua Sha Adjuvant Treatment for Insomnia with Heart and Spleen Deficiency Syndrome

作　　者：郑连雪[1] 刘丽娟[1] 张艳[1] 杨婵婵 王桂娟 袁宇红[1] 赵敏[1] 秦元梅[2] 刘姝[1] ZHENG Lianxue;LIU Lijuan;ZHANG Yan;YANG Chanchan;WANG Guijuan;YUAN Yuhong;ZHAO Min;QIN Yuanmei;LIU Shu(The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;School of Nursing,Henan University of Chinese Medicine,Zhengzhou Henan China 450046)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]河南中医药大学护理学院,河南郑州450046

出　　处：《中医学报》2025年第5期1127-1130,共4页Acta Chinese Medicine

基　　金：河南省中医药管理局国家中医临床研究基地专项资助项目(2021JDZY058);河南省中医药管理局中医药拔尖人才项目(2019ZYBJ03)。

摘　　要：目的:观察耳部全息刮痧辅助治疗心脾两虚型失眠患者的临床疗效,并观察其对匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分及中医证候积分的影响。方法:66例心脾两虚型失眠患者依据入组的先后顺序随机分为观察组和对照组,各33例。在中成药治疗的基础上,对照组给予耳穴贴压辅助治疗,观察组给予耳部全息刮痧辅助治疗。治疗后,比较两组患者临床疗效、PSQI评分以及中医证候积分。结果:(1)观察组有效率为93.94%(31/33),对照组为72.73%(24/33),两组比较,差异有统计学意义(P<0.05)。(2)治疗后,两组患者PSQI评分均低于治疗前,观察组PSQI评分为(5.85±1.87)分,低于同期对照组(P<0.05)。(3)治疗后,两组患者中医证候积分低于治疗前,观察组中医证候积分为(7.45±2.43)分,低于同期对照组(P<0.05)。(4)两组均未发生严重不良反应。结论:耳部全息刮痧可明显改善失眠患者临床症状,提高睡眠质量,安全性高,且无不良反应。Objective:To observe clinical efficacy of auricular holographic Gua Sha adjuvant therapy in treatment of insomnia patients with Heart and Spleen deficiency syndrome,and to observe its effect on Pittsburgh sleep quality index(PSQI)score and Chinese medicine syndrome points.Methods:66 patients with insomnia of Heart and Spleen deficiency syndrome were randomly divided into observation group and control group according to the order of enrollment,each with 33 cases.Based on proprietary Chinese medicine treatment,the control group was given auricular acupoint pressure adjuvant treatment,and the observation group was given auricular holographic Gua Sha adjuvant treatment.After treatment,the clinical efficacy,PSQI score and TCM evidence points of the two groups were compared.Results:(1)The effective rate was 93.94%(31/33)in the observation group and 72.73%(24/33)in the control group,and the difference between the two groups was statistically significant(P<0.05)(2)After treatment,the PSQI scores of patients in both groups were lower than those before treatment,and the PSQI score of the observation group was(5.85±1.87),which was significantly lower than that of the control group in the same period(P<0.05).(3)After treatment,the TCM evidence score of both groups was lower than that before treatment,and the TCM evidence score of the observation group was(7.45±2.43),which was significantly lower than that of the control group in the same period(P<0.05).(4)No serious adverse reactions occurred in both groups.Conclusion:Holographic Gua Sha of the ear can significantly improve clinical symptoms of insomnia patients and improve sleep quality,with high safety and no adverse reactions.

关 键 词：失眠症 心脾两虚证 耳部全息刮痧 耳穴贴压 

分 类 号：R256.23[医药卫生—中医内科学]