穴位埋线配合耳穴贴压治疗脾胃不和型失眠症的临床研究

发布时间：2018-05-03 21:32

本文选题：失眠 + 脾胃不和型　；参考：《中国针灸》2017年09期

【摘要】：目的:观察穴位埋线结合耳穴贴压与单纯耳穴贴压治疗脾胃不和型失眠的临床疗效差异。方法:将180例脾胃不和型失眠症患者随机分为观察组(93例)和对照组(87例)。观察组采用穴位埋线结合耳穴贴压疗法,穴位埋线取中脘、安眠、心俞、脾俞、胃俞、足三里、阴陵泉、三阴交穴,每2周1次;耳穴贴压取神门、皮质下、心、脾、胃,左右侧耳交替,每周2次,2个月为一疗程。对照组使用单纯耳穴贴压疗法,取穴、操作方法及疗程与观察组相同。1个疗程后观察两组患者临床疗效,并比较两组治疗前后匹兹堡睡眠质量指数(PSQI)评分,治疗结束后3个月随访复发情况。结果:观察期间观察组患者脱落2例,对照组患者脱落4例,均视为无效病例。治疗后观察组总有效率为92.5%(86/93),对照组总有效率为80.5%(70/87),观察组优于对照组(P0.05)。治疗后两组PSQI评分均较治疗前明显降低(均P0.05),且观察组治疗后评分及治疗前后差值均优于对照组(均P0.05)。两组治疗后3个月随访,观察组复发率为3.2%(3/93),低于对照组的13.8%(12/87,P0.05)。结论:穴位埋线结合耳穴贴压治疗脾胃不和型失眠症在临床疗效、改善睡眠质量和复发率方面优于单纯耳穴贴压疗法。
[Abstract]:Objective: to observe the clinical curative effect of acupoint catgut embedding combined with auricular plaster pressure and simple auricular point plaster pressure on insomnia of spleen and stomach disharmony type. Methods: 180 patients with insomnia of spleen and stomach disharmony type were randomly divided into observation group (n = 93) and control group (n = 87). The observation group was treated with acupoint catgut embedding combined with ear point pressing therapy, acupoint embedding thread taking Zhongwan, sleep, Xin Yu, spleen Yu, Weichu, Zusanli, Yin Lingquan, Sanyinjiao acupoints, once every 2 weeks, auricular acupoint sticking and pressing Shenmen, under cortex, heart, spleen, stomach, Left and right lateral ears alternately, 2 times a week, 2 months as a course of treatment. The control group was treated with simple auricular acupoint plaster therapy, point extraction, operation method and course of treatment were the same as the observation group. After one course of treatment, the clinical efficacy of the two groups was observed, and the Pittsburgh Sleep quality Index (PSQI) score was compared between the two groups before and after treatment. Recurrence was followed up for 3 months after treatment. Results: two patients in the observation group and four patients in the control group were treated as invalid cases. After treatment, the total effective rate of the observation group was 92.5 / 86 / 93, and the total effective rate of the control group was 80.5 / 70 / 87. The observation group was superior to the control group (P 0.05). After treatment, the PSQI scores of the two groups were significantly lower than those of the control group (P 0.05), and the scores and differences before and after treatment in the observation group were better than those in the control group (all P 0.05). After 3 months follow-up, the recurrence rate of the observation group was 3. 2% and 93%, which was lower than that of the control group (13. 8 / 87, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P < 0. 05). Conclusion: the therapeutic effect of acupoint catgut embedding combined with auricular point plaster on insomnia of spleen and stomach disharmony type is better than that of simple auricular point plaster therapy in improving sleep quality and recurrence rate.
【作者单位】：上海市嘉定区中医医院针灸科;
【基金】：上海市第三批中医临床优势专科(专病)建设项目:ZYSNXD-YL-YSZK 030
【分类号】：R246.6

【相似文献】