河北中医2024,Vol.46Issue(12) :2052-2055,2059.DOI:10.3969/j.issn.1002-2619.2024.12.023

麦粒灸联合针刺治疗对围绝经期失眠患者睡眠质量及焦虑抑郁状态的影响

Effect of wheat grain moxibustion combined with acupuncture treatment on sleep quality and anxiety & depression in perimenopausal insomnia women

陈思 周晓卿 张摹 吴海滨
河北中医2024,Vol.46Issue(12) :2052-2055,2059.DOI:10.3969/j.issn.1002-2619.2024.12.023

麦粒灸联合针刺治疗对围绝经期失眠患者睡眠质量及焦虑抑郁状态的影响

Effect of wheat grain moxibustion combined with acupuncture treatment on sleep quality and anxiety & depression in perimenopausal insomnia women

陈思 1周晓卿 2张摹 2吴海滨1
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作者信息

  • 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
  • 折叠

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.

Abstract

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

Key words

Perimenopause/Wheat grain moxibustion/Acupuncture/Sleep and sleep disorders/Anxiety/Depression

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出版年

2024
河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
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