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针灸联合耳部全息铜砭刮痧治疗原发性失眠患者的效果

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目的:分析针灸联合耳部全息铜砭刮痧治疗原发性失眠患者的效果.方法:选取 2021 年 3 月—2023 年 6 月漳州市第二中医院收治的 68 例原发性失眠患者.根据随机数表法将其分为药物组和针灸刮痧联合组,各 34 例.药物组给予艾司唑仑片,针灸刮痧联合组在药物组基础上给予针灸联合耳部全息铜砭刮痧.比较两组临床疗效,治疗前后中医症候积分、睡眠质量、焦虑抑郁情绪、生活质量及不良反应.结果:针灸刮痧联合组治疗总有效率高于药物组,差异有统计学意义(P<0.05).治疗后,两组心悸胆怯、不易入睡、寐后易惊、遇事善惊、气短倦怠,自汗乏力评分均降低,针灸刮痧联合组心悸胆怯、不易入睡、寐后易惊、遇事善惊、气短倦怠,自汗乏力评分均低于药物组,差异有统计学意义(P<0.05).治疗后,两组匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)和汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分均降低,针灸刮痧联合组PSQI评分、HAMD评分、HAMA评分均低于药物组,差异有统计学意义(P<0.05).治疗后,两组生理、心理、社会关系、环境评分均升高,针灸刮痧联合组生理、心理、社会关系、环境评分均高于药物组,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:针灸联合耳部全息铜砭刮痧治疗原发性失眠患者效果确切,可有效改善睡眠质量,减轻焦虑抑郁情绪,提升生存质量.
Curative Effect of Acupuncture Combined with Ear Holographic Copper Needle Guasha in the Treatment of Patients with Primary Insomnia
Objective:To analyze the curative effect of acupuncture combined with ear holographic copper needle Guasha in the treatment of patients with primary insomnia.Method:A total of 68 patients with primary insomnia treated in Zhangzhou Second Traditional Chinese Medicine Hospital from March 2021 to June 2023 were selected.According to random number table method,they were divided into drug group and acupuncture and Guasha combined group,34 cases in each group.The drug group was given Estazolam Tablets,and the acupuncture and Guasha combined group was given acupuncture combined with ear holographic copper needle Guasha.The clinical efficacy,the scores of traditional Chinese medicine symptoms,sleep quality,anxiety and depression mood,quality of life before and after treatment and adverse reactions of the two groups were compared.Result:The total effective rate of acupuncture and Guasha combined group was higher than that of drug group,and the difference was statistically significant(P<0.05).After treatment,the scores of palpitation timidity,difficulty to fall asleep,easy to be frightened after sleep,good to be frightened when something happened,shortness of breath and fatigue,spontaneous sweating fatigue in both groups were reduced,and the scores of palpitation timidity,difficulty to fall asleep,easy to be frightened after sleep,good to be frightened when something happened,shortness of breath and fatigue,spontaneous sweating fatigue in the acupuncture and Guasha combined group were lower than those in the drug group,the differences were statistically significant(P<0.05).After treatment,the Pittsburgh sleep quality index(PSQI),Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)scores of the two groups were all reduced,the PSQI,HAMD and HAMA scores of the acupuncture and Guasha combined group were lower than those of the drug group,the differences were statistically significant(P<0.05).After treatment,the physiological,psychological,social and environmental scores of the two groups were increased,and the physiological,psychological,social and environmental scores of the acupuncture and Guasha combined group were higher than those of the drug group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Curative effect of acupuncture combined with ear holographic copper needle Guasha is significant in the treatment of patients with primary insomnia,which can effectively improve sleep quality,relieve anxiety and depression,and improve quality of life.

Primary insomniaAcupunctureEar holographic copper needle Guasha

张佳嘉、张伟焊、许智群

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漳州市第二中医院 福建 漳州 363100

原发性失眠 针灸 耳部全息铜砭刮痧

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(25)