耳穴揿针配合中医情志干预对失眠症患者焦虑抑郁情绪及睡眠质量的影响
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R256.23

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Effect of Thumbtack Needle at Ear Points Combined with Chinese Medicine Emotional Intervention on Anxiety,Depression and Sleep Quality of Patients with Insomnia
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    摘要:

    目的:观察耳穴揿针配合中医情志干预对失眠症患者焦虑抑郁情绪及睡眠质量的影响。方法:将120 例失眠症随机分为2 组各60 例,观察组给予耳穴揿针配合中医情志干预治疗,对照组给予艾司唑仑口服治疗,2 组均以4 周为1 个疗程,共治疗2 个疗程;分别于治疗前后行匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS) 评分及血清5-羟色胺(5-HT) 及脑源性神经营养因子(BDNF) 测定,并比较2 组临床疗效。结果:总有效率观察组为93.33%,对照组为80.00%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组患者各项PSQI 评分(睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、总评分)、SAS 评分、SDS 评分均较治疗前均明显降低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗后,2 组血清5-HT、BDNF 水平均较治疗前明显升高(P<0.05);且观察组5-HT、BDNF 水平高于对照组(P<0.05)。结论:耳穴揿针配合中医情志干预能够有效改善失眠症患者睡眠质量及焦虑抑郁情绪,疗效优于艾司唑仑治疗。

    Abstract:

    Abstract: Objective: To observe the effect of thumbtack needle at ear points combined with Chinese medicine emotional intervention on anxiety,depression and sleep quality of patients with insomnia. Methods:A total of 120 cases of patients with insomnia were randomly divided into two groups, 60 cases in each group. The observation group was given thumbtack needle at ear points combined with Chinese medicine emotional intervention,and the control group was treated with oral administration of estazolam. Both groups were treated for two courses,four weeks being one course. Before and after treatment , the scores of Pittsburgh Sleep Quality Index(PSQI) , Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale,as well as the levels of 5-hydroxytryptamine(5-HT) and brain-derived neurotrophic factor(BDNF) in serum were detected. The clinical effect was compared between the two groups. Results:The total effective rate was 93.33% in the observation group and 80.00% in the control group, the difference being significant(P<0.05). After treatment, the quality,duration,efficiency and disorder of sleep,the time for falling asleep,daytime dysfunction and the total scores in SQI,SAS and SDS in the two groups were all significantly decreased when compared with those before treatment(P<0.05), and the above scores in the observation group were lower than those in the control group(P<0.05). After treatment, the levels of 5-HT and BDNF in the two groups were significantly increased when compared with those before treatment,and the above two levels in the observation group were higher than those in the control group(P<0.05). Conclusion: The thumbtack needle at ear points combined with Chinese medicine intervention can effectively improve the sleep quality, anxiety and depression of patients with insomnia,whose curative effect is better than that of estazolam.

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施海燕,祝文妹,丁慧红.耳穴揿针配合中医情志干预对失眠症患者焦虑抑郁情绪及睡眠质量的影响[J].新中医,2020,52(13):145-148

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  • 在线发布日期: 2020-07-10
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