[1]文琼梅,文 琪,李 薇.揿针联合耳穴压豆治疗原发性失眠临床研究[J].陕西中医,2024,(2):270-273.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.027]
　WEN Qiongmei,WEN Qi,LI Wei.Clinical study on primary insomnia treated by press-needle combined with auricular point pressing plus beans[J].,2024,(2):270-273.[doi:DOI:10.3969/j.issn.1000-7369.2024.02.027]
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揿针联合耳穴压豆治疗原发性失眠临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年2期
页码:
270-273
栏目:
针灸经络
出版日期:
2024-02-05

文章信息/Info

Title:
Clinical study on primary insomnia treated by press-needle combined with auricular point pressing plus beans
作者:
文琼梅; 文 琪; 李 薇
(遂宁市中心医院,四川 遂宁 629000)
Author(s):
WEN Qiongmei; WEN Qi; LI Wei
(Suining Central Hospital,Suining 629000,China)
关键词:
原发性失眠;  揿针;  耳穴压豆;  5-羟色胺;  去甲肾上腺素;  睡眠质量
Keywords:
Primary insomnia;  Snap needles;  Auricular pressure beans;  5-hydroxytryptamine;  Norepinephrine;  Sleep quality
分类号:
R 256.23
DOI:
DOI:10.3969/j.issn.1000-7369.2024.02.027
文献标志码:
A
摘要:
目的:探讨揿针联合耳穴压豆治疗原发性失眠的临床疗效及对患者睡眠效率、血清5-HT水平的影响。方法:选取原发性失眠患者112例,按照均等随机单盲分为对照组和试验组,各56例,两组均接受常规治疗,对照组在常规治疗基础上采用耳穴压豆法进行治疗,试验组在对照组基础上联合揿针治疗,比较两组治疗后临床疗效; 治疗前后失眠严重程度[失眠严重程度指数(ISI)]、睡眠质量[匹兹堡睡眠指数(PSQI)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]及神经内分泌指标[血清5-羟色胺(5-HT)、去甲肾上腺素(NE)]水平差异。结果:试验组临床疗效为94.64%,对照组为82.14%,两组比较差异有统计学意义(P<0.05); 两组治疗后血清5-HT水平较治疗前显著升高,且试验组明显高于对照组(P<0.05); 两组治疗后ISI、PSQI、SAS、SDS评分及血清NE水平较治疗前显著降低,且试验组明显低于对照组(P<0.05)。结论:揿针联合耳穴压豆治疗原发性失眠疗效确切,通过调节神经内分泌,能有效缓解失眠症状及心理状态,改善睡眠质量。
Abstract:
Objective:To explore the effect of press-needle combined with auricular point pressing with beans in the treatment of primary insomnia and its influence on sleep efficiency and serum 5-HT level.Methods:112 patients with primary insomnia were selected and divided into control group and test group according to equal random and single blind methods,with 56 cases in each group.Both groups received conventional treatment,and the control group was treated with auricular point pressing with beans on the basis of conventional treatment,and the test group was given press-needle treatment on the basis of the control group.The clinical efficacy after treatment and differences in insomnia severity [Insomnia Severity Index(ISI)],sleep quality [Pittsburgh Sleep Quality Index(PSQI)],psychological state [Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)] and neuroendocrine indicators [serum 5-hydroxytryptamine(5-HT),norepinephrine(NE)] before and after treatment were were compared between both groups.Results:The clinical efficacy was 94.64% in test group and 82.14% in control group(P<0.05).Serum 5-HT level after treatment was significantly enhanced compared with that before treatment,and the level in test group was significantly higher than that in control group(P<0.05).After treatment,the scores of ISI,PSQI,SAS and SDS and level of serum NE level in the two groups were significantly reduced compared to before treatment,and the scores and level were significantly lower in test group than those in control group(P<0.05).Conclusion:Press-needle combined with auricular point pressing with beans has a definite efficacy in the treatment of primary insomnia.By regulating neuroendocrine status,it can effectively relieve the insomnia symptoms and psychological state and improve the sleep quality.

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备注/Memo

备注/Memo:
基金项目:四川省遂宁市中医药科研专项课题(SN2022B16)
更新日期/Last Update: 2024-02-07