摘要
目的探讨耳穴压豆对失眠患者睡眠质量的改善效果。方法选择2018年1月—2020年1月本院收治的132例失眠患者作为研究对象,将患者以随机数表法分为对照组和观察组两组,每组各66例。对照组患者进行常规药物治疗,观察组患者则在对照组的基础上进行耳穴压豆治疗。比较两组患者的治疗效果,观察两组患者治疗前后睡眠质量指数(PSQI)评分、睡眠进程相关指标、睡眠结构相关指标及不良反应。结果观察组患者治疗总有效率明显高于对照组,差异有统计学意义(P<0.05);治疗后,两组患者的睡眠障碍、睡眠效率、睡眠时间、睡眠质量、入睡时间、催眠药物、日间功能障碍以及PSQI总分均明显减低,差异具有统计学意义(P<0.05);且观察组患者的睡眠障碍、睡眠效率、睡眠时间、睡眠质量、入睡时间、催眠药物、日间功能障碍以及PAQI总分均显著低于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者的S1、S2及异相睡眠期均低于治疗前,S3、S4均高于治疗前,差异具有统计学意义(P<0.05);且观察组患者S1、S2及异相睡眠期均低于对照组,S3、S4均显著高于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者的睡眠效率及睡眠总时间均高于治疗前,觉醒睡眠比、觉醒时间、觉醒次数、睡眠潜伏期均较低于治疗前,差异具有统计学意义(P<0.05);且观察组患者的睡眠效率及睡眠总时间均高于对照组,觉醒睡眠比、觉醒时间、觉醒次数及睡眠潜伏期均显著低于对照组,差异具有统计学意义(P<0.05);观察组患者不良反应的总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论耳穴压豆治疗失眠的效果更好,可显著降低患者的PAQI分,提高睡眠质量,改善失眠患者睡眠结构,提高失眠患者睡眠效率,降低不良反应的发生率,实用性强,可在临床上广泛推荐应用。
Objective To explore the effect of pressing beans at ear points on the improvement of sleep quality in patients with insomnia.Methods 132 patients with insomnia admitted to our department from January 2018 to January 2020 were selected as the research objects.The patients were divided into control group and observation group according to random number table method,with 66 cases in each group.Patients in the control group were treated with conventional medications,while patients in the observation group were treated with ear acupoint medicine bean pressing on the basis of the control group.The treatment effects of the two groups were compared,and sleep quality(Pittsburgh sleep quality index,PSQI),sleep progress-related indicators,and sleep structure-related indicators and adverse reactionswere observed before and after treatment.Results The total effective rate of treatment in the observation group was significantly higher than that in the control group,the difference was significant(P<0.05).After treatment,sleep disorders,sleep efficiency,sleep duration,sleep quality,time to fall asleep,hypnotic drugs,daytime dysfunction,and PAQI total scores were all lower than those in the two groupsbefore treatment(P<0.05).And the sleep disorders,sleep efficiency,sleep time,sleep quality,time to fall asleep,hypnotic drugs The total scores of dysfunction,daytime dysfunction and PAQI in patients of observation group were significantly lower than those of the control group,the differences werestatistically significant(P<0.05).After treatment,S1,S2 and paradoxical sleep in the two groups were lower than those before treatment,the levels of S3 and S4 were higher than those before treatment,the differences were statistically significant(P<0.05).And the S1,S2 and paradoxical sleep periods of the observation group were lower than those of the control group,and S3 and S4 were significantly higher than the control group,the differences were significant(P<0.05).After treatment,the sleep efficiency and total sleep time of the two groups w
作者
苏雪娟
陈青
陈晓妹
Su Xuejuan;Chen Qing;Chen Xiaomei(Neurology department,the first TCM hospital of Zhanjiang,Zhanjiang,Guangdong,524043,China)
出处
《齐齐哈尔医学院学报》
2021年第20期1790-1794,共5页
Journal of Qiqihar Medical University
关键词
耳穴压豆
失眠
疗效
睡眠质量
不良反应
Pressing medicine beans at ear points
Insomnia
Curative effect
Sleep quality
Adverse reactions
