摘要
目的观察耳穴按摩操联合耳部全息铜砭刮痧治疗阴虚火旺型失眠的临床疗效。方法选取2023年6月至2024年10月萍乡市中医院收治的60例阴虚火旺型失眠患者作为研究对象,采用随机数字表法将其分为观察组和对照组,每组30例。对照组采用西药加耳穴按摩操治疗,观察组在对照组的基础上加用合耳部全息铜砭刮痧。两组均以7 d为1个疗程,治疗2个疗程后,比较两组睡眠质量、临床疗效、中医证候评分、治疗安全性及患者治疗满意度。结果两组治疗前匹兹堡睡眠质量指数(PSQI)各项得分比较,差异无统计学意义(P>0.05),观察组治疗后的PSQI各项得分低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组治疗前失眠多梦、头晕耳鸣、心悸不安、潮热盗汗得分比较,差异无统计学意义(P>0.05),观察组治疗后各项得分低于对照组,差异有统计学意义(P<0.05)。两组治疗安全性比较,差异无统计学意义(P>0.05)。观察组治疗满意度高于对照组,差异有统计学意义(P<0.05)。结论耳穴按摩操联合耳部全息铜砭刮痧可有效改善阴虚火旺型失眠患者的睡眠质量,并提升临床疗效及患者治疗满意度,且对治疗安全性无影响。
Objective To observe the clinical efficacy of the ear acupoint massage exercise combined with the holographic tongbian scraping to treat the yin deficiency and fire insomnia.Methods A total of 60 patients with insomnia of yin deficiency and fire hyperactivity type admitted to Pingxiang Hospital of Traditional Chinese Medicine from June 2023 to October 2024 were selected as the study objects.They were divided into the observation group and the control group by random number table method,with 30 cases in each group.The control group was treated with Western medicine combined with ear acupoint massage exercises,while the observation group was treated with ear holographic tongbian scraping on the basis of the control group.Both groups took 7 days as one course of treatment.After two courses of treatment,the sleep quality,clinical efficacy,traditional Chinese medicine syndrome score,treatment safety and patient satisfaction of the two groups were compared.Results Before treatment,there were no statistically significant differences in the scores of each item of the Pittsburgh sleep quality index(PSQI)between the two groups(P>0.05),the scores of each item of PSQI in the observation group after treatment were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There were no statistically significant differences in the scores of insomnia and frequent dreams,dizziness and tinnitus,palpitations and restlessness,hot flashes and night sweats between the two groups before treatment(P>0.05),after treatment,the scores of each item in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the safety of treatment between the two groups(P>0.05).The treatment satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Ear acupoint massage exercises combined with ear holographic tongbian scraping can effectively improve the sleep quality of patients with insomnia caused by yin deficiency and fire hyperactivity type,enhance the clinical efficacy and patient satisfaction with treatment,and have no impact on the safety of treatment.
作者
应艳花
罗时颖
胡甜
YING Yanhua;LUO Shiying;HU Tian(DepartmentⅦof Internal Medicine,Pingxiang Hospital of Traditional Chinese Medicine,Jiangxi Province,Pingxiang 337000,China)
出处
《中国当代医药》
2025年第22期97-101,共5页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(2023B0002)。
关键词
耳穴按摩操
耳部全息铜砭刮痧
失眠
阴虚火旺型
Ear acupoint massage exercises
Ear holographic tongbian scraping
Insomnia
Yin deficiency and fire hyperactivity type
