摘要
目的 探讨温针灸联合耳穴压丸治疗抑郁性失眠患者的临床疗效.方法 选择2018年1月—2021年1月该院收治的抑郁性失眠患者46例为研究对象,根据双盲法进行随机分组,每组23例.对照组患者采用舍曲林联合阿普唑仑治疗,观察组患者采用温针灸联合耳穴压丸治疗.观察对比两组治疗效果、治疗前后睡眠质量、治疗后不同时间抑郁评分.结果 观察组的临床治疗总有效率为95.65%,明显高于对照组的69.57%,差异有统计学意义(P<0.05).治疗后,观察组的入睡时间、睡眠质量、睡眠时间、睡眠效率评分均明显高于对照组,组间差异有统计学意义(P<0.05).观察组治疗2、4、8周后的抑郁评分均明显低于对照组,组间差异有统计学意义(P<0.05).结论 抑郁性失眠患者采用温针灸联合耳穴压丸治疗具有确切疗效,能够有效提高患者的睡眠质量,同时缓解其抑郁情绪,值得临床推广运用.
Objective To explore the clinical efficacy of warm needling combined with ear point pressing pills in the treatment of patients with depressive insomnia.Methods The 46 patients with depressive insomnia admitted to the hospital from January 2018 to January 2021 were selected as the research objects.Random grouping was carried out according to the double-blind method,with 23 cases in each group.The patients in the control group were treated with sertraline combined with alprazolam,and the patients in the observation group were treated with warm needle combined with ear point pressing pills.The treatment effects,sleep quality before and after treatment,and depression scores at different times after treatment were observed and compared.Results The total effective rate of clinical treatment in the observation group was 95.65%,which was significantly higher than 69.57%in the control group,and the difference was statistically significant(P<0.05).After treatment,the time to fall asleep,sleep quality,sleep time,and sleep efficiency scores of the observation group were significantly higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The depression scores of the observation group after 2,4,and 8 weeks of treatment were significantly lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion For patients with depressive insomnia,the treatment of warm needling combined with earpoint pressing pills has definite curative effect.It can effectively improve the sleep quality of patients and relieve depression.It is worthy of clinical application and promotion.
作者
张基萍
ZHANG Jiping(Department of Acupuncture and Moxibustion,Jiahua Hospital,Peixian County,Xuzhou City,Peixian Jiangsu,221600,China)
出处
《反射疗法与康复医学》
2021年第14期4-6,13,共4页
Reflexology And Rehabilitation Medicine
关键词
抑郁性失眠
温针灸
耳穴压丸
疗效
睡眠质量
Depressive insomnia
Warm needle
Ear point pressing pills
Efficacy
Sleep quality
作者简介
张基萍(1969-),女,江苏徐州人,本科,主治医师,研究方向:针灸临床。
