耳穴压丸联合背部循经走罐治疗围绝经期失眠症的临床观察

摘要

目的:观察耳穴压丸联合背部循经走罐治疗围绝经期失眠症的临床疗效.方法:95例患者随机分为两组,其中观察组采用耳穴压丸,每日上午、下午及晚上临睡前每穴轻按压30 ～60 s,42天为一疗程;午后背部循经走罐,7天1次,6次为一疗程.对照组每晚睡前口服艾司唑仑片1mg,42天为一疗程.1个疗程结束后观察临床疗效.结果:观察组治疗结束时、治疗结束后1周及治疗结束后2周的总有效率分别为85.7％、85.7％、79.6％,对照组总有效率分别为68.9％、20％、4.4％,两组间总有效率比较均具有显著差异性(P＜0.05).治疗结束时,观察组PSQi各项评分及总分均比治疗前显著下降(P＜0.05),对照组睡眠质量评分、入睡时间评分、睡眠时间评分、睡眠效率评分、睡眠障碍评分及总分比治疗前显著下降(P＜0.05),但日间功能障碍评分与治疗前比较差异无统计学意义(P＞0.05);两组间比较,观察组睡眠质量评分、睡眠时间评分、日间功能障碍评分及总分均显著低于对照组(P＜0.05).观察组在治疗期间头晕头痛、恶心厌食、乏力3项常见不良临床症状的发生率均显著少于对照组(P＜0.05).结论:耳穴压丸联合背部循经走罐治疗围绝经期失眠症的临床疗效显著,无副反应,且远期疗效更明显.%Objective:To observe the effect of auricular point plaster therapy combined with moving cupping therapy for treating menopausal insomnia.Methods:95 patients were randomly divided into two groups.The patients in the observation group were treated with auricular point plaster therapy.and each point was kneaded from 30 s to 60 s in the morning,afternoon and at night before sleep with 42 days as a course.At the same time,moving cupping therapy for back was used,once every 7 days with 6 times as a course.Patients in the control group took estazolam tablets 1 mg every night betore sleep for 42 days as a course.After one therapeutic course,observe the effect.Results:After finishing treatment of 1 week and 2 weeks,the total effective rates of observation group were 85.7％,85.7％ and 79.6％ respectively,which were all higher than those of control group (68.9％,20％,4.4％)(P ＜0.05).Compared with those before treatment,each item score and total score of PSQI were all decreased after treatment in the observation group(P ＜ 0.05).Time dysfunction had no significant difference (P ＞ 0.05),but others were all decreased after treatment in the control group (P ＜ 0.05).The scores of sleeping quality,sleeping time,daytime dysfunction and the total score in the observation group were all lower than those in the control group (P ＜ 0.05).The incidence rates of adverse events in the observation group were all lower than those (headache,sickness,fatigue) in the control group (P ＜ 0.05).Conclusion:The treatment of auricular point plaster therapy combined with moving cupping therapy has a good curative effect on menopausal insomnia without adverse reactions,and the long-term efficacy is more obvious.