针灸结合头颈部经穴推拿、耳穴贴压技术治疗失眠36例疗效观察

罗国超?吴伟文

[摘要] 目的 評价针灸结合头颈部经穴推拿、耳穴贴压技术对失眠症患者睡眠质量的改善作用。 方法 将2015年8月～2016年8月在我院中医科和心理科的72例失眠患者作为研究对象。随机分为对照组和观察组，各36例，观察组给予针灸结合头颈部经穴推拿、耳穴贴压技术治疗；对照组单纯口服舒乐安定片。对比分析两组临床疗效、治疗前后匹兹堡睡眠质量指数（PSQI）及不良反应发生情况。 结果 观察组治疗有效率为94.44%，对照组治疗有效率为72.22%，两者比较差异有统计学意义（χ2=12.865，P<0.05）；对照组与观察组患者治疗后评分均显著低于治疗前[（8.76±2.05）vs（14.01±2.13）]，[（5.12±2.56）vs（13.98±2.25）]，差异有统计学意义（t=7.765，8.754，P<0.05）。且治疗后观察组患者评分显著低于对照组[（5.12±2.56）vs（8.76±2.05）]，差异有统计学意义（t=9.686，P<0.05）；观察组不良反应的发生率低于对照组（5.56% vs27.78%），差异有统计学意义（χ2=10.863，P<0.05）。 结论 针灸结合头颈部经穴推拿、耳穴贴压技术不仅可显著改善失眠患者的睡眠质量和日间功能，而且安全性好，临床上值得进一步推广应用。

[关键词] 针灸；头颈部；经穴推拿；耳穴贴压；失眠

[中图分类号] R246.6 [文献标识码] A [文章编号] 2095-0616（2017）09-45-04

Observation of curative effect of acupuncture and moxibustion combined with meridian point massage of head and neck and auricular point sticking technique in treatment of insomnia in 36 cases

LUO Guochao WU Weiwen

Meixian Hospital of Traditional Chinese Medicine，Meizhou 514011，China

[Abstract] Objective To evaluate the effect of acupuncture and moxibustion combined with meridian point massage of head and neck and auricular point sticking technique on improving sleep quality of patients with insomnia. Methods 72 patients with insomnia who were treated in Department of Chinese Medicine and Psychological Department in our hospital from August 2015 to August 2016 were selected as research objects.They were randomly divided into the control group and the observation group，with 36 in each.The observation group was given acupuncture and moxibustion combined with meridian point massage of head and neck and auricular point sticking technique while the control group was only given oral estazolam tablets.Clinical curative effects，Pittsburgh sleep quality index （PSQI） before and after treatment and occurrence of adverse reactions of two groups were compared and analyzed. Results Effective rates of the observation group and the control group were 94.44% and 72.22% respectively.There was significant difference in comparison of two groups （χ2=12.865，P<0.05）.Scores after treatment of the control group and the observation group were both significantly lower than those before treatment [（8.76±2.05） vs （14.01±2.13）]，[（5.12±2.56） vs （13.98±2.25）].The difference was significant （t=7.765，8.754，P<0.05）.Scores after treatment of patients in the observation group was （5.12±2.56），significantly lower than that of the control group （8.76±2.05）.The difference was significant （t=9.686，P<0.05）.The incidence of adverse reactions in the observation group was 5.56%，lower than that in the control group 27.78%.The difference was significant （χ2=10.863，P<0.05）. Conclusion Acupuncture and moxibustion combined with meridian point massage of head and neck and auricular point sticking technique not only can significantly improve the sleep quality and day function of patients with insomnia but also has good safety，which is worthy of further clinical promotion and application.

[Key words] Acupuncture；Head and neck；Meridian point massage；Auricular point sticking；Insomnia

本世纪以来，随着经济社会的高速发展，各种压力越来越大，罹患失眠的人群总量庞大[1]，并且其中部分比例为顽固性失眠，失眠已经是影响人群健康的主要慢性疾病之一。裴瑜等[2]报道提到，我国大陆地区有约57.8%的人伴有不同程度的失眠症状，其中约19.6%的人患有严重失眠，而一旦年龄超过60岁，伴有失眠症状的比例约71.4%。目前临床上常用的失眠药物种类繁多，但是毒副作用明显，而且停药后易复发，使用受到极大限制；谢建谋等[3]研究显示，传统中医能够比较有效缓解失眠症状，但相关报道还比较少[4]，因此本课题选取我院在2015年8月～2016年8月期间收治的72例失眠患者作为研究对象，比较传统药物与采用针灸结合头颈部经穴推拿、耳穴贴压技术治疗失眠的效果，现报道如下。

1 资料与方法

1.1 一般资料

本研究对象为……