耳穴疗法治疗老人失眠症之临床研究

目的:尝试利用科学性之方法探讨耳穴磁疗对老人失眠症之效果.方法:120位60岁或以上之老年患者,随机分配入三组.第一组及第二组为对照组,分别贴有灯芯或王不留行籽(不加压);第三组为实验组,贴有每粒含66高斯之磁珠(不加压).为针对老年患者常见之脏腑功能衰弱而致失眠,各人均选取相同之穴位:神门、心、肾、肝、脾、皮质下及枕,疗程共3周.结果:疗程完毕后,使用磁珠作耳疗之实验组于治疗前后的睡眠效果指数有明显之改进(P＜0.05),显效17%,有效为65%,总有效率为82%.此外,利用多元回归之反向淘汱法分析女性参加者之数据,发现利用磁珠作耳疗及参加者年龄对预测睡眠效果指数达显著水准(F3,106=9.04,P＜0.001,R2=0.20).结论:耳穴磁疗能有效地改善老人失眠症.

Clinical study of senile insomnia treated with otopoints

Objective:Adopting a scientific approach to examine the effectiveness of auricular therapy using magnetic pearls on sleep promotion in the elderly.Methods:One hundred and twenty eligible participants were randomly allocated to receive a 3-week auricular therapy using Junci Medulla (control group),Semen Vaccariae(control group) or magnetic pearls (experimental group).Seven auricular points(Shenmen,Heart,Kidney,Liver,Spleen,Subcortex,Occiput)which are thought to have an effect on promoting sleep in the elderly were selected.Results:Significant improvement in the sleep efficiency (SE) collected by wrist actigraphy was observed in the experimental group using magnetic pearls after the therapy ( P <0.05),the markedly effective rate was 17%,the effective rate was 65%,and the overall effective rate was 82%.In a backward multiple regression,the effect of auricular therapy on sleep efficiency (SE) after allowing of age in female participants is of high statistical significance (F 3,106 =9.04, P <0.001,R 2=0.20).Conclusion:Auricular therapy using magnetic pearls is an effective means of treating insomnia in the elderly.