耳穴埋藏对中青年失眠症患者睡眠功能的影响

目的:观察耳穴埋藏治疗中青年失眠症患者的疗效。方法:符合《中国精神障碍分类与诊断标准(CCMD-3)》中失眠症标准的中青年患者63例,随机分为耳埋组32例,选择耳穴肝、脾、肾,用王不留行籽埋藏,4日1次,两耳交替;药物组31例,口服地西泮片2.5 mg,1日1次。治疗前后2组均采用匹兹堡睡眠质量指数和阿森斯失眠评分量表评分并比较临床疗效。结果:治疗4周后,2组均有较好的疗效,耳埋组临床治愈率及总有效率均优于药物组(15.6%、90.6%与6.5%、61.3%,P0.01)。耳埋组匹兹堡睡眠质量指数总分,睡眠效率、睡眠障碍、催眠药物、日间功能障碍4个单项目分及阿森斯失眠量表总分,早醒、总睡眠时、白天情绪、白天状况、白天思睡5个单项目评分均明显低于治疗前及药物组(P0.05,0.01)。结论:耳穴埋藏治疗是一种简便廉效的中医康复疗法,对失眠症具有良好的临床治疗效果。

Effect of Auricular Point Buried Therapy on Sleep Promotion in the Young and Middle-aged Patients with Insomnia

Objective：To investigate the efficacy of auricular point buried therapy for treating the young and middle-aged patients with insomnia.Methods： Sixty-three recruited insomnia patients who met the criterion of CCMD-3 were randomly allocated to a treatment group of 32 cases and a control group of 31 cases.The patients in the treatment group received semen vaccariae buried in auricular points（liver,spleen and kidney were selected）.And the control group took Diazepam tablets.The therapeutic effects were evaluated by Pittsburgh Sleep Quality Index（PSQI） and Athens Insomnia Rating Scale（AIRS）.Results： After treatments for 4 weeks,both of groups have markedly therapeutic efficiency.The clinical curative rates and total effective rates were significantly higher in the treatment group than in control group（15.6%,90.6% vs 6.5%,61.3%,P0.01）.There was more statistically significant decrease post-therapy in treatment group than pretreatment and control group in the components： the global scores of index of sleep quality,sleep efficiency,dyssomnia,hypnotic pharmaceuticals,and daytime dysfunction in PSQI;the global scores,sleep duration,daytime dysfunction in AIRS.Conclusion： Auricular buried therapy is an effective means of treating insomnia and it has provided a convenient and inexpensive traditional rehabilitation method.