中西医结合护理 (Jun 2025)
Clinical observation of Tongbian Guasha combined with auricular acupoint sticking and pressing in the treatment of insomnia with syndrome of liver depression transforming into fire (铜砭刮痧联合耳穴贴压治疗肝郁化火型失眠效果观察)
Abstract
Objective To explore the effect of Tongbian Guasha combined with auricular acupoint sticking in the treatment of insomnia with syndrome of liver depression transforming into fire, and investigate its related mechanism. Methods A total of 62 patients with insomnia of liver-depression-transforming-into-fire type were divided into an experimental group and a control group, with 31 cases in each group. Auricular acupoint sticking therapy was conducted after Tongbian Guasha therapy in the experimental group, while the auricular point sticking was performed in the control group. The above therapies were conducted once a week, two weeks as one course, for a total of 2 courses. The Traditional Chinese Medicine (TCMrome integral, Pittsburgh Sleep Quality Index(PSQI), Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale (SDS), levels of melatonin (MT), 5-hydroxytryptamine(5-HT), dopamine(DA), noradrenaline(NE), and efficacy of treatment were compared between two groups. Results TCM syndrome integral score was decreased in both experimental group and control group after intervention(P＜0. 05), and TCM syndrome integral score in the experimental group was lower than that in the control group(P＜0. 01). Total score and subscales of PSQI in the experimental group were lower than those in the control group(P＜0. 05). The SAS score and SDS score in the experimental group were lower than those in the control group after treatment(P＜0. 05). Patients in the experimental group had a better outcome of laboratory examination including MT, 5-HT, DA and NE test compared with those in the control group (P＜0. 05). The overall effective rate of the experimental group was higher than that of the control group (P＜0. 01). Conclusion Tongbian Guasha combined with auricular acupoint sticking on the corresponding acupoints and meridians of the human body are effective to relieve the clinical symptoms of insomnia and negative emotions, and improve the sleep quality of patients. (目的 探讨铜砭刮痧联合耳穴贴压对肝郁化火型失眠患者症状的影响及相关机制。方法 选取2024年1月—6月在贵州中医药大学第一附属医院门诊诊断为不寐(肝郁化火型)的62例患者为研究对象, 按随机数字表法分为试验组和对照组, 各31例。对照组只进行耳穴贴压, 试验组在刮痧治疗结束之后立即进行耳穴贴压治疗。上述疗法1次/周, 2周为1个疗程, 共2个疗程。比较两组患者中医证候评分、匹兹堡睡眠质量指数量表(PSQI)得分、焦虑自评量表(SAS)和抑郁自评量表(SDS)得分, 以及褪黑素(MT)、5-羟色胺(5-HT)、多巴胺(DA)、去甲肾上腺素(NE)水平, 综合评价干预效果。结果 治疗后, 两组肝郁化火证证候积分较治疗前降低(P＜0. 05), 且试验组肝郁化火证候积分低于对照组, 差异有统计学意义(P＜0. 01)。试验组患者PSQI量表总分及各维度得分均低于对照组, 差异有统计学意义(P＜0. 05)。治疗后, 两组患者SAS和SDS量表评分较治疗前降低(P＜0. 05), 且试验组患者SAS和SDS量表评分低于对照组, 差异有统计学意义(P＜0. 05)。 试验组患者实验室指标如褪黑素(MT)、5-羟色胺(5-HT)、多巴胺(DA)、去甲肾上腺素(NE)水平改善优于对照组, 差异有统计学意义(P＜0. 05)。疗效评价结果显示, 试验组干预效果优于对照组, 差异有统计学意义(P＜0. 01)。结论 铜砭刮痧联合耳穴贴压作用于人体相应的穴位和经络, 可以有效缓解患者失眠症状和负性情绪, 改善睡眠质量。)
Keywords
