摘要
目的:分析围绝经期失眠伴焦虑抑郁患者采取疏肝调经针灸联合耳穴埋豆治疗对其失眠、焦虑、抑郁状态的改善效果。方法:选取2020年1月至2022年12月福建大田县总医院理疗科收治的围绝经期失眠伴焦虑抑郁患者60例作为研究对象,按照随机法数字表法随机分为观察组和对照组,每组30例。观察组采取疏肝调经针灸联合耳穴埋豆治疗,对照组采取常规治疗,比较2组治疗后临床疗效,分析2组治疗前后中医证候积分(潮热、情志不畅、失眠多梦、夜寐不安)、睡眠质量[匹兹堡睡眠质量指数(PSQI)、睡眠时长、闭眼至入睡时间]、情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、性激素水平[雌二醇(E_2)、促黄体生成素(LH)、促卵泡生成素(FSH)]。结果:观察组治疗后临床疗效高于对照组,差异有统计学意义(P<0.05);观察组治疗前与对照组中医证候积分、性激素水平、睡眠质量、情绪状态指标比较,差异均无统计学意义(均P>0.05);治疗后,观察组证候积分、心理情绪评分低于对照组,睡眠质量高于对照组,性激素水平较对照组改善明显,差异均有统计学意义(均P<0.05)。结论:对围绝经期失眠伴焦虑抑郁患者采取疏肝调经针灸治疗联合耳穴埋豆可减轻疾病引起的多种临床症状,改善性激素水平,缓解其不良情绪,相较于常规治疗更有助于提高患者睡眠质量,延长夜间睡眠时间,效果明显,值得临床推广应用。
Objective:To analyze the improvement effect of acupuncture and moxibustion combined with ear acupoints embedding beans on insomnia,anxiety and depression in perimenopausal patients with insomnia and anxiety depression.Methods:Sixty patients with perimenopausal insomnia accompanied by anxiety and depression admitted to the Physical Therapy Department of Fujian Datian County General Hospital from January 2020 to December 2022 were selected as the study subjects.They were randomly divided into an observation group and a control group using a random number table method,with 30 cases in each group.The observation group was treated with soothing the liver and regulating the meridians acupuncture and moxibustion combined with ear point embedding beans,and the control group was treated with routine treatment.The clinical efficacy of the two groups after treatment was compared,and the TCM syndrome scores(hot flashes,poor emotions,insomnia,dreaminess,restless sleep),sleep quality[Pittsburgh Sleep Quality Index(PSQI),sleep duration,time from closing eyes to falling asleep],emotional status[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],sex hormone levels[estradiol(E 2),luteinizing hormone(LH),follicle stimulating hormone(FSH)]before and after treatment were analyzed.Results:The clinical efficacy of the observation group after treatment was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in TCM syndrome score,sex hormone levels,sleep quality,and emotional state indicators between the observation group and the control group before treatment(P s>0.05).After treatment,the observation group had lower syndrome scores and psychological scores than the control group,higher sleep quality,and significantly improved sex hormone levels compared to the control group,with statistical significance(P s<0.05).Conclusion:For perimenopausal insomnia patients with anxiety and depression,soothing the liver and regulating menstruation acupuncture and moxibustion combined with ear point embedding beans can alleviate various clinical symptoms caused by the disease,improve the level of sex hormones,and alleviate their bad mood.Compared with conventional treatment,it is more helpful to improve the sleep quality of patients and prolong the night sleep time.The effect is obvious,and it is worthy of clinical application.
作者
陈婧彬
CHEN Jingbin(Fujian Datian County General Hospital,Datian 366100,China)
出处
《世界睡眠医学杂志》
2024年第2期278-281,共4页
World Journal of Sleep Medicine
关键词
疏肝调经
针灸
耳穴埋豆
围绝经期
失眠
焦虑抑郁
Soothing the liver and regulating menstruation
Acupuncture and moxibustion
Ear point embedding beans
Perimenopause
Insomnia
Anxiety and depression
