[1]张慧洁.针灸配合耳穴压豆治疗心肾不交型围绝经期睡眠障碍的临床观察[J].大众科技,2022,24(12):91-94.
 Clinical Observation of Acupuncture Combined with Auricular Pressure in the Treatment of Perimenopausal Sleep Disorder of Heart and Kidney Disjunction Type[J].Popular Science & Technology,2022,24(12):91-94.
点击复制

针灸配合耳穴压豆治疗心肾不交型围绝经期 睡眠障碍的临床观察()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年12
页码:
91-94
栏目:
医药与卫生
出版日期:
2022-12-20

文章信息/Info

Title:
Clinical Observation of Acupuncture Combined with Auricular Pressure in the Treatment of Perimenopausal Sleep Disorder of Heart and Kidney Disjunction Type
作者:
张慧洁 
(广西防城港市中医医院,广西 防城港 538000)
关键词:
针灸耳穴压豆围绝经期睡眠障碍失眠临床观察
Keywords:
acupuncture auricular pressure perimenopausal sleep disorder insomnia clinical observation
文献标志码:
A
摘要:
目的:探讨研究针灸配合耳穴压豆治疗围绝经期睡眠障碍心肾不交型患者的临床疗效。方法:选取60例心肾不交型围绝经期睡眠障碍患者按随机数字表随机分为2组,对照组给予艾司唑仑片治疗,治疗组在西药治疗基础上联合应用针灸配合耳穴压豆治疗,用药3周后对比观察治疗前后两组的临床有效率和睡眠质量,采用匹兹堡睡眠质量指数量表(PSQI)评分和失眠严重程度指数量表(ISI)评分评估临床疗效。结果:治疗3周后,与对照组比较,治疗组的临床治愈率及有效率显著升高(P<0.05),治疗组患者PSQI总分及ISI评分均显著降低(P<0.05);与治疗前比较,观察组患者PSQI各因子评分及PSQI总分及ISI评分显著低于治疗前(P<0.01)。结论:针灸配合耳穴压豆治疗心肾不交型围绝经期睡眠障碍疗效确切,针灸配合耳穴压豆能有效改善心肾不交型失眠患者的睡眠质量,可在临床推广应用。
Abstract:
Objective: To observe and study the clinical efficacy of acupuncture combined with auricular pressure in the treatment of perimenopausal sleep disorder patients with heart and kidney disjunction type. Methods: 60 patients with heart and kidney disjunction type perimenopausal sleep disorder were selected and randomly divided into two groups according to the random number table. The control group was treated with estazolam tablet, and the treatment group was treated with acupuncture combined with auricular pressure on the basis of western medicine. After 3 weeks of treatment, the clinical efficiency and sleep quality of the two groups were observed before and after treatment. Pittsburgh Sleep Quality Index (PSQI) score and Insomnia Severity Index (ISI) score were used to evaluate the clinical efficacy. Results: After 3 weeks of treatment, compared with the control group, the clinical cure rate and effective rate in the treatment group were significantly increased (P<0.05), PSQI total score and ISI score in the treatment group were significantly decreased (P<0.05) compared with before treatment, PSQI factor score, PSQI total score and ISI score in observation group were significantly lower than before treatment (P<0.01). Conclusion: Acupuncture combined with auricular pressure is effective in the treatment of perimenopausal sleep disorder of heart and kidney disjunction type. Acupuncture combined with auricular pressure can effectively improve the sleep quality of heart and kidney disjunction type insomnia patients, which can be promoted in clinical application.

参考文献/References:

[1] LI S, WANG Z, WU H, et al. Electroacupuncture versus sham acupuncture for perimenopausal insomnia: A randomized controlled clinical trial[J]. Nature and Science of Sleep, 2020, 12: 1201-1213. [2] CIANO C, KING T S, WRIGHT R R, et al. Longitudinal study of insomnia symptoms among women during perimenopause[J]. Journal of Obstetric, Gynecologic and Neonatal Nursing, 2017, 46(6): 804-813. [3] RUAN X, CUI Y, DU J, et al. Prevalence of climacteric symptoms comparing perimenopausal and postmenopausal Chinese women[J]. Journal of Psychosomatic Obstetrics and Gynecology, 2017, 38(3): 161-169. [4] SHARMA V K, SAXENA M S. Climacteric symptoms: A study in the Indian context[J]. Maturitas, 1981, 3(1):11-20. [5] AMEDT J T, CUDDIHY L, SWANSON L M, et al. Randomized controlled trial of telephone-delivered cognitive behavioral therapy for chronic insomnia[J]. Sleep, 2013, 36(3): 353-362. [6] MARJORIBANKS J, FARQUHAR C, ROBERTS H, et al. Long term hormone therapy for perimenopausal and postmenopausal women[J]. Cochrane Database of Systematic Reviews, 2012(7): CD004143. [7] ZHAO F Y, ZHANGW J, KKENNEDY G A, et al. The Role of acupuncture in treating perimenopausal insomnia: An overview and quality assessment of systematic reviews and Meta-analyses[J]. Neuropsychiatric Disease and Treatment, 2021, 17: 3325-3343. [8] ZHU X, LIEW Y, LIU Z L. Chinese herbal medicine for menopausal symptoms[J]. Cochrane Database of Systematic Reviews, 2016, 3: CD009023. [9] 郑筱萸. 中药新药临床研究指导原则(试行)[M]. 北京: 中国医药科技出版社,2002. [10] SANTORO N, ROECA C, PETERS B A, et al. The menopause transition: signs, symptoms, and management options[J]. Journal of Clinical Endocrinology and Metabolism, 2021, 106(1): 1-15. [11] CARUSO D, MASCI I, CIPOLLONE G, et al. Insomnia and depressive symptoms during the menopausal transition: Theoretical and therapeutic implications of a self-reinforcing feedback loop[J]. Maturitas, 2019, 123: 78-81. [12] WOODS N F, MITCHELL E S. Sleep symptoms during the menopausal transition and early postmenopause: Observations from the Seattle Midlife Womens Health Study[J]. Sleep, 2010, 33(4): 539-549. [13] KRAVITZ H M, Joffe H. Sleep during the perimenopause: A SWAN story[J]. Obstetrics and Gynecology Clinics of North America, 2011, 38(3): 567-586. [14] BAKER F C, de Z M, Colrain I M, et al. Sleep problems during the menopausal transition: Prevalence, impact, and management challenges[J]. Nature and Science of Sleep, 2018, 10: 73-95. [15] OH J, PETERSEN C, WALSH C M, et al. The role of co-neurotransmitters in sleep and wake regulation[J]. Molecular Psychiatry, 2019, 24(9): 1284-1295. [16] SAITO Y C, MAEJIMA T, NISHITANI M, et al. Monoamines inhibit GABAergic neurons in ventrolateral preoptic area that make direct synaptic connections to hypothalamic arousal neurons[J]. Journal of Neuroscience, 2018, 38(28): 6366-6378. [17] CAO H, FENG M G, HOU S, et al. Effects of electroacupuncture at HT7 and EX-HN1 on sleep phases and PGD2 system of CSF in ovariectomized rats[J]. JCAM, 2020, 36(5): 71-75. [18] CHEUK D K, YEUNG W F, CHUNG K F, et al. Acupuncture for insomnia[J]. Cochrane Database of Systematic Reviews, 2012(9): CD005472. [19] WANG X R, YANG J W, JI C S, et al. Inhibition of NADPH oxidase-dependent oxidative stress in the rostral ventrolateral medulla mediates the antihypertensive effects of acupuncture in spontaneously hypertensive rats[J]. Hypertension, 2018, 71(2): 356-365. [20] ZHU J, CHEN Z, MENG Z, et al. Electroacupuncture alleviates surgical trauma-induced hypothalamus pituitary adrenal axis hyperactivity via microRNA-142[J]. Frontiers in Molecular Neuroscience, 2017, 10: 308. [21] LI J, PENG C, LAI D, et al. Changes in cerebral glucose metabolism after acupuncture at KI3 in spontaneously hypertensive rats: A positron emission tomography study[J]. Acupuncture in Medicine, 2019, 37: 107-115. [22] ZHU H, NAN S, SUO C, et al. Electro-acupuncture affects the activity of the hypothalamic-pituitary-ovary axis in female rats[J]. Frontiers in Physiology, 2019, 10: 466. [23] 单亚娟. 针刺联合天王补心丸治疗心肾不交型围绝经期失眠的临床疗效[J]. 中国药理学通报,2021,37(1): 150. [24] 梁洁仪,邴守兰,吴焕淦. 从“阳不入阴”论不寐及其针灸辨治[J]. 北京中医药大学学报,2021,44(11): 1029-1033. [25] 王宝凯,陈晓军,龚俊,等.“补阴泻阳、通调跷脉”法针刺治疗失眠35例[J]. 中国针灸,2020,40(2): 197-198. [26] 肖贝,周仲瑜,董莉,等. 阴阳调理灸联合耳穴揿针治疗围绝经期失眠47例[J]. 中国针灸,2021,41(12): 1347-1348. [27] 孙培培. 吴茱萸穴位贴敷联合耳穴压豆治疗失眠症的疗效分析[J]. 中西医结合心血管病电子杂志,2020,8(1): 163. [28] 肖奇蔚,李惠菁,李雨谿,等. 耳穴疗法治疗失眠症系统评价的质量和结局指标再评价[J]. 中国中西医结合杂志,2019,39(12): 1445-1451. [29] 张赛,贾思涵,杨丽娟,等. 针刺配合耳针治疗心肾不交型女性更年期失眠症的临床研究[J]. 针刺研究,2019,44(7):516-519,524.

相似文献/References:

[1]伏广虎 杨亚灵 李馥芊 桂雄斌.中西医结合治疗突发性耳聋的临床疗效观察[J].大众科技,2015,15(01):91.
 Watch clinical efficacy of Integrative treatment of sudden deafness[J].Popular Science & Technology,2015,15(12):91.
[2]吴小玲,罗本华.针灸治疗癫痫的临床研究综述[J].大众科技,2019,21(09):60.
 Summary of Clinical Research on Acupuncture for Epilepsy[J].Popular Science & Technology,2019,21(12):60.
[3]李嘉碧,蒙 珊,唐超前,等.针灸治疗失眠症的研究进展[J].大众科技,2019,21(09):65.
 Research Progress of Acupuncture in the Treatment of Insomnia[J].Popular Science & Technology,2019,21(12):65.
[4]龚筱茜,吴新贵.针灸治疗脑卒中后吞咽功能障碍的文献计量学分析[J].大众科技,2019,21(09):75.
 [J].Popular Science & Technology,2019,21(12):75.
[5]张佐新 秦 煜 靳义高 周 鹏.中医外治法治疗膝骨关节炎的研究进展[J].大众科技,2022,24(06):129.
 Research Progress of External Treatment of Traditional Chinese Medicine in the Treatment of Knee Osteoarthritis[J].Popular Science & Technology,2022,24(12):129.
[6]李丹虹 刘景洋.针灸治疗后循环缺血性眩晕的研究进展[J].大众科技,2018,20(06):103.
 Research progress of acupuncture in the treatment of posterior circulationischemic vertigo[J].Popular Science & Technology,2018,20(12):103.
[7]唐超前,蒙 珊,李嘉碧,等.针灸治疗周围性面瘫的临床研究进展[J].大众科技,2019,21(10):86.
 Clinical Research Progress of Acupuncture and Moxibustion for Peripheral Facial Paralysis[J].Popular Science & Technology,2019,21(12):86.
[8]曾启峰,罗本华.针灸防治鼻咽癌放化疗后不良反应综述[J].大众科技,2019,21(10):98.
 Summarize of Acupuncture and Moxibustion in Preventing and Treating the Side Effects Followed with Nasopharyngeal Carcinoma (NPC) Radiotherapy[J].Popular Science & Technology,2019,21(12):98.
[9]彭文清,吴新贵.针灸治疗膝骨性关节炎的文献综述[J].大众科技,2019,21(12):75.
 The Literature Review of Acupuncture Therapy for Knee Osteoarthritis[J].Popular Science & Technology,2019,21(12):75.
[10]刘清华 刘夕霞 农加利.针灸联合康复训练治疗脑卒中后吞咽障碍的 研究新进展[J].大众科技,2018,20(08):65.
 Research Progress of Acupuncture Combined with Rehabilitation Training in the Treatment of Dysphagia after Stroke[J].Popular Science & Technology,2018,20(12):65.

备注/Memo

备注/Memo:
【收稿日期】2022-10-11 【基金项目】防城港市科学研究与技术开发计划(防科AA21014041)。 【作者简介】张慧洁(1985-),女,山西大同人,广西防城港市中医医院主治医师,研究方向为针灸治疗妇科相关疾病。
更新日期/Last Update: 2023-03-21