世界中医药

作者	单位
王澍欣1，侯乐2，李均平3，张宾1，黄运旋1，庄礼兴1	1 广州中医药大学第一附属医院康复中心,广州,510405 2 广州医科大学附属脑科医院神经科,广州,510370 3 广州中医药大学针灸康复临床医学院,广州,510405

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中文摘要:

目的:观察单侧耳穴贴压、双侧耳穴贴压与常规针刺治疗失眠症的临床疗效差异,验证耳穴贴压的临床有效性及安全性。方法:将60例患者随机分为单侧耳穴贴压组（单侧耳压组）、双侧耳穴贴压组（双侧耳压组）和常规针刺组,每组20例。耳穴贴压组均取神门、交感、皮质下、心。单侧耳压组左右耳交替贴压,每侧3 d。双侧耳压组双耳均取上述耳穴,连续贴压6 d,休息1 d。常规针刺组取百会、安眠、申脉、照海、神门、三阴交为主穴行常规针刺，5次/周。3种疗法均4周为1个疗程。观察3组治疗前后匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index,PSQI）及Epworth嗜睡量表（Epworth Sleepiness Scale,ESS）变化情况。结果:3组均能明显降低PSQI及ESS量表得分（P<0.01）,但3组组间差异无统计学意义（P>0.05）。结论:单侧耳压治疗失眠症安全有效,与双侧耳压、常规针刺疗效相当,但其操作性、安全性及患者依从性优于双侧耳压组及常规针刺组。

English Summary:

To observe the difference in the clinical efficacy on insomnia among the intervention of one side ear-embeding therapy,two side ear-embeding therapy and conventional acupuncture methods and verify the effectiveness and safety of ear-embeding therapy.Methods:Sixty cases of insomnia were randomized into an one side ear-embeding group（20 cases）,a two side ear-embeding group（20 cases）and a regular acupuncture group（20 cases）.In the ear-embeding group,Shenmen,Jiaogan,Pizhixia,Xin were selected with ear-embeding.One side ear-embeding group was treated by two ears alternately and each ear was treated 3 days.Two side ear-embeding group was treated by both two ears for 6 days and rested 1 day.In the conventional acupuncture group,Baihui,Anmian,Shenmai,Zhaohai,Shenmen,Sanyinjiao as main point were punctured withweek,4 weeks made one session.The scores of PSQI and ESS before and after treatment were observed in three groups.Results:PSQI and ESS scores were reduced after treatment in every group（both P<0.01），and three group had the same efficacy（P>0.05）.Conclusion:The one side ear-embeding therapy is safe and effective in the treatment of insomnia and achieves the same efficacy as the two side ear-embeding therapy and conventional acupuncture.The operability,safety and patient compliance of one side ear-embeding are better than that of two side ear-embeding and conventional acupuncture.

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