世界中医药

目的:分析社区医院采用针灸联合心理干预亚健康失眠患者的临床效果。方法：选取2015年5月至2017年2月医院亚健康失眠患者98例，按照随机数字表法分为对照组和观察组，每组49例，其中对照组采用常规的西药治疗，艾司唑仑口服，观察组采用针灸联合心理治疗，2组的观察疗程均为4周，干预前和疗程结束后对2组的睡眠质量进行比较分析，采用匹兹堡睡眠质量评分量表(PSQI)、阿森斯失眠评分量表（AIS）进行评价，采用世界卫生组织生命质量测定简表(WHOQOL-BREF)对生命质量进行评价，并对2组进行为期半年的随访工作，比较干预后2组的总体疗效。结果：干预前2组失眠量表评分差异无统计学意义（P>0.05）；通过4周的干预治疗之后，2组PSQI评分、AIS评分明显降低，观察组的各个指数低于对照组，差异有统计学意义（P<0.05）；观察组治疗后生命质量、健康状况、自我感觉、日常活动的总体评价均高于对照组（P<0.05）；通过半年随访，观察组总有效率高于对照组，差异有统计学意义（P<0.05）。结论：针灸联合心理治疗使社区亚健康失眠患者在睡眠效率方面大大提高，且因不需要内服药物，不良反应小，患者更易接受，并能有效提高患者的生命质量。

English Summary:

To explore the clinical efficacy of acupuncture combined with psychological intervention on patients with sub-health insomnia in community hospitals.Methods:A prospective study was conducted by 98 patients with sub-health insomniacs treated in People's Hospital of Shenzhen Longhua District from May 2015 to February 2017 were selected and divided into 2 groups according to the random number table.The control group was treated with conventional western medicine,the oral Estazolam.The observation group was treated with acupuncture combined with psychological therapy.The 2 groups were observed for 4 weeks.Before and after the treatment,the sleep quality of the 2 groups was evaluated and compared.The Pittsburgh Sleep Quality Scale (PSQI),Insomnia (AIS).The WHOQOL-BREF was used to evaluate the quality of life,and the 2 groups were followed up for a period of 6 months,comparing the overall efficacy of the 2 groups after intervention.Results:There was no significant difference in scores of insomnia between the 2 groups before intervention (P>0.05).PSQI score and AIS score of the 2 groups decreased significantly after 4 weeks of intervention,and each index in the observation group decreased more than that of the control group (P<0.05).The overall evaluation of quality of life,health status,self-feeling and daily activities of the observation group after treatment was increased than that of the control group (P<0.05).After 6 months of follow-up,the total effective rate of the observation group was increased more than that of the control group,the difference between the two groups was statistically significant (P<0.05).Conclusion:Acupuncture and moxibustion combined with psychological treatment greatly improves sleeping quality of patients with sub-health insomnia in community.Because there is no need for internal medicine,few side effects,patients are more likely to receive this treatment,which can effectively improve the quality of life of patients.

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