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耳穴贴压疗法对类风湿关节炎患者失眠的影响

The Effect of Auricular Plaster Therapy on Insomnia in Patients with Rheumatoid Arthritis.

作者信息

Lu Liudan, Liu Jihong, Mo Shan, Chen Haiyu

机构信息

Department of Traditional Chinese Medicine, Foshan Chancheng Central Hospital, Foshan, Guangdong, China.

Preventive Treatment Centre, Foshan Hospital of Traditional Chinese Medicine, Foshan, Guangdong, China.

出版信息

Med Acupunct. 2019 Apr 1;31(2):130-133. doi: 10.1089/acu.2019.1346. Epub 2019 Apr 19.

Abstract

This research was conducted to observe the effects of auricular plaster therapy on insomnia in patients with rheumatoid arthritis (RA). This study involved 76 patients with insomnia caused by RA, who were admitted to Foshan Chancheng Central Hospital-in Foshan, Guangdong, China-from August 2017 to August 2018. The patients were randomized, with 38 to the intervention group and another 38 to the control group. The intervention group was treated with auricular plaster therapy with beans, while the control group was treated with estazolam orally before going to bed. Curative effects were compared between the 2 groups. The Pittsburgh Sleep Quality Index scale (PSQI) and the Athens Insomnia Scale (AIS) were used to assess and evaluate the sleep quality of patients. Scores of the PSQI dimensions all fell in both groups after treatment. Scores for sleep quality, sleep latency, sleep efficiency, sleep disorder, and daytime dysfunction in the observation group were lower than those in the control group ( < 0.05). AIS scores in all dimensions decreased in both groups, and, after treatment, scores and total points of sleep latency, night-time revival, overall sleep quality, and the dimensionality of daytime body function in the intervention group were lower than those in the control group ( < 0.05). Auricular plaster therapy has a marked effect on insomnia in patients with RA, and the therapy is easy and simple to apply.

摘要

本研究旨在观察耳穴贴压疗法对类风湿关节炎(RA)患者失眠的影响。本研究纳入了76例由RA引起失眠的患者,这些患者于2017年8月至2018年8月在中国广东省佛山市禅城区中心医院入院。患者被随机分组,38例进入干预组,另外38例进入对照组。干预组采用耳穴贴压豆类疗法,而对照组在睡前口服艾司唑仑。比较两组的疗效。采用匹兹堡睡眠质量指数量表(PSQI)和雅典失眠量表(AIS)对患者的睡眠质量进行评估。治疗后两组PSQI各维度得分均下降。观察组的睡眠质量、入睡潜伏期、睡眠效率、睡眠障碍和日间功能障碍得分均低于对照组(<0.05)。两组AIS各维度得分均下降,且治疗后干预组的入睡潜伏期、夜间觉醒、总体睡眠质量及日间身体功能维度的得分和总分均低于对照组(<0.05)。耳穴贴压疗法对RA患者的失眠有显著疗效,且该疗法操作简便。

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