摘要
背景近年来,海勤人员睡眠障碍问题较为突出,既往研究显示耳穴贴压疗法可以治疗失眠症。目的评价耳穴贴压疗法治疗海勤人员睡眠障碍的临床疗效。方法招募符合纳入标准的失眠海勤人员作为受试者,将受试者随机分为耳穴治疗组、空白对照组和药物对照组。耳穴治疗组受试者给予耳穴贴压治疗,空白对照组不进行治疗,药物对照组每日睡前30 min服用艾司唑仑片1~2 mg,各组治疗时间均为7 d。治疗前后用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)和腕式睡眠检测仪对受试者睡眠质量进行测定,比较各组睡眠质量改善情况。结果共纳入符合条件的失眠海勤人员84人,每组28人,均为男性,年龄(28.07±4.82)岁,病程(6.54±1.56)个月。治疗前各组年龄、病程、PSQI量表评分和睡眠腕表监测数据均无统计学差异。经过7 d治疗后,空白对照组治疗前后各评分均无统计学差异(P>0.05),耳穴治疗组和药物对照组的PSQI量表评分和腕表指标均较治疗前有明显改善(P<0.05)。治疗后,耳穴治疗组的睡眠效率改善优于空白对照组(P<0.05);耳穴治疗组和药物对照组的PSQI量表评分、睡眠总时间、睡眠中断次数改善均优于空白对照组(P<0.05);药物对照组的入睡时间改善优于空白对照组(P<0.05);耳穴组与药物组比较,腕表各项指标差异均无统计学意义(P>0.05)。结论耳穴贴压疗法可以明显改善海勤人员睡眠质量,与传统药物治疗失眠相比,改善睡眠效率更加明显,简便易行,值得进一步推广应用。
Background In recent years,the problem of sleep disorder of marine personnel is prominent.previous studies showed auricular point sticking therapy is effective for treatment of insomnia.Objective To evaluate the clinical efficacy of auricular point sticking therapy in the treatment of sleep disorders in marine personnel.Methods Marine personnel with insomnia who met the inclusion criteria were recruited as subjects,and they were randomly divided into the auricular point sticking therapy group,the blank control group and the drug control group.Patients in the auricular point sticking therapy group were treated with auricular point sticking,while no treatment was performed in the blank control group,and for the drug control group,1-2 mg estazolam tablets were taken at 30 minutes before sleep.All of them were treated for 7 days.Pittsburgh sleep quality index(PSQI)and Actiwatch were utilized to measure the sleep quality of the subjects before and after intervention therapy,to compare the improvement of sleep quality among the groups.Results A total of 84 eligible insomnia marine personnel were included,with 28 cases in each group,they were all male with age of(28.07±4.82)years,and the course of disease was(6.54±1.56)months.Before treatment,there were no significant differences in age,course of disease,PSQI scores and sleep watch monitoring data among the groups.After 7 days,the scores of the blank control group showed no significant difference before and after treatment(P>0.05).The PSQI scores and sleep watch data of the auricular point sticking therapy group and the drug control group were significantly improved compared with those before treatment(P<0.05).After treatment,the sleep efficiency of the auricular point sticking therapy group was better than that of the blank control group(P<0.05).The improvement of PSQI scores,total sleep time and sleep interruption times in the auricular point sticking therapy group and the drug control group were better than those in the blank control group(P<0.05),the improvement of sleep latency time in the drug control group was better than that in the blank control group(P<0.05),while there was no significant difference in sleep watch data between the auricular point sticking therapy group and the drug control group(P>0.05).Conclusion Auricular point sticking therapy can improve the sleep quality of marine personnel prominently with more obvious efficacy compared with traditional medicine for insomnia.It is simple and easy to operate,which is worthy of further popularization and application.
作者
张璟
关玲
ZHANG Jing;GUAN Ling(Chinese PLA Medical School,Beijing 100853,China;Department of Traditional Chinese Medicine,the Sixth Medical Center,Chinese PLA General Hospital,Beijing 100048,China)
出处
《解放军医学院学报》
CAS
北大核心
2022年第9期966-970,共5页
Academic Journal of Chinese PLA Medical School
关键词
海勤人员
睡眠质量
匹兹堡睡眠质量指数量表
耳穴治疗
睡眠障碍
marine personnel
sleep quality
Pittsburgh sleep quality index
auricular point sticking therapy
sleep disorders
