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| Clinical effect of acupoint embedding of stellate ganglion combined with auricular point seed pressing in the treatment of insomnia |
| JIN Ruyu1 LI Yongfeng1 CHEN Jie2 XIN Yinhu2 WANG Jin2 |
1.College of Acupuncture and Massage, Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712000, China;
2.Department of Encephalopathy Rehabilitation, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Shaanxi Province, Xi’an 710000, China |
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Abstract Objective To observe clinical effect of acupoint embedding of stellate ganglion combined with auricular point seed pressing in the treatment of insomnia. Methods Sixty-four patients with insomnia who met the clinical research requirements in Outpatient Department of Encephalopathy Rehabilitation in Shaanxi Provincial Hospital of Traditional Chinese Medicine from April 2018 to April 2020 were selected and divided into stellate ganglion embedding group and conventional embedding group according to random number table method, with 32 cases in each group. Stellate ganglion embedding group was treated with acupoint embedding of stellate ganglion combined with auricular point seed pressing, while conventional embedding group was treated with conventional acupoint embedding combined with auricular point seed pressing. Acupoint embedding once every two weeks, auricular point seed pressing once every seven days, one month as a course of treatment, a total of two courses of treatment. After two courses of treatment, two cases in stellate ganglion embedding group and one case in conventional embedding group were removed. Pittsburgh sleep quality index (PSQI) score, Athens insomnia scale (AIS) score, Chinese medicine syndrome scale score, Hamilton depression scale (HAMD) score and clinical efficacy were compared between two groups. Results There were no significant differences in PSQI score and AIS score between two groups before treatment (P > 0.05). After treatment, PSQI score and AIS score of two groups were lower than those before treatment (P < 0.05), and stellate ganglion embedding group was lower than conventional embedding group (P < 0.05). There were no significant differences in Chinese medicine syndrome scale score and HAMD score between two groups before treatment (P > 0.05). After treatment, the scores of Chinese medicine syndrome scale and HAMD in two groups were lower than those before treatment (P < 0.05), and HAMD score in stellate ganglion embedding group was lower than that in conventional embedding group (P < 0.05). There was no significant difference in clinical total effective rate between two groups (P > 0.05). Conclusion Stellate ganglion acupoint embedding combined with auricular point seed pressing can better improve the sleep quality and bad mood of insomnia patients than conventional embedding combined with auricular point seed pressing.
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[1] 左军，王海鹏，张博.桂枝汤治疗营卫失和型不寐的医案分析[J].中医药信息，2016，33（5）：32-33.
[2] 赵里夏，刘军，刘励霞.针药结合治疗失眠的临床观察研究[J].西南军医，2019，21（6）：543-545.
[3] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社，1994.
[4] 郑巧燕，吴梦妤.社区健康人群睡眠障碍相关因素调查及干预措施[J].世界睡眠医学杂志，2019，6（3）：360-362.
[5] 钟凤青.基层医院儿科护士职业紧张度、睡眠质质量及其相关性分析[D].广州：广州中医药大学，2017.
[6] 马凯强.改良合刺针法治疗心脾两虚型失眠的临床观察[D].北京：中国中医科学院，2018.
[7] 沙东想，孙玉军，徐建龙，等.首发与复发抑郁症患者的沉思比较[J].中华行为医学与脑科学杂志，2015，24（9）：828-829.
[8] 朱山坡，李朋朋，朱学亮.调督安神针法治疗围绝经期失眠疗效观察[J].现代中西医结合杂志，2016，25（26）：2885-2888.
[9] 殷建，殷照阳，余利鹏，等.颈椎前路手术中颈交感干和颈长肌的解剖学研究进展[J].中国脊柱脊髓杂志，2015， 25（1）：76-80.
[10] 杨树香，王红.用星状神经节阻滞法治疗颈源性头痛的效果探析[J].当代医药论丛，2019，17（5）：80-81.
[11] 林冬阳.星状神经节阻滞治疗失眠症的临床观察[D].苏州：苏州大学，2015.
[12] 郭莲，陈勇，徐国海.星状神经节阻滞对大鼠血管性认知障碍的影响[J].中华麻醉学杂志，2019，39（5）：593-597.
[13] 何琳，毛冬梅，陈削均，等.星状神经节阻滞治疗中枢神经系统疾病的研究进展[J].中国医学创新，2018，15（2）：144-148.
[14] 陈削均，何琳，杨梅，等.星状神经节阻滞及其机制的研究进展[J].临床医药文献电子杂志，2018，5（80）：192-193.
[15] 童迅，杨才德.中国穴位埋线疗法系列讲座（104）星状神经节埋线法为主治疗抑郁障碍临床观察[J].中国中医药现代远程教育，2019，17（15）：78-80.
[16] 宋阜彪，郝建明.星状神经节触激术联合针刺治疗偏头痛的临床效果观察[J].中外女性健康研究，2020（3）：63-64.
[17] 郎义.超声引导下星状神经节阻滞联合针灸治疗失眠的临床研究[D].泸州：西南医科大学，2019.
[18] 李中良，王晨，李薇薇，等.针刺透灸背俞穴治疗失眠症临床观察[J].河南中医，2018，38（3）：450-453.
[19] 郭海媚，陈波，陈泽林，等.浅析标本根结、气街四海理论在针灸临床取穴与配伍中的应用[J].陕西中医，2019， 40（8）：1112-1115.
[20] 宁飞.针刺结合俞募配穴法埋线治疗心肾不交型失眠[J].吉林中医药，2017，37（4）：409-411.
[21] 罗添云，吴升伟，张亚坤.耳穴埋籽对郁证患者睡眠改善效果的随访评价[J].中医外治杂志，2018，27（6）：3-5.
[22] 王子豪，王恩龙.耳穴压豆治疗中风后失眠临床观察[J].湖北中医杂志，2020，42（1）：33-34.
[23] 毛黎明.针刺联合耳穴压豆治疗阴虚火旺证失眠的疗效观察[J].中国医药科学，2020，10（19）：11-15，27.
[24] 梁惠琼，李杏，张永银，等.吴茱萸穴位贴敷联合耳穴压豆治疗失眠的观察研究[J].中国医药科学，2020，10（13）：55-58.
[25] 叶树刚，闫力，董雪.耳穴压豆疗法治疗老年人失眠的研究现状[J].长春中医药大学学报，2019，35（1）：182-184.
[26] 雷晓菁.耳穴压豆治疗失眠的效果观察[J].医药前沿，2019，9（13）：195-196. |
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