关键词:

推拿, 耳穴贴压, 失眠, 抑郁, 焦虑

Abstract:

Objective　To analyze the effect and improvement of symptoms in patients with insomnia by yang-entering-yin breath guidance massage and ear acupressure. Methods　A total of 120 patients with insomnia diagnosed and treated in Department of Brain Diseases, Ankang Traditional Chinese Medicine Hospital from January to September 2024 were randomly divided into a control group, an observation group 1, an observation group 2, and an observation group 3, with 30 cases in each group. There were 13 males and 17 females in the control group; they were (45.07±5.47) years old; their disease course was (2.37±0.42) years. There were 12 males and 18 females in the observation group 1; they were (44.17±6.52) years old; their disease course was (2.40±0.49) years. There were 11 males and 18 females in the observation group 2; they were (45.79±5.73) years old; their disease course was (2.28±0.36) years; 1 case could not stick to the treatment scheme, and were excluded from the study. There were 11 males and 17 females in the observation group 3; they were (44.86±6.28) years old; their disease course was (2.46±0.41) years; 1 case quit during the treatment, and 1 case was not treated according to the treatment scheme, so they were excluded from the study. The control group orally took eszopiclone tablets; the observation group 1 took yang-entering-yin breath guidance massage; the observation group 2 took ear acupressure therapy; the observation group 3 took yang-entering-yin breath guidance massage and ear acupressure; all the 4 groups were treated continuously for 4 weeks. The scores of traditional Chinese medicine symptoms, sleep status, anxiety, and depression before the treatment and after 2 and 4 weeks' treatment were compared between the 4 groups. The clinical efficacies and safety were evaluated. The repeated measurement analysis of variance, LSD-t test, one-way analysis of variance, SNK-q test, χ² test, and Fisher's precision probability test were used for the statistical analysis. Results　Before the treatment, after 2 weeks' treatment, and 2 weeks after discharge, the scores of traditional Chinese medicine symptoms, Insomnia Severity Index, Pittsburgh Sleep Quality Index, Anxiety Self-evaluation Scale, and Depression Self-evaluation Scale in the four groups decreased successively (all P<0.05); the scores of the observation group 1, the observation group 2, and the observation group 3 were lower than those of the control group after 2 and 4 weeks' treatment (all P<0.05); the scores of the observation group 3 were lower than those of the observation group 1 and the observation group 2 after 2 and 4 weeks' treatment (all P<0.05). The total effective rates of the control group, the observation group 1, the observation group 2, and the observation group 3 were 63.33% (19/30), 80.00% (24/30), 75.86% (22/29), and 96.43% (27/28), respectively, with a statistical difference between the 4 groups (P<0.05); the total effective rate of the observation group 3 was higher than that of the control group (P<0.05). During the treatment, 1 patient in the control group experienced fatigue, and 1 patient dizziness; the other three groups did not have any adverse reactions; there was no statistical difference (P>0.05). Conclusion　The combination of yang-entering-yin breath guidance massage and ear acupressure therapy for insomnia can not only improve the efficacy and safety, but also is more effective in improving insomnia, depression, and anxiety.

Key words:

massage, Ear acupressure, Insomnia, Depression, Anxiety