Abstract: Objective　To explore the application effect of ultrasound-guided stellate ganglion block (SGB) combined with auricular acupressure in patients with anxiety and sleep disorders. Methods　A prospective, randomized, controlled trial design was adopted. A total of 74 patients with anxiety and sleep disorders who were admitted to Yan'an Hospital of Traditional Chinese Medicine from January 2023 to October 2023 were selected as the research subjects. They were randomly divided into the control group and the observation group, with 37 cases in each group. Control group: 13 males and 24 females; age range 22 to 73 (49.31±9.32) years; duration of anxiety disorder 3 to 20 (14.35±2.52) months, duration of sleep disorder 1 to 15 (8.93±2.17) months; received conventional treatment. Observation group: 12 males and 25 females; age range 23 to 75 (49.26±9.37) years; duration of anxiety disorder 3 to 21 (14.38±2.59) months, duration of sleep disorder 1 to 14 (8.97±2.15) months; based on the conventional treatment of the control group, ultrasound-guided SGB combined with auricular acupressure was used for treatment. Both groups were treated for 20 consecutive days. The total effective rate, the scores of Athens Insomnia Scale (AIS), Pittsburgh Sleep Quality Index (PSQI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) after 10 days and 20 days of treatment, as well as the incidence of adverse reactions during the treatment were compared between the two groups. Statistical methods employed were the χ² test and the t test. Results　The total effective rate of treatment in the observation group was higher than that in the control group [91.89% (34/37) vs. 72.97% (27/37)], and the difference was statistically significant (χ²=4.573, P<0.05). After 10 days and 20 days of treatment, the scores of AIS, PSQI, SAS and SDS in the observation group were all lower than those in the control group, and the differences were statistically significant (all P<0.05). The comparison of the incidence rates of adverse reactions between the two groups [10.81% (4/37) vs. 13.51% (5/37)] showed no statistically significant difference (χ²=0.127, P>0.05). Conclusion　Based on conventional treatment, the combined application of ultrasound-guided SGB and auricular acupressure has a significant effect in patients with anxiety and sleep disorders, which can effectively improve sleep quality and alleviate anxiety and depression.

Key words: Anxiety, Sleep disorder, Ultrasound guided stellate ganglion block, Auricular acupressure, Pittsburgh Sleep Quality Index

摘要： 目的　探讨超声引导下星状神经节阻滞（SGB）联合耳穴压豆在焦虑伴睡眠障碍患者中的应用效果。方法　采用前瞻、随机、对照的试验设计。选择2023年1月至2023年10月延安市中医医院收治的74例焦虑伴睡眠障碍患者作为研究对象，采用随机数字表法分为观察组和对照组，各37例。对照组：男13例，女24例；年龄22～73（49.31±9.32）岁；焦虑症病程3～20（14.35±2.52）个月，睡眠障碍病程1～15（8.93±2.17）个月；给予常规治疗。观察组：男12例，女25例；年龄23～75（49.26±9.37）岁；焦虑症病程3～21（14.38±2.59）个月，睡眠障碍病程1～14（8.97±2.15）个月；在对照组常规治疗基础上，加用超声引导SGB联合耳穴压豆治疗。两组均治疗20 d。比较两组治疗总有效率，治疗10 d、20 d后的阿森斯失眠量表（AIS）、匹兹堡睡眠质量指数量表（PSQI）、焦虑自评量表（SAS）及抑郁自评量表（SDS）评分，以及两组治疗期间的不良反应发生率。统计学方法采用χ²检验、t检验。结果　观察组治疗总有效率高于对照组［91.89%（34/37）比72.97%（27/37）］，差异有统计学意义（χ²=4.573，P<0.05）。治疗10 d、20 d后，观察组AIS、PSQI、SAS、SDS评分均低于对照组，差异均有统计学意义（均P<0.05）。两组不良反应发生率比较［10.81%（4/37）比13.51%（5/37）］，差异无统计学意义（χ²=0.127，P>0.05）。结论　在常规治疗基础上，联合应用超声引导SGB与耳穴压豆治疗焦虑伴睡眠障碍患者效果显著，能有效改善睡眠质量，缓解焦虑抑郁情绪。

关键词: 焦虑, 睡眠障碍, 超声引导下星状神经节阻滞, 耳穴压豆, 匹兹堡睡眠质量指数量表