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曾卫红, 郑卓铭, 陈小华, 张鹏, 张英杰, 陈鹏, 王竞, 苏友新.耳穴疗法联合八段锦对女性强制戒毒人员稽延性戒断综合征睡眠质量的影响[J].湖南中医药大学学报,2024,44(6):1051-1057[点击复制] |
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| 耳穴疗法联合八段锦对女性强制戒毒人员稽延性戒断综合征睡眠质量的影响 |
| 曾卫红,郑卓铭,陈小华,张鹏,张英杰,陈鹏,王竞,苏友新 |
| (福建中医药大学, 福建 福州 350122;福建体育职业技术学院, 福建 福州 350003;福建省女子司法强制隔离戒毒所, 福建 福州 350008) |
| 摘要: |
| 目的 观察耳穴疗法联合八段锦对女性强制戒毒人员稽延性戒断综合征睡眠质量的影响。方法 选取2022年1月至8月福建省女子司法强制隔离戒毒所康复期的女性强制戒毒人员90例，采用随机数字表法分为对照组、八段锦组及耳穴+八段锦组（每组30例），最终完成研究82例（对照组27例、八段锦组27例、耳穴+八段锦组28例）。3组均进行包括行为教育、戒毒教育和心理咨询等常规教育。对照组采用广播体操锻炼，90 min/d，每周5 d；八段锦组采用八段锦锻炼，90 min/d，每周5 d；耳穴+八段锦组采用耳穴疗法（神门、心、皮质下+配穴）联合八段锦锻炼，八段锦锻炼90 min/d，每周5 d，耳穴疗法每穴单侧耳郭贴压，3 min/次，于八段锦休息时间段进行，每隔2 d更换至对侧耳穴交替进行。共治疗12周。观察3组治疗前及治疗6、12周后匹兹堡睡眠质量指数（Pittsburgh sleep quality index, PSQI）及其睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍等各项评分变化，并观察临床疗效、不良反应发生情况。结果 与治疗前比较，3组在治疗6、12周后PSQI总分均降低（P<0.05）；与对照组比较，耳穴+八段锦组在治疗6、12周后PSQI总分均降低（P<0.05），且在治疗12周后睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物和日间功能障碍评分均降低（P<0.05）；与八段锦组比较，耳穴+八段锦组在治疗6、12周后PSQI总分均降低（P<0.05），在治疗12周后睡眠质量、入睡时间、睡眠效率、睡眠障碍和日间功能障碍评分均降低（P<0.05）。治疗后，八段锦组显效率高于对照组（P<0.05），耳穴+八段锦组显效率高于对照组和八段锦组（P<0.05）。治疗期间，3组均未见肌肉酸痛和耳部皮肤青紫、红斑、破损、疼痛等不良反应。结论 在治疗女性强制戒毒人员稽延性戒断综合征的睡眠障碍上，相较于广播体操、八段锦锻炼，耳穴疗法联合八段锦可更快改善睡眠质量，尤其在降低入睡时间、睡眠效率、睡眠障碍和日间功能障碍评分上，值得推广应用。 |
| 关键词: 女性强制戒毒人员 稽延性戒断综合征 耳穴疗法 八段锦 匹兹堡睡眠质量指数 睡眠质量 临床研究 |
| DOI：10.3969/j.issn.1674-070X.2024.06.016 |
| 投稿时间：2024-01-17 |
| 基金项目:福建省科技厅引导性项目（2021Y0038）。 |
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| Effects of ear point acupuncture combined with Baduanjin on sleep quality of female compulsory drug rehabilitation patients with protracted withdrawal syndrome |
| ZENG Weihong, ZHENG Zhuoming, CHEN Xiaohua, ZHANG Peng, ZHANG Yingjie, CHEN Peng, WANG Jing, SU Youxin |
| (Fujian University of Chinese Medicine, Fuzhou, Fujian 350122, China;Fujian Sports Vocational Education and Technical College, Fuzhou, Fujian 350003, China;Fujian Women's Judicial Compulsory Isolation Drug Rehabilitation Center, Fuzhou, Fujian 350008, China) |
| Abstract: |
| Objective To observe the effects of ear point acupuncture combined with Baduanjin on the sleep quality of protracted withdrawal syndrome in female compulsory drug rehabilitation patients. Methods Ninety female compulsory drug rehabilitation patients in the rehabilitation period in Fujian Women's Judicial Compulsory Isolation Drug Rehabilitation Center from January to August 2022 were selected. Random number table method was used to divide the patients into control group, Baduanjin group, and ear point acupuncture+Baduanjin group (30 cases in each group). A total of 82 cases were finally included (27 cases in control group, 27 cases in Baduanjin group, and 28 cases in ear point acupuncture+Baduanjin group). All three groups received routine education, covering behavioral education, drug rehabilitation knowledge, and psychological counseling. The control group received broadcast gymnastics exercise for 90 minutes per day, five days per week; the Baduanjin group adopts Baduanjin exercise, 90 minutes per day, five days per week. For the ear point acupuncture+Baduanjin group, ear point [Shenmen (HT7), heart, subcortical+point combination] acupuncture combined with Baduanjin exercise was adopted. Baduanjin exercise was taken for 90 minutes per day, five days per week. The ear point acupuncture was applied to one side of the auricle at each acupoint for three minutes per day, during the rest period of Baduanjin, and the opposite ear point was alternated every two days. The treatment course lasted for 12 weeks totally. The Pittsburgh sleep quality index (PSQI) and its changes in sleep quality, sleep onset time, sleep time, sleep efficiency, sleep disorders, hypnotic drugs, daytime dysfunction, and other scores before and after 6 and 12 weeks of treatment in three groups were observed, and the clinical efficacy and incidence of adverse reactions were identified. Results Compared with those before treatment, the total PSQI scores of all three groups after 6 and 12 weeks of treatment decreased (P<0.05); compared with those of control group, the total score of PSQI in the ear point acupuncture+Baduanjin group after 6 and 12 weeks of treatment decreased (P<0.05), and after 12 weeks of the combined treatment, the sleep quality, sleep onset time, sleep time, sleep efficiency, sleep disorders, hypnotic drugs, and daytime dysfunction scores all decreased (P<0.05); compared with the Baduanjin group, the ear acupoint acupuncture+Baduanjin group showed a decrease in total score of PSQI after 6 and 12 weeks of treatment (P<0.05), and a decrease in sleep quality, sleep onset time, sleep efficiency, sleep disorders, and daytime dysfunction scores after 12 weeks of treatment (P<0.05). After treatment, the effective rate of the Baduanjin group was higher than that of control group (P<0.05), and the effective rate of the ear point acupuncutre+Baduanjin group was higher than that of control group and Baduanjin group (P<0.05). During the treatment period, no adverse reactions such as muscle soreness, ear skin cyanosis, erythema, damage, or pain were observed in three groups. Conclusion In the treatment of protracted withdrawal syndrome in female compulsory drug rehabilitation patients, ear point acupuncture combined with Baduanjin can improve sleep quality faster compared to broadcast gymnastics and Baduanjin exercise, especially in reducing scores of sleep onset time, sleep efficiency, sleep disorders, and daytime dysfunction, which is worth promoting and applying. |
| Key words: female compulsory drug rehabilitation patients protracted withdrawal syndrome ear point acupuncture Baduanjin Pittsburgh sleep quality index sleep quality clinical research |
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