苏金哥 刘晓梅 姜海军

[摘要]目的研究耳穴壓豆对改善抑郁症患者睡眠质量的临床疗效。方法选取2020年5月至2021年5月于惠州市第二人民医院精神科接受治疗的86例抑郁症患者，根据随机数字表法将其分为两组，每组各43例。对照组患者采用药物治疗，观察组患者在用药的基础上增加耳穴压豆治疗。比较两组的临床总有效率、治疗前后抑郁情绪评分、治疗前后睡眠质量评分、入睡时间和睡眠时间。结果观察组的临床总有效率为97.67%，明显高于对照组的86.05%，差异有统计学意义（ P <0.05）;与治疗前相比，两组患者治疗后的抑郁情绪评分均降低，观察组治疗1、2、4周后患者的抑郁情绪评分均明显低于对照组，差异有统计学意义（ P <0.05）;相比于治疗前，两组患者治疗后的睡眠质量均有改善，观察组患者治疗1、2、4周后的 PSQI 评分明显低于对照组，差异有统计学意义（ P <0.05）;相比于对照组，观察组患者的入睡时间更短，睡眠时间更长，差异有统计学意义（ P <0.05）。结论对抑郁症患者实施耳穴压豆治疗的效果显著，可改善患者的抑郁程度和睡眠质量，缩短患者的入睡时间，延长患者的睡眠时间，总体优势显著，具备临床借鉴和推广价值。[关键词]耳穴压豆;抑郁症;失眠;睡眠质量;干预效果

[中图分类号] R749.4  [文献标识码] A   [文章编号]2095-0616（2021）24-0184-04

A study of the therapeutic effect of ear pressure beans on improving the sleep quality of the patients with depression

SU  Jin'ge1      LIU  Xiaomei1      JIANG  Haijun2

1. Department of Psychiatry， Huizhou NO.2 Hospital， Guangdong， Huizhou 516100， China;2. Department of Psychiatry， the Demobilized Veterans Hospital of Huizhou， Guangdong， Huizhou 516100， China

[Abstract] Objective To study the clinical effect of ear pressure beans on improving the sleep quality of the patients with depression. Methods A total of 86 patients with depression who received treatment at Department of Psychiatry of Huizhou NO.2 Hospital from May 2020 to May 2021 were taken as the main subjects of research. They were divided into two groups according to the random number table method， with 43 patients in each group. The patients in the control group were treated with drugs， while the patients in the observation group were treated with ear pressure beans on the basis of drugs. The total clinical effective rate， depression scores before and after treatment， sleep quality scores before and after treatment， time before falling asleep and sleep duration were compared between the two groups. Results The total clinical effective rate of the observation group was 97.67%， which was significantly higher than the 86.05% of the control group， and the difference was statistically significant （P <0.05）. Compared with those before treatment， the depression scores of the patients in the two groups decreased after treatment， and the depression scores of the patients in the observation group 1 w after treatment， 2 w after treatment and 4 w after treatment were all significantly lower than those in the control group， with statistically significant differences （P <0.05）. Compared with that before treatment， the sleep quality of the patients in the two groups improved after treatment. The PSQI scores of the patients in the observation group were significantly lower than those in the control group 1 w after treatment， 2 w after treatment and 4 w after treatment， with statistically significant differences （P <0.05）. Compared with the patients in the control group， the patients in the observation group had shorter time before falling asleep and longer sleep duration， and the differences were statistically significant （P <0.05）. Conclusion The effect of ear pressure beans on the patients with depression is remarkable， which can ameliorate the degree of their depression and improve their sleep quality， shorten the time before falling asleep and prolong their sleep duration. With overall significant advantages， it is worthy of clinical reference and promotion.

[Key words] Ear pressure beans; Depression; Insomnia; Sleep quality; Intervention effect

近年来，随着人们生活方式的改变和工作压力的加大，精神类疾病的患病率不断升高。抑郁症在临床上有较高的发生率，患者多伴有情绪低落、思维能力下降等症状，病情严重者会出现自残、自杀倾向，严重影响患者的生活质量和身心健康[1]。而抑郁症患者的患病周期长，治疗难度大，需要根据患者的实际情况尽早选择最适合的治疗方法。目前临床上主要采用抗抑郁药物治疗抑郁症，虽然可以缓解患者的临床症状，但长期用药患者会产生依赖性，且有一定的副作用，停药后复发率高，影响总体治疗效果[2]。耳穴压豆是中医学的常用治疗方法，有利于改善抑郁症患者的临床症状和睡眠质量[3]。为进一步探究耳穴压豆对抑郁症治疗的临床效果，现将惠州市第二人民医院（我院）收治的86例患者作为主要对象，开展研究，现报道如下。

1资料与方法