赣南医科大学学报2025，Vol.45Issue(4)：334-339,6.DOI:10.3969/j.issn.1001-5779.2025.04.004
耳穴压豆联合失眠认知行为团体治疗对更年期女性失眠症的疗效分析
Analysis of the curative effect of auricular point compression bean combined with cognitive behavior group therapy for insomnia in menopausal women
摘要
Abstract
Objective:To explore the efficacy of ear acupoint pressing beans combined with insomnia cognitive behavior group therapy on insomnia in menopause women.Methods:Sixty menopausal women with insomnia were selected as the research subjects and randomly divided into three groups using the random number table method:the combined group(group treatment of ear acupoint pressing beans combined with insomnia cognitive behavior),the behavioral group(insomnia cognitive behavior group treatment),and the ear point group(ear point pressing bean treatment),with 20 cases in each group.The PSQI,ISI,and SF-36 were used to evaluate sleep perception,quality of life,and sleep quality of the three groups.The total effective rate was evaluated based on the reduction rate of PSQI scores,and the therapeutic effects of each group were compared.Repeated measures generalized estimating equations were used for stability comparison.Results:There were statistically significant differences in ISI,SF-36,and PSQI scores before and after treatment at five time points among the three groups.ISI:Fintergroup=3.077,Pintergroup＜0.05;Ftime=33.025,Ptime＜0.001;Fintergroup×time=6.078,Pintergroup×time＜0.001;SF-36(vitality):Fintergroup=6.100,Pintergroup=0.004;Ftime=6.271,Ptime=0.007;Fintergroup×time=5.606,Pintergroup×time=0.002;SF-36(overall health):Fintergroup=5.707,Pintergroup=0.006;Ftime=3.741,Ptime=0.034;Fintergroup×time=3.096,Pintergroup×time=0.025;PSQI:Fintergroup=4.548,Pintergroup=0.015;Ftime=23.439,Ptime＜0.001;Fintergroup×time=2.457,Pintergroup×time＜0.05.Two weeks after treatment,the comparison of clinical efficacy among the 3 groups showed no statistically significant difference(P＞0.05).The clinical efficacy of treatment after 4 weeks,3 months and 6 months showed statistically significant difference(P＜0.05).Through the comparison of the parameter estimates of the treatment plan and time effect of the three groups in the generalized estimating equation,the results showed that Waldχ²=15.422,P＜0.01,indicating that there were statistically significant differences in efficacy among the three groups(P＜0.05).Conclusion:The combination of auricular acupoint compression with cognitive behavioral group therapy demonstrates a positive effect on insomnia in menopausal women,significantly alleviating insomnia symptoms and enhancing sleep quality.关键词
更年期/失眠症/穴位,耳针/失眠认知行为治疗Key words
Climacteric/Insomnia/Points,auricular acupuncture/Cognitive behavioral therapy for insomnia分类
医药卫生引用本文复制引用
丁艳,李志欣,王海丽,张茂,肖峰..耳穴压豆联合失眠认知行为团体治疗对更年期女性失眠症的疗效分析[J].赣南医科大学学报,2025,45(4):334-339,6.基金项目
江西省中医药管理局科技计划项目(2023A0262) （2023A0262）
