中医芳香疗法联合情绪释放技术在失眠症患者中的应用效果

龚莉英; 范明娜; 张秀红; 张金霞

doi:10.16766/j.cnki.issn.1674-4152.003686

中医芳香疗法联合情绪释放技术在失眠症患者中的应用效果

doi: 10.16766/j.cnki.issn.1674-4152.003686

杭州市中医院睡眠科，浙江杭州 310007

基金项目:

浙江省中医药科技计划项目 2021ZB190

详细信息

通讯作者:
龚莉英，E-mail：cqqzj5260@163.com

中图分类号: R289.51 R256.23
计量
- 文章访问数: 156
- HTML全文浏览量: 98
- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2023-12-13

The curative effect of traditional Chinese medicine aromatherapy combined with emotional release technology in insomnia patients

Department of Sleep Department, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang 310007, China

摘要

摘要: 目的探讨中医芳香疗法联合情绪释放技术(EFT)对失眠症患者中医症状、睡眠质量及负性情绪的影响。方法选取2022年1—12月在杭州市中医院就诊的120例失眠症患者, 采用随机数字表法将患者分为A组(实施常规健康指导与心理支持)、B组(常规治疗基础上联合芳香药枕疗法)、C组(常规治疗基础上联合EFT疗法)、D组(常规治疗基础上联合芳香药枕疗法和EFT疗法)，每组各30例。干预周期为14 d。分别于患者入组24 h和治疗2周后采用中医证候评价量表、匹兹堡睡眠质量指数(PSQI)量表、医院焦虑抑郁量表(HADS)评估患者的中医症状、睡眠质量及负性情绪。结果干预后，B组、C组、D组的中医证候评分、PSQI量表评分、焦虑、抑郁评分较干预前均明显改善(P＜0.05)，且D组中医证候评分[(9.92±3.04)分]、PSQI量表评分[(10.27±2.59)分]、焦虑[(8.26±1.59)分]、抑郁评分[(8.14±1.71)分]均低于B组[(19.15±3.72)分、(12.50±2.61)分、(11.55±2.05)分、(11.62±2.11)分]和C组[(18.96±3.50)分、(12.14±2.78)分、(11.90±2.18)分、(11.39±2.07)分], 差异均有统计学意义(P＜0.05)。结论中医芳香疗法联合EFT疗法可有效改善失眠症患者睡眠质量，缓解抑郁、焦虑情绪，改善中医症状。
- 中医芳香药枕 /
- 情绪释放技术 /
- 失眠症 /
- 抑郁情绪
Abstract: Objective To explore the effects of traditional Chinese medicine aromatherapy combined with emotional freedom techniques (EFT) on traditional Chinese medicine symptoms, sleep quality, and negative emotions in patients with insomnia. Methods A total of 120 insomnia patients were selected in Hangzhou Hospital of Traditional Chinese Medicine from January to December 2022, and divided patients into group A (implementing routine intervention and psychological support), group B (combining aromatherapy pillow therapy on a routine basis), group C (adding emotional release therapy on a routine basis), and group D (combining Ningxin Anshen aromatherapy pillow therapy and emotional release therapy) using a random number table method, with 30 patients in each group. The treatment cycle was 14 days. The traditional Chinese medicine syndrome evaluation scale, Pittsburgh sleep quality index (PSQI), and hospital anxiety and depression scale (HADS) were used to evaluate the traditional Chinese medicine symptoms, sleep, and negative emotions of patients 24 hours after enrollment and 2 weeks after treatment. Results After intervention, the traditional Chinese medicine syndrome scores, PSQI scale scores, anxiety, and depression scores of group B, C, and D were significantly improved (P < 0.05). The traditional Chinese medicine syndrome scores (9.92±3.04), PSQI scale scores (10.27±2.59), anxiety (8.26±1.59), and depression scores (8.14±1.71) of Group D were all lower than those of group B (19.15±3.72, 12.50±2.61, 11.55±2.05, 11.62±2.11), and group C (18.96±3.50, 12.14±2.78, 11.90±2.18, 11.39±2.07), the differences were statistically significant (P < 0.05). Conclusion The combination of Ningxin Anshen Aromatic Pillow and EFT therapy can effectively improve the sleep quality of insomnia patients with liver depression and heat dissipation, alleviate their depression and anxiety, and improve their traditional Chinese medicine symptoms.
- Traditional Chinese medicine aromatic medicine pillow /
- Emotional freedom techniques /
- Insomnia /
- Depression mood
利益冲突 无

HTML全文

表 1 4组失眠症患者一般资料比较

Table 1. Comparison of general information among four groups of patients with insomnia

组别	例数	性别(男/女, 例)	年龄(x±s, 岁)	文化程度(高中及以下/大专以上, 例)	病程(x±s, 月)
A组	30	12/18	54.38±9.07	19/11	22.57±3.93
B组	30	13/17	55.20±9.14	20/10	21.90±3.76
C组	30	12/18	55.91±8.99	18/12	23.11±4.20
D组	30	14/16	57.13±8.60	16/14	22.43±3.81
统计量		0.375^a	0.488^b	1.224^a	0.457^b
P值		0.984	0.691	0.874	0.713
注：^a为χ²值，^b为F值。

下载: 导出CSV

表 2 各组失眠症患者干预前后PSQI评分比较(x±s, 分)

Table 2. Comparison of PSQI scores before and after intervention in each group(x±s, points)

组别	例数	干预前	干预后	t值	P值
A组	30	14.95±3.11	14.63±3.07^abc	0.401	0.689
B组	29	15.02±3.40	12.50±2.61^c	3.166	0.002
C组	28	14.50±2.96	12.14±2.78^c	3.075	0.003
D组	28	15.31±3.28	10.27±2.59	6.381	＜0.001
F值		0.308	12.061
P值		0.819	＜0.001
注：与B组比较，^aP＜0.05；与C组比较，^bP＜0.05；与D组比较，^cP＜0.05。

下载: 导出CSV

表 3 各组失眠症患者干预前后焦虑、抑郁评分比较(x±s, 分)

Table 3. Comparison of anxiety and depression scores before and after intervention in each group(x±s, points)

组别	例数	焦虑评分		t值	P值	抑郁评分		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值
A组	30	14.01±2.57	13.42±2.43^abc	0.913	0.361	13.92±2.49	13.71±2.30^abc	0.339	0.734
B组	29	13.81±2.38	11.55±2.05^c	3.875	＜0.001	14.37±2.31	11.62±2.11^c	4.733	＜0.001
C组	28	13.95±2.31	11.90±2.18^c	3.415	0.001	13.80±2.42	11.39±2.07^c	4.005	0.001
D组	28	14.30±2.60	8.26±1.59	10.487	＜0.001	14.15±2.18	8.14±1.71	11.478	＜0.001
F值		0.197	30.890			0.331	35.760
P值		0.895	＜0.001			0.802	＜0.001
注：与B组比较，^aP＜0.05；与C组比较，^bP＜0.05；与D组比较，^cP＜0.05。

下载: 导出CSV

表 4 各组失眠症患者干预前后中医证候积分比较(x±s, 分)

Table 4. Comparison of TCM syndrome points before and after intervention for insomnia patients in each group(x±s, points)

组别	例数	干预前	干预后	t值	P值
A组	30	24.33±5.20	22.90±4.66^abc	1.121	0.267
B组	29	23.80±4.95	19.15±3.72^c	3.985	＜0.001
C组	28	23.15±4.71	18.96±3.50^c	3.754	0.001
D组	28	24.09±5.07	9.92±3.04	12.683	＜0.001
F值		0.298	60.435
P值		0.826	＜0.001
注：与B组比较，^aP＜0.05；与C组比较，^bP＜0.05；与D组比较，^cP＜0.05。

下载: 导出CSV

参考文献(17)

[1]	牛嘉暄, 赵英强, 牛增辉, 等. 中医药治疗失眠的研究进展[J]. 内蒙古中医药, 2021, 40(4): 159-162. NIU J X, ZHAO Y Q, NIU Z H, et al. Research progress of traditional Chinese medicine treatment of insomnia[J]. Inner Mongolia Journal of Traditional Chinese Medicine, 2021, 40(4): 159-162.
[2]	吴有艳, 单雪娇, 窦湘芸, 等. 中西医治疗慢性失眠的非药物方法研究进展[J]. 世界睡眠医学杂志, 2021, 8(7): 1288-1296. WU Y Y, SHAN X J, DOU X Y, et al. Research Progress on Non Drug Treatment of Chronic Insomnia with Traditional Chinese and Western Medicine[J]. World Journal of Sleep Medicine, 2021, 8(7): 1288-1296.
[3]	岳鸾依, 张永康. 失眠症伴抑郁、焦虑症状中西医论治的研究进展[J]. 新医学, 2023, 54(1): 26-29. YUE L Y, ZHANG Y K. Research progress on integrated traditional Chinese and Western medicine treatment of insomnia complicated with anxiety and depression[J]. Journal of New Medicine, 2023, 54(1): 26-29.
[4]	刘龙. 分析中医芳香疗法结合正念认知疗法对青少年抑郁症患者睡眠质量的影响[J]. 世界睡眠医学杂志, 2023, 10(2): 254-256. LIU L. To Analyze the Effect of Traditional Chinese Aromatherapy Combined with Mindfulness-based Cognitive Therapy on Sleep Quality of Adolescent Patients with Depression[J]. World Journal of Sleep Medicine, 2023, 10(2): 254-256.
[5]	肖威, 胡君娥, 严妍, 等. 情绪释放技术对癌症患者预期性悲伤的影响[J]. 护理学杂志, 2021, 36(11): 73-76. XIAO W, HU J E, YAN Y, et al. Effect of emotional freedom technique on anticipatory grief in cancer patients[J]. Journal of Nursing Science, 2021, 36(11): 73-76.
[6]	张鹏, 李雁鹏, 吴惠涓, 等. 中国成人失眠诊断与治疗指南(2017版)[J]. 中华神经科杂志, 2018, 51(5): 324-335.
[7]	中医病证诊断疗效标准(ZY/T001.1-94)—不寐[J]. 实用中医内科杂志, 2022, 36(9): 128.
[8]	路桃影, 李艳, 夏萍, 等. 匹兹堡睡眠质量指数的信度及效度分析[J]. 重庆医学, 2014, 43(3): 260-263. LU T Y, LI Y, XIA P, et al. Analysis on reliability and validity of the Pittsburgh sleep quality index[J]. Chongqing Medicine, 2014, 43(3): 260-263.
[9]	张国华, 许明智, 金海燕. 医院焦虑抑郁量表的因素结构研究[J]. 中国临床心理学杂志, 2006, 14(6): 591-592. ZHANG G H, XU M Z, JIN H Y. Factorial Structure of the Hospital Anxiety and Depression Scale in Outpatients with Somatic Disease[J]. Chinese Journal of Clinical Psychology, 2006, 14(6): 591-592.
[10]	陈春芳. 中医药治疗失眠临床研究进展[J]. 中医药临床杂志, 2019, 31(9): 1776-1780. CHEN C F. Clinical Research Progress of Insomnia Treated by Traditional Chinese Medicine[J]. Clinical Journal of Traditional Chinese Medicine, 2019, 31(9): 1776-1780.
[11]	张美玲, 王祯芝, 熊康, 等. 脑卒中失眠病人中医外治疗法的研究进展[J]. 中西医结合心脑血管病杂志, 2023, 21(3): 461-465. ZHANG M L, WANG Z Z, XIONG K, et al. Research progress of TCM external therapy for insomnia patients with stroke[J]. Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease, 2023, 21(3): 461-465.
[12]	李玉坤, 刘大胜, 任聪, 等. 中医芳香疗法的研究进展[J]. 中国中医急症, 2020, 29(1): 178-181. LI Y K, LIU D S, REN C, et al. Research progress of aromatherapy in traditional Chinese medicine[J]. Journal of Emergency in Traditional Chinese Medicine, 2020, 29(1): 178-181.
[13]	陈英, 陈晓洁, 王舒洁, 等. 芳香疗法联合情绪释放技术对失眠乳腺癌患者影响的研究[J]. 中华护理杂志, 2022, 57(6): 651-658. CHEN Y, CHEN X J, WANG S J, et al. Effect of lavender aromatic therapy combined with emotional freedom techniques on insomnia cancer breast patients with heart and spleen deficiency[J]. Chinese Journal of Nursing, 2022, 57(6): 651-658.
[14]	卢沙, 陈广烈. 网络静观认知团体治疗改善首发抑郁症患者的情绪、心理弹性和睡眠质量的研究[J]. 中华全科医学, 2022, 20(9): 1506-1508, 1568. doi: 10.16766/j.cnki.issn.1674-4152.002635 LU S, CHEN G L. Improvement of mood, psychological resilience and sleep quality in patients with first-episode depression by networked mindfulness-based cognitive group therapy[J]. Chinese Journal of General Practice, 2022, 20(9): 1506-1508, 1568. doi: 10.16766/j.cnki.issn.1674-4152.002635
[15]	宋旺弟, 申静, 江敏, 等. 薰衣草精油的纯化及安眠功效的研究[J]. 中国医院药学杂志, 2018, 38(18): 1911-1917. SONG W D, SHEN J, JIANG M, et al. Study on purification and hypnotic effect of lavender essential oil[J]. Chinese Journal of Hospital Pharmacy, 2018, 38(18): 1911-1917.
[16]	DINCER B, INANGIL D. The effect of emotional freedom techniques on nurses ' stress, anxiety, and burnout levels during the COVID-19 pandemic: a randomized controlled trial[J]. Explore(NY), 2021, 17(2): 109-114.
[17]	赵鑫, 崔月莉, 吴鹏, 等. 远志与炆远志对心肾不交失眠大鼠学习记忆, HPA轴功能及神经递质的调控作用[J]. 中国实验方剂学杂志, 2021, 27(11): 147-154. ZHAO X, CUI Y L, WU P, et al. Regulatory Effect of Polygala tenuifolia and Licorice-simmered P. tenuifolia on Learning and Memory, HPA Axis Function and Neurotransmitters in Rats with Heart-kidney Imbalance Insomnia[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2021, 27(11): 147-154.