| Objective:Based on the holographic theory,through ear scraping for perimenopausal insomnia patients with qi depression,comprehensively evaluate the impact of ear scraping on sleep quality,perimenopausal symptom severity,qi depression constitution improvement and safety,so as to provide new ideas and methods for the treatment of perimenopausal insomnia patients with qi depression.Methods:By using the convenient sampling method and posting posters,80 perimenopausal insomnia patients with qi depression were recruited from the nursing clinic of a class III class a TCM hospital in Harbin from October 2020 to October 202 1,which met the inclusion criteria.Using the method of computer random number table,the subjects were divided into experimental group and control group,with 40 cases in each group(n=40).The control group was given comprehensive intervention,and the experimental group was given comprehensive intervention and ear scraping.Each scraping interval was 1 week,and every 2 weeks was a course of treatment,with a total of 3 courses of treatment for 6 weeks.Pittsburgh sleep quality index scale,modified Kupperman scale,qi depression judgment standard scale and safety observation indexes were used before intervention and at the end of each course to comprehensively evaluate the intervention effect and safety.Results:(1)Comparison of general data were compared between the two groups:there was no significant difference between the two groups in age,course of disease,marital status,education level,employment,family monthly income and menstruation(P>0.05).(2)The total score of PSQI and the scores of each dimension were compared between the two groups.There was no significant difference between the two groups in the total score of PSQI and the scores of each dimension before intervention(P>0.05).Comparison between groups:the total score of PSQI and the scores of each dimension were compared between the two groups at 2,4 and 6 weeks of intervention.There was significant difference in the total score of PSQI(P<0.05),and there was significant difference in the scores of each dimension at 4 and 6 weeks of interventi on(P<0.05).Intra group comparison:the total PSQI scores and scores of each dimension of the two groups were compared before the intervention,2 weeks,4 weeks and 6 weeks.There were significant differences in the total PSQI scores and scores of each dimension of the experimental group before the intervention,2 weeks,4 weeks and 6 weeks(P<0.05),and there were significant differences between before the intervention and 2 weeks,4 weeks and 6 weeks(P<0.05);there were significant differences in the total PSQI score and each dimension score of the control group before intervention,2 weeks,4 weeks and 6 weeks of intervention(P<0.05),and there were significant differences between the control group before intervention and 4 weeks and 6 weeks of intervention(P<0.05).(3)The total score of improved KI and the scores of each item were compared between the two groups.There was no significant difference between the two groups in the total score of improved KI and the scores of various items before intervention(P>0.05).Comparison between groups:the total score of improved KI and the scores of various items were compared between the two groups at 2 weeks,4 weeks and 6 weeks of intervention.There was significant difference in the total score of improved KI and the scores of various items at 4 weeks and 6 weeks of intervention(P<0.05).Intra group comparison:the total score of improved KI and the scores of each item of the two groups were compared within the group.There were significant differences in the total score of improved KI before intervention,2 weeks,4 weeks and 6 weeks in the experimental group(P<0.05),it was found that there were significant differences between the pre intervention and the intervention 4 weeks and 6 weeks(P<0.05),and there were significant differences between the control group and the improved KI group before the intervention,2 weeks,4 weeks and 6 weeks(P<0.05),it was found that there were significant differences between pr e intervention and 6 weeks of intervention(P<0.05).(4)Comparison of transformation scores of qi depression between the two groups.There was no significant difference between the two groups(P>0.05).Comparison between groups:the transformation scores of qi stagnation were compared between the two groups at 2,4 and 6 weeks of intervention.There was significant difference in the transformation scores of qi stagnation at 6 weeks of interventi on(P<0.05).Intra group comparison:the transformation scores of qi depression in the two groups were compared.There were significant differences between the experimental group and the control group before intervention,2 weeks,4 weeks and 6 weeks of intervention(P<0.05).(5)Comparison of clinical efficacy:After the intervention,there was significant difference between the two groups(P<0.05).Among them,the number of cured,markedly effective and effective cases in the experimental group were 10,2 0 and 5 cases respectively.The cured,markedly effective and effective rates were 26.32%,52.63%and 13.1 6%respectively,and the total effective rate was 92.11%;The number of cured,markedly effective and effective cases in the control group were 3,5 and 2 3 respectively.The cured,markedly effective and effective rates were 5.1 3%,25.64%and 5 3.85%respectively,and the total effective rate was 8 4.62%.Conclusion:(1)Ear scraping can improve the sleep quality of perimenopausal insomnia patients with qi depression.(2)Ear scraping can effectively relieve qi depression and perimenopausal insomnia with perimenopausal symptoms.(3)Ear scraping can significantly reduce the conversion score of qi stagnation in perimenopausal insomnia patients,and has the trend of improving their qi stagnation constitution.(4)Ear scraping has high clinical efficacy and safety,and is green and simple.It is worth popularizing in clinical practice. |
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