Clinical Observation On The Effect Of Auricular Plaster Therapy Of Chushizi On Sleep Quality Of Patients With Chronic Heart Failure

Objective: Objective to evaluate the effect of auricular plaster therapy of Broussonetia papyrifera on chronic heart failure(CHF)Objective to evaluate the clinical efficacy of chushizi auricular plaster therapy in improving sleep quality of patients with CHF,and to provide a safe and effective treatment for patients with CHF complicated with sleep disorders.Methods: Methods from March 2020 to January 2021,111 CHF patients with sleep disorders were selected from the Department of Cardiology,the First Affiliated Hospital of Guangxi University of traditional Chinese medicine.By drawing lots,the patients were randomly divided into chushizi auricular point sticking intervention group,wangbuliuxing auricular point sticking control group and conventional treatment control group,37 cases in each group,with a course of 2 weeks.Three groups of patients were treated with routine treatment and routine nursing,wangbuliuxing auricular plaster was used in the control group on the basis of wangbuliuxing auricular plaster,and chushizi auricular plaster was used in the intervention group on the basis of chushizi auricular plaster.The control group and the intervention group were selected auricular points: heart,spleen,liver,kidney,Shenmen,subcortical,sympathetic.Heart function,sleep time,Pittsburgh sleep quality index(PSQI)and TCM syndrome score of the three groups before and after treatment were observed and compared.All data were analyzed by SPSS 24.0 statistical software.Results:1.The age,gender,course of disease,basic disease,sleep time,cardiac function,PSQI and TCM syndrome score of the three groups before treatment were not statistically significant(P > 0.05),which were comparable;2.Comparison of the total effective rate of sleep time after intervention:the total effective rate of sleep time in the intervention group and the control group was significantly better than that in the control group(P < 0.01);there was no significant difference in the total effective rate of sleep time between the intervention group and the control group(P > 0.05).3.Comparison of cardiac function after intervention: the effect of chushizi auricular point sticking and pressing intervention group was better than that of wangbuliuxing auricular point sticking and pressing control group and conventional treatment control group in improving cardiac function(P <0.05);wangbuliuxing auricular point sticking and pressing control group and conventional treatment control group had the same effect in improving cardiac function(P > 0.05).4.PSQI comparison after intervention: there was no significant difference in the total score of PSQI between the intervention group and the control group(P > 0.05);the total score of PSQI in the intervention group and the control group was improved more significantly than that in the conventional treatment group(P < 0.01).5.Comparison of TCM symptom scores after intervention: the therapeutic effect of chushizi auricular point sticking and pressing intervention group was better than that of wangbuliuxing auricular point sticking and pressing control group(P < 0.05)in improving the four items of chilly limbs,asthma,shortness of breath and oliguria(P < 0.05);the improvement degree of wangbuliuxing auricular point sticking and pressing control group was similar to that of conventional treatment control group(P >0.05)In addition,the improvement degree of other items in the intervention group was better than that in the conventional treatment control group(P <0.05);the curative effect of chushizi auricular point sticking intervention group was better than that in the conventional treatment control group(P <0.05).Conclusions:1.Chushizi auricular plaster therapy and wangbuliuxing auricular plaster therapy can effectively improve the sleep quality of CHF patients,but the curative effect of chushizi auricular plaster therapy is slightly better than wangbuliuxing auricular plaster therapy.Chushizi auricular plaster therapy not only improves the clinical symptoms of CHF,such as asthma,shortness of breath,chilly limbs,oliguria,but also improves the sleep quality.It may be that Fructus broussonetiae is more suitable for the treatment of CHF because of its functions of helping Yang Qi,supplementing qi,activating blood circulation and tonifying deficiency.2.Conclusion auricular plaster therapy combined with western medicine can improve heart function of CHF patients.