| Objective To further explore the effect of auricular acupressure on improving sleep,this study added the meridian theory to observe the clinical effect of auricular pressing on treating sleep disorders in patients with liver stagnation and spleen deficiency type primary liver cancer,and to provide clinical reference for better service of patients in accordance with.Methods A total of 147 patients with primary liver cancer of liver stagnation and spleen deficiency type in a liver cancer department and oncology department of a top three hospital in Hubei Province were screened according to the criteria of this study.The subjects were randomly divided into auricular acupressure group,meridian stream group and blank control group.A total of 142 cases were collected,including 47 in the auricular acupressure group,49 in the blank control group,and 46 in the meridian stream group.Both the meridian stream group and the auricular acupressure group were given auricular acupressure therapy.The ear points selected in this study were Shenmen,subcortical,heart,sympathetic,endocrine,liver,and spleen,but the meridian stream group was based on the meridian acupuncture theory Choose 9-11 am(si shi),3-5 pm(shen shi),7-9 pm(xu shi)for auricular acupressure intervention,and the auricular acupressure group choose to intervene outside the above-mentioned time period,the blank group without intervention,and all three groups intervened for 28 days.The scores of Pittsburgh Sleep Quality Index(PSQI)and Sleep Self-Assessment Scale(SRSS)were selected as the evaluation indicators to compare the sleep acupressure group,the meridian stream group and the blank control group before and after the test and between groups.The statistical results were analyzed by SPSS l9.0,and the test level was ? = 0.05.Results 1.Baseline data:The difference between the auricular acupressure group,the blank control group and the meridian stream group was not statistically significant after data analysis on general data,and can be compared(P> 0.05).2.Outcome indicators:(1)Comparison of total efficacy:The total clinical effective rates of the auricular acupressure group and the meridian stream group were 51.07% and 95.66%,respectively,and the blank control group was 4.08%.After the end of the test,the scores of the auricular acupressure group,the meridian stream group and the blank control group were compared,P <0.05,which was statistically significant.(2)Comparison of PSQI total scores:There were no significant differences in the total PSQI scores of the auricular acupressure group,the meridian sream group and the blank control group before the test(P> 0.05);after the test,the auricular acupressure group,the meridian stream group and the blank control group had a total PSQI score comparison.The scores of the auricular acupressure group and the meridian stream group decreased significantly(P <0.05).From the comparison of the groups,the total PSQI score of the meridian stream group was significantly lower than that of the blank control group and the auricular acupressure group after the test,with significant differences(P <0.05).In the auricular acupressure group,the total PSQI score after the test was slightly reduced compared with that before the test,which was significant(P <0.05);the PSQI total score in the meridian stream group was significantly lower than before the test,and was statistically significant(P <0.05)The score in the meridian stream group decreased more than that in the auricular acupressure group;the total PSQI score of the blank control group did not change significantly before and after the test(P> 0.05).(3)Comparison of each dimension of PSQI:The subjects in the auricular acupressure group,the meridian stream injection group,and the blank control group before the test showed no significant difference in the scores of the components after the survey using the PSQI scale(P> 0.05);the comparison between the groups after the experiment showed that the meridian stream group of the scores of sleep time,sleep time,sleep disturbance,sleep efficiency and daytime dysfunction in the group were significantly lower than those in the auricular acupressure group and the blank control group(P <0.05),but there was no significant change in the comparison scores between the sleep quality groups(P> 0.05).(4)Comparison of SRSS total scores:There was no significant difference in the total scores of SRSS in the auricular acupressure group,meridian stream group and the blank control group before the test(P > 0.05).After the test,the total score of the acupoint acupressure group and meridian stream group was lower than before the test(P < 0.05).;From the comparison between the groups,the total SRSS score of the meridian stream group was significantly lower than that of the blank control group and the auricular acupressure group after the test,and there was a significant difference(P <0.05).The total score of SRSS in the meridian stream group was significantly lower than that before the test(P <0.05).There was no significant difference in the scores of the blank control group before and after the test,which was not statistically significant(P> 0.05).After the test,it was lower than that before the test(P <0.05),but the degree of decrease was smaller than that in the meridian stream group.(5)Comparison of safety: The safety of the auricular acupressure group,the meridian stream group and the blank control group were compared after the intervention,and there was no significant difference(P> 0.05).(6)Compliance results: A total of 147 subjects were included in this trial,5 cases were dropped out,and 142 were the final subjects.The compliance rate was 96.60%,and the compliance was good.Conclusion Auricular acupressure pressing is effective for improving sleep,auricular acupressure on the meridian stream theory has a better effect on the sleep of patients with liver stagnation and spleen deficiency type primary liver cancer,but the related mechanism needs further research. |
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