耳穴三部曲疗法改善系统性红斑狼疮焦虑与睡眠的研究OA

Objective:To explore the effect of the three-step auricular point therapy on improving anxiety and sleep in systemic lupus erythematosus.Method:From June 2023 to December 2024,80 patients with systemic lupus erythematosus accompanied by anxiety and sleep disorders in Xiamen Hospital of Traditional Chinese Medicine were selected and divided into two groups according to the random number table method,with 40 cases in each group The control group received routine health education and psychological counseling,while the observation group was treated with the three-step auricular point therapy on the basis of the control group.The total effective rate of anxiety and sleep disorder intervention,the anxiety status[Hamilton Anxiety Scale(HAMA score)],sleep status[Pittsburgh Sleep Quality Index(PSQI score)]and neurotransmitters[5-hydroxytryptamine(5-HT),GABA and dopamine(DA)]before and after the intervention were compared between the two groups.Result:The total effective rates of anxiety and sleep disorder intervention in the observation group were both 95.00%,and they were higher than 77.50%and 70.00%in the control group,after the intervention,the HAMA score and PSQI score of the observation group were significantly lower than those of the control group.The neurotransmitters were significantly higher than those in the control group.Moreover,the HAMA scores and PSQI scores of both groups were significantly lower than those before the intervention,while the neurotransmitters were significantly higher than those before the intervention(P<0.05).Conclusion:The three-step auricular point therapy can significantly improve the anxiety and sleep status of patients with systemic lupus erythematosus,and thus has a relatively high application value in these patients.