耳穴压豆对心脾两虚型不寐患者睡眠质量及中医证候的改善作用

The Effect of Ear Acupoint Seed Pressing on Sleep Quality and the Improvement of TCM Syndromes in Patients with Insomnia Due to Deficiency of Both Heart and Spleen

摘要: 目的：评估耳穴压豆对心脾两虚证失眠患者主观睡眠质量的改善效果，并考察此方案在改善中医临床证候方面的实际应用价值。方法：选取2025年3月至2026年3月于伽师县人民医院中医门诊就诊的87例心脾两虚型不寐患者，随机分为观察组(44例)和对照组(43例)。对照组给予常规睡眠卫生教育，观察组在此基础上加用耳穴压豆治疗。对干预前后中医证候积分的波动情况展开对比，同时结合匹兹堡睡眠质量指数量表。结果：治疗后，观察组PSQI总分及各维度评分均低于对照组，观察组的中医证候积分改善程度明显优于对照组；观察组总有效率较之对照组的81.40%亦有显著提升，两组数据差异经统计学验证具有显著性(P < 0.05)。结论：针对心脾两虚型不寐，耳穴压豆疗法不仅能显著优化患者睡眠质量，亦可有效缓解中医证候，临床获益明确。

Abstract: Objective: To evaluate the improvement effects of ear acupoint seed pressing on subjective sleep quality in patients with insomnia due to dual deficiency of heart and spleen, and to evaluate the practical clinical value of this method in improving traditional Chinese medicine (TCM) syndromes from multiple perspectives. Methods: A total of 87 patients with insomnia due to dual deficiency of heart and spleen were selected from the TCM outpatient department of Jiashi County People’s Hospital between March 2025 and March 2026. They were randomly divided into an observation group (44 cases) and a control group (43 cases). The control group received routine sleep hygiene education, while the observation group received additional ear acupoint seed pressing therapy. The fluctuations in TCM syndrome scores before and after intervention were compared, along with the Pittsburgh Sleep Quality Index (PSQI). Results: After treatment, the total PSQI score and dimension scores in the observation group were lower than those in the control group. The improvement in TCM syndrome scores was significantly better in the observation group compared to the control group. The overall effective rate in the observation group was also significantly higher than that of the control group (81.40%), with statistically significant differences between the two groups (P < 0.05). Conclusion: For insomnia due to dual deficiency of heart and spleen, ear acupoint seed pressing therapy not only significantly improves sleep quality but also effectively alleviates TCM syndromes, demonstrating clear clinical benefits.