温针灸治疗痰热扰心型脑卒中后睡眠障碍OA
Warm Acupuncture and Moxibustion for Treating Post-Stroke Sleep Disorders of Phlegm-Heat Disturbing the Heart Type
目的:探讨温针灸对痰热扰心型脑卒中后睡眠障碍的临床疗效.方法:选择符合纳入标准痰热扰心型脑卒中后睡眠障碍患者72例,依据随机数字表随机分为研究组和对照组,每组各36例.对照组给予舒肝解郁胶囊治疗,研究组在对照组治疗基础上联合温针灸治疗,选取神门、太溪、内关、照海、申脉、四神聪、交感穴,两组均治疗2周.于治疗前和治疗1、2周后采用阿森斯失眠量表(AIS)比较两组患者睡眠质量;于治疗前和治疗2周后使用美国国立卫生研究院卒中量表(NIHSS)、斯堪的纳维亚卒中量表(SSS)比较两组患者神经功能;比较两组患者头晕、乏力、晨起思睡等不良反应发生情况和临床疗效.结果:治疗后,研究组临床总有效率97.22%(35/36)高于对照组临床总有效率83.33%(30/36)(P<0.05).与治疗前比较,两组患者治疗1、2周后AIS评分均显著降低(P<0.05);与对照组比较,研究组相同时间点AIS评分低于对照组(P<0.05).重复测量显示,两组AIS 评分的时点效应、组间效应、交互效应比较,差异存在统计学意义(P<0.001).与治疗前比较,两组患者治疗后NIHSS评分降低,SSS评分升高(P<0.05).与对照组治疗后比较,研究组NIHSS评分升高,SSS评分降低(P<0.001).结论:温针灸联合舒肝解郁胶囊治疗痰热扰心型脑卒中后睡眠障碍具有较好的临床疗效,可有效改善患者神经功能,提高睡眠质量.
Objective:To explore the clinical efficacy of warm acupuncture and moxibustion in treating phlegm-heat disturbing the heart type post-stroke sleep disorders.Methods:A total of 72 patients with phlegm-heat disturbing the heart type post-stroke sleep disorders who met the inclusion criteria were randomly divided into a study group and a control group,with 36 patients in each group,using a random number table.The control group received Shugan Jieyu Capsules,while the study group received the same plus warm acupuncture and moxibustion.Acupuncture points included Shenmen(HT7),Taixi(KI3),Neiguan(PC6),Zhuhai(KI6),Shenmai(BL62),Sishencong(EX-HN1),and Sympathetic points(EX-B2).Both groups were treated for 2 weeks.The Athens Insomnia Scale(AIS)was used to compare sleep quality before treatment and at 1 and 2 weeks after treatment.The National Institutes of Health Stroke Scale(NIHSS)and the Scandinavian Stroke Scale(SSS)were used to compare neurological function before and 2 weeks after treatment.Adverse reactions such as dizziness,fatigue,and morning sleepiness,as well as clinical efficacy,were compared between the two groups.Results:After treatment,the clinical total effective rate in the study group was 97.22%(35/36),which was higher than the control group's total effective rate of 83.33%(30/36)(P<0.05).Compared with before treatment,AIS scores in both groups significantly decreased at 1 and 2 weeks after treatment(P<0.05).The AIS scores at the same time points were lower in the study group than in the control group(P<0.05).Repeated measures showed statistically significant differences in the time-point effect,group effect,and interaction effect of AIS scores between the two groups(P<0.001).Compared with before treatment,both groups showed a decrease in NIHSS scores and an increase in SSS scores after treatment(P<0.05).The NIHSS scores were higher and the SSS scores were lower in the study group compared to the control group after treatment(P<0.001).Conclusion:Warm acupuncture and moxibustion combined with Shugan Jieyu Capsules show better clinical efficacy in treating phlegm-heat disturbing the heart type post-stroke sleep disorders.This approach can effectively improve neurological function and enhance sleep quality.
宋如意;王磊;杨自生
河南中医药大学第三附属医院,河南 郑州 450008河南省人民医院,河南 郑州 450000
脑卒中睡眠障碍针灸舒肝解郁胶囊痰热扰心型
StrokeSleep disordersAcupunctureShugan Jieyu CapsulesPhlegm-heat disturbing the heart type
《中医药信息》 2024 (010)
54-58 / 5
河南省中医药研究专项课题项目(2022ZY2041)
评论