针刺照海、申脉穴联合耳穴贴压治疗脑卒中后失眠症疗效观察  

Curative Observation of Acupuncturing at Zhaohai and Shenmai Acupoints Combined with Auricular Point Sticking for Treating Post-stroke Insomnia

作　　者：刘小红 周熙[1] 王韵[1] 王竹行[1] 张福琴[1] 廖焦鲁 邓唯佳 LIU Xiaohong;ZHOU Xi;WANG Yun(Department of Acupuncture and Moxibustion,Chongqing Municipal Hospital of Traditional Chinese Medicine,Chongqing 400000,China)

机构地区：[1]重庆市中医院针灸科,重庆400000

出　　处：《四川中医》2022年第10期194-197,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：重庆市卫生计生委中医药科技项目(编号:ZY2016010008)

摘　　要：目的:研究针刺照海、申脉穴联合耳穴贴压治疗脑卒中后失眠症的效果观察。方法:将2017年2月~2020年12月收治的98例脑卒中后失眠症患者作为对象,随机分为观察组(针刺照海、申脉穴联合耳穴贴压治疗,n=51),对照组(耳穴贴压治疗,n=47),对比两组患者治疗后的临床效果,失眠严重程度指数(ISI)、匹兹堡睡眠质量指数量表(PSQI)、多导睡眠图(PSG)指标变化。结果:观察组与对照组治疗4周后总有效率分别为90.20%和80.85%,差异具有统计学意义(P<0.05),观察组与对照组疗效等级均衡,无统计学差异(P>0.05)。与治疗前相比,治疗4周后ISI评分、PSQI均明显降低(P<0.05),且观察组降低幅度更大(P<0.05)。治疗后患者PSG指标睡眠潜伏期、觉醒时间、觉醒次数明显减少,睡眠效率较前提高(P<0.05),且观察组改变幅度更大(P<0.05),结论:针刺照海、申脉穴联合耳穴贴压治疗脑卒中后失眠症,临床效果显著,可以明显降低ISI评分、PSQI值,明显减少患者PSG指标中睡眠潜伏期、觉醒时间、觉醒次数,调高睡眠效率,从而有利于患者身心健康,改善预后,提升幸福感。Objective:To study the effect of acupuncturing at Zhaohai and Shenmai acupoints combined with auricular point sticking on post-stroke insomnia.Methods:98 patients with post-stroke insomnia admitted between February 2017 and December 2020 were selected as subjects and were randomly divided into an observation group(acupuncturing at Zhaohai and Shenmai acupoints combined with auricular point sticking,n=51)and a controlled group(auricular point sticking,n=47).The clinical effect,insomnia severity index(ISI),Pittsburgh Sleep Quality Index(PSQI)and polysomnography(PSG)indicators were compared between the two groups of patients after treatment.Results:The total effective rate was 90.20%in the observation group and 80.85%in the controlled group after 4 weeks of treatment respectively(P<0.05),and the observation group had balanced efficacy grades with the controlled group,without statistical difference(P>0.05).Compared with before treatment,ISI score and PSQI score were significantly reduced after 4 weeks of treatment(P<0.05),and the reductions were even greater in the observation group(P<0.05).After treatment,the PSG indicators of sleep latency,awakening time and awakening frequency were significantly decreased,and the sleep efficiency was improved(P<0.05),and the changes were greater in the observation group(P<0.05).Conclusion:Acupuncturing at Zhaohai and Shenmai acupoints combined with auricular point sticking has a significant clinical effect in treating post-stroke insomnia.It can significantly reduce the ISI score and PSQI score,significantly reduce the PSG indicators of sleep latency,awakening time and awakening frequency,and increase the sleep efficiency,it is beneficial to the physical and mental health,and improve prognosis and increase of happiness.

关 键 词：脑卒中后失眠症 耳穴贴压 针灸治疗 失眠严重程度指数 匹茨堡睡眠质量指数量表 

分 类 号：R246.6[医药卫生—针灸推拿学]