推拿配合经颅磁刺激治疗脑卒中后失眠临床研究  

Clinical Study of Treatment of Insomnia after Cerebral Apoplexy by Massage Combined with Transcranial Magnetic Stimulation

作　　者：陈前[1] 李丽[2] CHEN Qianl LI Li(The Second Clinical Medical College of Shandong University of Traditional Chinese Medicine,Jinan 250355,China The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250001, China)

机构地区：[1]山东中医药大学第二临床医学院,山东济南250355 [2]山东中医药大学第二附属医院,山东济南250001

出　　处：《山东中医杂志》2017年第5期387-389,共3页Shandong Journal of Traditional Chinese Medicine

摘　　要：目的 :观察推拿配合经颅磁刺激治疗脑卒中后失眠的疗效。方法 :将60例脑卒中后失眠患者按照随机数字表法分为观察组和对照组各30例。观察组采用头部推拿配合重复经颅磁刺激对头部经络、穴位进行刺激,对照组服用艾司唑仑片。治疗2个疗程后,观察两组治疗前后匹兹堡睡眠质量指数(PSQI)评分变化及不良反应情况,评价两组疗效。结果:治疗组总有效率93.3%,对照组90.0%,差异无统计学意义(P>0.05)。两组治疗后PSQI评分均显著降低,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异无统计学意义(P>0.05)。观察组不良反应率低于对照组,差异有统计学意义(P<0.05)。结论 :推拿配合经颅磁刺激治疗脑卒中后失眠疗效与艾司唑仑片相当,但不良反应低。Objective：To observe the curative effect of massage combined with transcranial magnetic stimula- tion on insomnia after cerebral apoplexy. Methods：A total of 60 patients with insomnia after cerebral apoplexy were divided into observation group and control group according to the random number table,with 30 cases in each group. The observation group was given massage combined with repetitive transcranial magnetic stimulation to stimulate the meridians and acupoints on the head. The control group was given es- tazolam tablets. After two courses of treatment,the changes of Pittsburgh sleep quality index（PSQI） score and adverse reactions of the two groups were observed and the curative effects were compared. Results ：The total effective rate of the observation group was 93.3% and the control group was 90.0%. The difference was not statistically significant（P〉0.05）. The PSQI scores of the two groups was decreased after treatment,which were statistically different from those before treatment（P〈0.05）,but the difference between the two groups were not statistically significant（P〉0.05）. The incidence of adverse reactions of the treatment group was lower than that of the control group and the difference was statistically significant（P〈0.05）. Conclusion： The curative effect of massage combined with transcranial magnetic stimulation on insomnia after cerebral apoplexy was similiar to that of estazolam tablets,but the former had less adverse reactions.

关 键 词：推拿 经颅磁刺激 脑卒中后失眠 临床研究 

分 类 号：R256.23[医药卫生—中医内科学]