中药药枕联合rTMS治疗脑卒中失眠的效果观察  

Effect of Chinese herbal medicine pillow combined with low-frequency repetitive transcranial magnetic stimulation in treatment of post-stroke insomnia

作　　者：曹玲玲 徐明红[1] 马先军[1] 王惠[1] CAO Lingling;XU Minghong;MA Xianjun;WANG Hui(Department of Encephalopathy,Lianyungang Hospital Affiliated to Nanjing University of Traditional Chinese Medicine,Lianyungang,Jiangsu,222004)

机构地区：[1]南京中医药大学连云港附属医院江苏省连云港市中医院神经内科

出　　处：《中西医结合护理（中英文）》2019年第5期55-57,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨中药药枕联合重复低频经颅磁刺激(rTMS)治疗脑卒中后失眠的效果。方法80例脑卒中后失眠患者分为对照组和观察组,各40例。对照组采用艾司唑仑药物治疗联合常规护理,观察组在对照组基础上增加中药药枕联合rTMS治疗。连续治疗4周,随访3个月。运用匹兹堡睡眠质量指数(PSQI)量表和SPIEGEL量表评价患者睡眠质量,对比2组临床疗效。结果治疗4周后,2组PSQI、SPIEGEL评分较治疗前下降,且观察组PSQI、SPIEGEL评分改善优于对照组(P<0.01)。观察组临床疗效优于对照组(92.50%vs.72.50%,P<0.05)。结论应用中药药枕联合rTMS能进一步缓解卒中后失眠症状,效果更为稳定和安全。Objective To investigate the effect of Chinese herbal medicine pillow combined with low-frequency repetitive transcranial magnetic stimulation(rTMS)in treatment of post-stroke insomnia.Methods Totally 80 patients with post-stroke insomnia were enrolled and randomly divided into the control group and the observation group,with 40 cases in each group.All Patients received estazolam and routine care,and a combined treatment of Chinese herbal medicine pillow and rTMS was applied in the observation group,for 4 weeks and followed up for 3 months.The Pittsburgh Sleep Quality Index(PSQI)scale and the SPIEGEL scale were used to evaluate the clinical efficacy.Results After 4 weeks of intervention,patients in the observation group achieved better outcomes of PSQI and SPIEGEL compared with those in the control group(P<0.01).The treatment efficacy in the observation was superior than that in the control group(P<0.05).Conclusion The combined treatment of Chinese herbal medicine pillow and rTMS is an effective and safe treatment for post-stroke insomnia.

关 键 词：脑卒中 睡眠障碍 失眠 中药药枕 重复低频经颅磁刺激 睡眠质量 

分 类 号：R473.2[医药卫生—护理学]