中西医结合治疗方案对缺血性脑梗死合并失眠患者的疗效  

Therapeutic Effect of Integrated Chinese and Western Medicine on Patients with Ischemic Cerebral Infarction and Insomnia

作　　者：蔡丹[1] 刘存勇[1] 李军[1] Cai Dan;Liu Cunyong;Li Jun(Beijing weeping willow hospital,Beijing 100022,China)

机构地区：[1]北京市垂杨柳医院

出　　处：《世界睡眠医学杂志》2019年第8期1032-1034,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨中西医结合治疗缺血性脑梗死合并失眠患者中的临床效果,为临床治疗实践提供参考依据。方法:选取2016年12月至2017年10月北京市垂杨柳医院神经内科以及中医科收治的的缺血性脑梗死合并失眠患者248例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组124例。对照组给予常规西医治疗,观察组给予中西医结合治疗,对2组患者治疗后的临床治疗效果和治疗前后的睡眠质量评分、运动功能评分进行观察和比较。结果:观察组患者中总有效患者共计108例,总有效率为87. 10%,显著高于对照组的77例和62. 10%,组间比较差异有统计学意义(P <0. 05);干预前2组患者的PSQI总分差异无统计学意义(P> 0. 05);干预后2组患者的PSQI总分均得到了不同程度改善,且干预前后比较,差异有统计学意义(P <0. 05);干预后观察组患者的PSQI总分明显低于对照组,差异有统计学意义(P <0. 05);干预前,2组患者的FMA评分差异不大,无统计学意义;干预后,观察组患者的FMA评分均明显低于干预前,差异有统计学意义(P <0. 05);干预后观察组的FMA评分明显低于对照组,差异有统计学意义(P <0. 05)。结论:采用中西医结合治疗方法与传统的西医治疗方法相比整体治疗效果更好,患者的睡眠质量改善效果更佳,中西医结合治疗是治疗缺血性脑梗死合并失眠患者的理想方案之一。Objective: To investigate the clinical effect of integrated Chinese and western medicine in the treatment of ischemic cerebral infarction patients with insomnia,and to provide reference for clinical practice. Methods: A total of 248 cases selected from December 2016 to October 2017 with ischemic cerebral infarction and insomnia admitted by the department of neurology and the department of traditional Chinese medicine of Beijing chuyang liu hospital were selected as research objects.According to the numerical random table method,they were randomly divided into observation group and control group,with 124 cases in each group.The control group received conventional western medicine treatment,and the research group received integrated traditional Chinese and western medicine treatment.The clinical therapeutic effect and sleep quality score and motor function score before and after treatment were observed and compared. Results: There were 108 effective patients in the study group,and the total effective rate was 87.10%,which was significantly higher than the 77 cases and 62.10% in the control group.The difference between the two groups was statistically significant( P <0.05).Before intervention,there was no statistically significant difference in PSQI total score between the two groups( P >0.05).After intervention,the total scores of PSQI in the two groups were improved to different degrees,and the differences before and after intervention were significant( P <0.05).After intervention,the total score of PSQI in the study group was significantly lower than that in the control group,and the difference was statistically significant( P <0.05).Before intervention,there was no significant difference in FMA scores between the two groups,with no statistical significance.After intervention,FMA scores of patients in the study group were significantly lower than those before intervention,and the difference was statistically significant( P <0.05).After intervention,FMA score of the research group was significantly lower than that

关 键 词：中西医结合 缺血性脑梗死 失眠 

分 类 号：R743[医药卫生—神经病学与精神病学] R256.23[医药卫生—临床医学]