眼针眶区带针治疗脑卒中后失眠患者的临床应用  

Clinical Application of Orbital Acupuncture in Treatment of Patients with Insomnia after Stroke

作　　者：张明秋 卢凤娟[1] ZHANG Mingqiu;LU Fengjuan(Department of Rehabilitation,General Hospital of Heilongjiang Agricultural Reclamation Bureau,Harbin,Heilongjiang Province,150088 China)

机构地区：[1]黑龙江省农垦总局总医院康复科,黑龙江哈尔滨150088

出　　处：《中外医疗》2021年第19期1-4,8,共5页China & Foreign Medical Treatment

摘　　要：目的探讨眼针眶区带针治疗脑卒中后失眠疗效的临床应用。方法方便选取2019年1—12月该院治疗的脑卒中后失眠患者80例作为研究对象,根据住院先后随机分为对照组(n=40)和观察组(n=40)。对照组给予常规普通针灸失眠治疗,观察组给予眼针眶区带针治疗,治疗后对患者效果进行评估,比较两组患者的生命体征、康复情况、HAMA、PSQI评分以及不良情况发生。结果所有患者经过治疗后,根据生命体征进行比较可知:两种治疗方式对于患者的体温和呼吸的影响不大,而观察组心率、NBP、收缩压、舒张压临床数据均低于对照组患者,差异有统计学意义(P<0.05);两组患者在治疗前的评分数据差异无统计学意义(P>0.05),治疗后,观察组HAMA评分(2.31±0.51)分、PSQI评分(10.95±0.53)分低于对照组HAMA评分(4.43±0.12)分、PSQI评分(12.38±2.38)分,且SSRS评分(29.41±1.12)分高于对照组(27.21±1.21)分,差异有统计学意义(P<0.05);治疗后,观察组患者的不良情况晕针,疼痛,滞针和血肿异常的发生情况(共10例,不良情况发生率为25.00%)均低于对照组患者(共22例,不良情况发生率为55.00%),差异有统计学意义(χ^(2)=7.500,P<0.05)。结论将眼针眶区带针用于脑卒中后失眠患者的临床应用效果显著,有效降低患者的焦虑抑郁的情绪和不良事件的发生,改善临床患者的生命体征,提高患者的生活质量和恢复情况。Objective To explore the clinical application of orbital needle acupuncture in the treatment of post-stroke insomnia.Methods Conveniently selected to 80 patients with post-stroke insomnia treated in the hospital from January to December 2019 as the research object,according to the order of hospitalized patients were randomly divided into a control group(n=40)and an observation group(n=40).The control group was treated with conventional acupuncture and insomnia,and the observation group was treated with acupuncture in the orbital area.After the treatment,the patient's effect was evaluated,and the vital signs,rehabilitation,HAMA,PSQI scores,and occurrence of adverse conditions were compared between the two groups.Results After all patients have undergone treatment,a comparison based on their vital signs shows that the two treatment methods have little effect on the patient’s body temperature and respiration,while the clinical data of heart rate,NBP,systolic blood pressure,and diastolic blood pressure in the observation group were lower than those in the control group.The difference was statistically significant(P<0.05);there was no significant difference in the score data of the two groups before treatment(P>0.05).After treatment,the HAMA score(2.31±0.51)points and PSQI score(10.95±0.53)points of the observation group score was lower than the control group’s HAMA score(4.43±0.12)points,PSQI score(12.38±2.38)points,and the SSRS score(29.41±1.12)points was higher than the control group(27.21±1.21)points,the difference was statistically significant(P<0.05);after treatment,the observation group's unfavorable conditions(a total of 10 cases,the incidence of unfavorable conditions was 25.00%)of dizziness,pain,stuck needles and abnormal hematoma were lower than those of the control group(a total of 22 cases,the incidence of adverse events was 55.00%),and the difference was statistically significant(χ^(2)=7.500,P<0.05).Conclusion The clinical application effect of the orbital needle acupuncture in the patients wi

关 键 词：眼针眶区带针 脑卒中 失眠 康复情况 睡眠质量指数 

分 类 号：R49[医药卫生—康复医学]