健脾调神法针刺治疗中风后失眠临床观察  

Clinical Observation on Invigorating the Spleen and Regulating the Mind Acupuncture and Moxibustion in the Treatment of Post-stroke Insomnia

作　　者：庄晓强 许金森[3] ZHUANG Xiaoqiang;XU Jinsen(Graduate School,Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350108,China;Department of Rehabilitation Medicine,Jinjiang Hospital,Fujian Province,Quanzhou 362200,China;Meridian Research Institute of Fujian Academy of Chinese Medicine,Fujian Province,Fuzhou 350100,China)

机构地区：[1]福建中医药大学研究生院,福建福州350108 [2]晋江市医院康复医学科,福建泉州362200 [3]福建省中医药研究院经络研究院,福建福州350000

出　　处：《中国中医药现代远程教育》2022年第14期123-125,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨健脾调神法针刺在中风后失眠中的应用价值。方法以46例中风后失眠患者为调查对象,根据随机数字表法分组,其中采取常规西药治疗作为西药组,采取健脾调神法针刺作为针刺组,比较2组患者的睡眠质量改善情况、临床疗效以及治疗的安全性。结果针刺组的治疗总有效率为86.96%(20/23),较西药组60.87%(14/23)高,组间比较差异有统计学意义(P<0.05);通过比较2组的匹兹堡睡眠质量评分,治疗后针刺组的睡眠评分显著高于西药组,组间比较差异有统计学意义(P<0.05);2组患者治疗后的睡眠质量评分均显著提高,与治疗前比较差异有统计学意义(P<0.05);西药组中出现并发症6例,发生率为26.09%(6/23),针刺组中未见相关并发症,2组的并发症发生率比较差异有统计学意义(P<0.05)。结论健脾调神法针刺具有补益心脾、养血安神、调和阴阳之功,对改善中风后失眠的疗效和安全性可靠,具有积极的临床推广意义。Objective To explore the value of invigorating the spleen and adjusting the mind acupuncture and moxibustion in the treatment of insomnia after apoplexy.Methods Forty-six patients with insomnia after stroke were investigated and divided into two groups according to the random number method.Among them,conventional western medicine treatment was taken as western medicine group,while invigorating the spleen and regulating the mind method was taken as acupuncture and moxibustion group.The improvement of sleep quality,clinical efficacy and the safety of treatment were compared between the two groups.Results The total effective rate of acupuncture and moxibustion group was 86.96%(20/23),which was higher than that of western medicine group(60.87%,14/23),and the difference had statistical significance(P<0.05).After treatment,the sleep score of acupuncture group was significantly higher than that of western medicine group,and the difference had statistical significance(P<0.05).Sleep quality scores in 2 groups were significantly improved after treatment,and the difference had statistical significance(P<0.05).There were 6 cases of complications in the western medicine group,and the incidence was 26.09%(6/23),while there were no related complications in the acupuncture group.The incidence of complications between the two groups was statistically significant(P<0.05).Conclusion The method of invigorating the spleen and regulating the mind acupuncture and moxibustion can invigorate the heart and spleen,nourish the blood and calm the nerves and harmonize yin and yang.It has a safe and reliable effect on improving post-apoplexy insomnia and has a positive clinical significance.

关 键 词：脑中风 失眠 针刺疗法 健脾调神 

分 类 号：R246.6[医药卫生—针灸推拿学]