中药熏洗联合耳穴压豆治疗缺血性脑卒中后睡眠障碍的临床效果  

Clinical effect of Chinese herbal fumigation combined with auricular point pressing bean in the treatment of sleep disorder after ischemic stroke

作　　者：廖武萍[1] 黄丽新[1] 文莹 黄苑 陈红颖 LIAO Wuping;HUANG Lixin;WEN Ying;HUANG Yuan;CHEN Hongying(Department of Rehabilitative Medicine,the Second Provincial Central Hospital,Guangdong Province,Guangzhou510317,China)

机构地区：[1]广东省第二人民医院康复医学科,广东广州510317

出　　处：《中国当代医药》2022年第25期140-143,共4页China Modern Medicine

摘　　要：目的探讨中药熏洗联合耳穴压豆治疗缺血性脑卒中后睡眠障碍的临床效果。方法选取2018年2月至2020年2月于广东省第二人民医院康复医学科住院治疗的88例缺血性脑卒中后睡眠障碍患者作为研究对象进行回顾性分析。根据治疗方法不同将其分为对照组(49例)和观察组(39例)。对照组患者采用常规治疗方法,观察组患者在常规治疗的基础上采用中药熏洗联合耳穴压豆。比较两组患者治疗前后的匹茨堡睡眠质量指数量表(PSQI)各项评分及总分,比较两组患者的临床疗效。结果观察组患者治疗14 d后的睡眠质量、入睡时间、睡眠时间、日间功能评分及PSQI总分低于对照组,差异有统计学意义(P<0.05)。观察组患者治疗14 d后的总有效率高于对照组,差异有统计学意义(P<0.05)。结论中药熏洗双足联合耳穴压豆可有效改善缺血性脑卒中后睡眠障碍患者的睡眠质量、睡眠时间、日间功能,可为缺血性脑卒中后睡眠障碍治疗提供新方案。Objective To investigate the clinical effect of Chinese herbal fumigation combined with auricular acupoint pressing bean in the treatment of sleep disorder after ischemic stroke.Methods A retrospective analysis was conducted and a total of 88 patients with sleep disorder after ischemic stroke hospitalized in the Department of Rehabilitative Medicine of the Second Provincial Central Hospital from February 2018 to February 2020 were selected as the research subjects.According to the different treatment methods,the patients were divided into control group(49 cases)and observation group(39 cases).The control group was treated with conventional treatment,and the observation group was treated with Chinese herbal fumigation combined with auricular point pressing bean on the basis of conventional treatment.The scores and total scores of Pittsburg sleep quality index(PSQI)before and after treatment were compared between the two groups,and the clinical efficacy was compared between the two groups.Results After 14 days of treatment,the sleep quality,sleep latency,sleep time,daytime function scores and PSQI total score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Chinese herbal fumigation combined with auricular point pressing bean can effectively improve sleep quality,sleep time and daytime function of patients with sleep disorder after ischemic stroke,which can provide a new plan for sleep disorder after ischemic stroke treatment.

关 键 词：中药熏洗 耳穴压豆 缺血性脑卒中 睡眠障碍 睡眠质量 

分 类 号：R743[医药卫生—神经病学与精神病学]