贺氏三通法治疗中风后睡眠觉醒障碍的疗效观察及对睡眠质量的影响  

Efficacy observation of HE’s San Tong acupuncture method for post-stroke sleep wake disorders and the impact on sleep quality

作　　者：李斗 游伟[1] LI Dou;YOU Wei(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《上海针灸杂志》2023年第6期559-564,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：北京市医院管理中心重点医学专业发展计划项目(ZYLX202140)。

摘　　要：目的基于多导睡眠监测系统观察贺氏三通法治疗中风后睡眠觉醒障碍的临床疗效及对患者睡眠质量的影响。方法纳入中风后睡眠觉醒障碍患者134例,按照随机数字表法分为对照组(67例)和观察组(67例)。对照组予口服艾司唑仑片治疗,观察组采用贺氏三通法治疗。比较两组临床疗效,观察两组治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)和汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)的评分变化,观察两组治疗前后多导睡眠监测系统中各项指标的变化。结果观察组总有效率显著高于对照组(P<0.05)。治疗后,两组PSQI和HAMA评分以及睡眠潜伏期、非快动眼睡眠比例和觉醒次数均显著降低(P<0.05),且观察组显著低于对照组(P<0.05);两组睡眠总时间、快动眼睡眠潜伏期、深睡眠比例、快动眼睡眠比例和睡眠效率均显著升高(P<0.05),且观察组均高于对照组(P<0.05)。结论贺氏三通法治疗中风后睡眠觉醒障碍的临床疗效优于口服药物治疗,可有效提高患者睡眠质量,缓解患者焦虑程度。Objective To observe the clinical efficacy of HE’s San Tong acupuncture method in treating post-stroke sleep wake disorders and its impact on the patient’s sleep quality based on polysomnography.Method A total of 134 patients with post-stroke sleep wake disorders were recruited and divided into a control group(67 cases)and an observation group(67 cases)by the random number table method.The control group was given oral administration of Estazolam tablets,and the observation group received HE’s San Tong acupuncture method.Clinical efficacy was compared between the two groups;the scores of Pittsburgh sleep quality index(PSQI)and Hamilton anxiety scale(HAMA)were observed before and after treatment,as well as each parameter of the polysomnography in the two groups.Result The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the PSQI and HAMA scores,sleep latency,non-rapid eye movement sleep ratio,and wake bouts dropped notably in both groups(P<0.05)and were significantly lower in the observation group than in the control group(P<0.05);the total sleep time,rapid eye movement sleep latency,deep sleep ratio,rapid eye movement sleep ratio,and sleep efficiency increased markedly in both groups(P<0.05)and were higher in the observation group than in the control group(P<0.05).Conclusion HE’s San Tong acupuncture method can produce more significant clinical efficacy than oral medication in treating post-stroke sleep wake disorders,and it can effectively enhance sleep quality and release anxiety in the patients.

关 键 词：针刺疗法 火针疗法 放血疗法 中风后遗症 失眠 睡眠觉醒障碍 睡眠障碍 昼夜节律 焦虑 

分 类 号：R246.6[医药卫生—针灸推拿学]