耳穴埋豆联合刮痧治疗脑卒中后睡眠障碍的临床效果研究  

Clinical Effect of Ear Point Burying Bean Combined with Scraping on Sleep Disorder after Stroke

作　　者：赵茜[1] ZHAO Qian(Department of Encephalopathy,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou 362005,China)

机构地区：[1]福建省泉州市中医院脑病科,泉州362005

出　　处：《世界睡眠医学杂志》2023年第6期1248-1250,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨耳穴埋豆联合刮痧治疗脑卒中后睡眠障碍的临床效果。方法:选取2021年2月至2022年2月福建省泉州市中医院脑病科收治的脑卒中后存在睡眠障碍的患者66例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组33例。对照组口服艾司唑仑片治疗,观察组采用耳穴埋豆联合刮痧治疗。比较2组患者睡眠情况变化、阿森斯失眠量表(AIS)评分、心理状态、生命质量。结果:护理前,2组患者的入睡时间、睡眠时间、觉醒次数比较,差异无统计学意义(P>0.05);护理后,观察组入睡时间短于对照组,睡眠时间多于对照组,觉醒次数少于对照组(P<0.05)。护理前,2组AIS评分比较,差异无统计学意义(P>0.05);护理后,观察组AIS评分低于对照组,差异有统计学意义(P<0.05)。护理前,2组汉密尔顿焦虑(HAMA)、汉密尔顿抑郁(HAMD)评分比较,差异无统计学意义(P>0.05);护理后,观察组HAMA、HAMD评分均低于对照组(P<0.05)。护理前,2组生命质量评分比较,差异无统计学意义(P>0.05);护理后,观察组生命质量评分显著高于对照组(P<0.05)。结论:采用耳穴埋豆联合刮痧治疗脑卒中后睡眠障碍的效果理想,可显著提升睡眠质量,缩短患者入睡准备时间,增加睡眠时长,并改善因睡眠质量不佳导致的情绪障碍,使其生命质量得到明显的改善。Objective:To investigate the clinical effect of ear point bean embedding combined with scraping on sleep disorder after stroke.Methods:A total of 66 patients with sleep disorder after stroke were selected as the research object,which lasted from February 2021 to February 2022.Randomly divided into control group and observation group,33 cases in each group.The control group was treated with alprazolam orally,and the observation group was treated with ear point bean burying combined with scraping.The changes of sleep,the score of the Ascens Insomnia Scale(AIS),the psychological status and the quality of life of the two groups were compared.Results:Before the intervention,there was no significant difference between the two groups in the time of falling asleep,sleeping time and times of awakening(P>0.05);After intervention,the admission time of the observation group was shorter than that of the control group,the sleep time was more than that of the control group,and the number of awakenings was less than that of the control group(P<0.05).There was no significant difference in AIS between the two groups before intervention(P>0.05);After intervention,the AIS score of the observation group was lower than that of the control group(P<0.05).Before intervention,there was no significant difference in Hamilton anxiety(HAMA)score and Hamilton depression(HAMD)score between the two groups(P>0.05);After intervention,the scores of HAMA and HAMD in the observation group were lower than those in the control group(P<0.05).Before nursing,there was no significant difference in quality of life score between 2 groups(P>0.05).After nursing,the life quality score of observation group was significantly higher than that of control group(P<0.05).Conclusion:The combination of ear acupoint burying beans and scraping has an ideal effect on the treatment of sleep disorder after stroke,which can significantly improve the sleep quality,shorten the sleep preparation time,increase the sleep duration,improve the emotional disorder caused by poor sleep

关 键 词：睡眠障碍 脑卒中并发症 耳穴埋豆 刮痧 中医方案 

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]