中药热熨敷对卒中后失眠的临床研究  

Clinical Study of Traditional Chinese Medicine Hot Ironing on Insomnia after Stroke

作　　者：谢晓华 肖彬新[1] 陈惠森 王玫[1] XIE Xiaohua;XIAO Binxin;CHEN Huisen;WANG Mei(Neurology department,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine Fuzhou,Fuzhou 350004,China;Neurology department,The 73rd Army group Hospital of the Army Xiamen,Fujian Province,Xiamen 361003,China)

机构地区：[1]福建中医药大学附属人民医院神经内科,福州350004 [2]福建省厦门陆军第七十三集团军医院神经内科,厦门361003

出　　处：《世界睡眠医学杂志》2023年第11期2599-2601,共3页World Journal of Sleep Medicine

基　　金：2020年福建省卫生健康委员会青年科研课题(2020QNB033)。

摘　　要：目的:观察吴茱萸热敷对卒中后失眠患者的效果。方法:选取2021年3月至2022年4月福建中医药大学附属人民医院神经内科收治的卒中后失眠患者104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52例。对照组患者给予中医内科常规治疗+综合康复训练,观察组患者给予中药热熨敷,即吴茱萸热熨敷大椎穴和双侧风池。干预2周后,观察2组的睡眠质量与日常生活活动能力的变化状况。结果:干预后,2组患者PSQI、ADL评分变化显著,差异有统计学意义(P<0.05);干预2周后,2组PSQI评分比较,差异有统计学意义(P<0.01),ADL评分比较,差异无统计学意义(P>0.05)。结论:吴茱萸热熨敷可改善卒中后失眠症状,提高患者的生命质量,值得推广应用。Objective:To observe the effect of hot application on insomnia patients after stroke.Methods:A total of 104 cases of patients from Department of Neurology of the People′s Hospital of Fujian University of Chinese Medicine were selected who met the inclusion criteria from March 2021 to April 2022.According to the random number table grouping method,it was divided into control group(routine treatment of traditional Chinese medicine+comprehensive rehabilitation training,n=52 cases) and observation group(traditional Chinese medicine hot ironing,namely hot ironing point and bilateral wind pool,n=52 cases).Two weeks after the intervention,the changes in sleep quality and activities of daily living were observed in both groups.Results:After intervention,PSQI and ADL scores of 2 groups were significantly changed,and the difference was statistically significant(P<0.05).After 2 weeks of intervention,there was statistical significance in PSQI scores between the two groups(P<0.01),but no statistical significance in ADL scores between the two groups(P>0.05).Conclusion:Hot ironing can improve the symptoms of insomnia after stroke and improve the quality of life of patients.

关 键 词：脑卒中 失眠 热熨敷 吴茱萸 日常生活活动能力 

分 类 号：R255.2[医药卫生—中医内科学] R256.23[医药卫生—中医学]