时空针刺飞腾八法治疗中风后睡眠障碍疗效观察  

Efficacy of spatiotemporal acupuncture with Feiteng eight methods in the treatment of post-stroke sleep disorders

作　　者：赵娟 黄霄汉 ZHAO Juan;HUANG Xiao-han(Department of Acupuncture and Moxibustion Massage,Henan Vocational College of Tuina,Luoyang 471023,Henan,CHINA;Department of Acupuncture and Moxibustion,the Affiliated Hospital of Henan Vocational College of Tuina,Luoyang 471003,Henan,CHINA;Department of Knee Joint,Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopedic Hospital),Luoyang 471003,Henan,CHINA)

机构地区：[1]河南推拿职业学院针灸推拿系,河南洛阳471023 [2]河南推拿职业学院附属医院针灸科,河南洛阳471003 [3]河南省洛阳正骨医院(河南省骨科医院)膝关节科,河南洛阳471003

出　　处：《海南医学》2024年第10期1406-1410,共5页Hainan Medical Journal

基　　金：河南省高等学校重点科研项目(编号:16B320010)。

摘　　要：目的探究时空针刺飞腾八法对中风后睡眠障碍患者睡眠质量及神经递质的影响。方法选取2018年3月至2021年3月河南推拿职业学院附属医院和河南省洛阳正骨医院(河南省骨科医院)收治的86例中风后睡眠障碍患者作为研究对象,根据治疗方案的不同分为对照组和观察组,每组43例。对照组患者进行常规针刺,观察组患者采用时空针刺飞腾八法治疗,每日1次,连续针刺5d后休息2d,共治疗3周。比较两组患者的治疗效果,以及治疗前后的睡眠状况自评量表(SRSS)、匹茨堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)及抑郁自评量表(SDS)的评分和脑神经递质水平,同时比较两组患者治疗期间的不良反应发生情况。结果经过3周治疗,观察组患者的治疗总有效率为93.02%,明显高于对照组的76.74%,差异有统计学意义(P<0.05);治疗前,两组患者的PSQI评分、SRSS评分和SAS评分比较差异均无统计学意义(P>0.05);治疗后,两组患者的PSQI评分、SRSS评分和SAS评分较治疗前明显降低,且观察组患者治疗后的PSQI、SRSS和SAS评分分别为(4.16±1.03)分、(5.69±1.16)分和(42.03±12.02)分,明显低于对照组的(9.76±2.07)分、(16.79±2.41)分和(47.71±13.45)分,差异均有统计学意义(P<0.05);治疗前,两组患者的γ-氨基丁酸(GABA)、5-羟色胺(5-HT)、乙酰胆碱(Ach)和谷氨酸(Glu)水平比较差异均无统计学意义(P>0.05);治疗后,两组患者的GABA和5-HT水平较治疗前明显升高,且观察组患者治疗后的GABA和5-HT水平分别为(5.54±1.26)mHz和(12.06±2.14)mHz,明显高于对照组的(4.86±1.12)mHz和(10.43±2.03)mHz,差异均有统计学意义(P<0.05),而观察组患者治疗后的Ach和Glu水平分别为(13.83±3.15)mHz和(6.93±2.16)mHz,与对照组的(13.63±1.53)mHz和(6.31±1.72)mHz比较差异均无统计学意义(P>0.05);观察组患者治疗期间出现针刺后出血2例,对照组1例,经局部按摩及按压针孔等处理后好转,两组患者治疗�Objective To explore the effect of spatiotemporal acupuncture with Feiteng eight methods on sleep quality and neurotransmitters in patients with post-stroke sleep disorders.Methods Eighty-six patients with post-stroke sleep disorders admitted to the Affiliated Hospital of Henan Vocational College of Tuina and Orthopedic-Traumatologi-cal Hospital of Henan Province from March 2018 to March 2021 were selected as the study subjects.They were divided into a control group and an observation group based on different treatment plans,with 43 cases in each group.Patients in the control group were treated with routine acupuncture,while those in the observation group were treated with spatio-temporal acupuncture with Feiteng eight methods,once a day,for 3 weeks(continuous acupuncture for 5 days,with a in-terval of 2 days).The treatment outcomes were compared between the two groups of patients,as well as the scores of the Self Rating Sleep Scale(SRSS),Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS),Self-rating De-pression Scale(SDS)before and after treatment,and the levels of brain neurotransmitters and adverse reactions during treatment.Results After 3 weeks of treatment,the total effective rate of the observation group was 93.02%,significant-ly higher than the control group's 76.74%(P<0.05).Before treatment,there was no statistically significant difference in PSQI,SRSS,and SAS scores between the two groups(P>0.05).After treatment,the PSQI,SRSS,and SAS scores of the two groups of patients were significantly reduced compared to those before treatment,and the scores of the observation group after treatment were(4.16±1.03)points,(5.69±1.16)points,and(42.03±12.02)points,respectively,significantly lower than the control group's(9.76±2.07)points,(16.79±2.41)points,and(47.71±13.45)points,with statistically signif-icant differences(P<0.05).Before treatment,the two groups of patients showed no statistically significant difference in the levels ofγ-aminobutyric acid(GABA),5-hydroxytryptamine(5-HT),acetylchol

关 键 词：中风后睡眠障碍 时空针刺飞腾八法 神经递质 睡眠质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]