针刺对中风后睡眠障碍患者神经功能缺损状况及睡眠质量的影响  

The Impact of Acupuncture Therapy on Neurological Impairment and Sleep Quality in Patients with Sleep Disorders after Stroke

作　　者：黄艺 刘军楹 叶少龙 HUANG Yi;LIU Junying;YE Shaolong(Department of Acupuncture and Moxibustion Rehabilitation,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou 362000,China;Department of Pediatric Neurological Rehabilitation,Putian Children′s Hospital,Putian 351100,China)

机构地区：[1]福建省泉州市中医院针灸康复科,泉州362000 [2]福建省莆田市儿童医院小儿神经康复科,莆田351100

出　　处：《世界睡眠医学杂志》2024年第3期534-536,共3页World Journal of Sleep Medicine

基　　金：福建省泉州市科技计划项目(2022NS031)。

摘　　要：目的:探讨针刺对中风后睡眠障碍患者神经功能缺损状况及睡眠质量的影响。方法:选取2022年1月至2024年1月福建省泉州市中医院针灸康复科中风后睡眠障碍患者62例作为研究对象,采用随机数字表法分为对照组和观察组,每组31例。对照组给予艾司唑仑治疗,观察组给予针刺治疗,2组均治疗4周。比较2组治疗2、4周的美国国立卫生研究院卒中量表(NIHSS)评分、匹兹堡睡眠质量指数(PSQI)评分变化情况及不良反应发生情况。结果:治疗2、4周后2组NIHSS评分、PSQI评分较本组治疗前均降低(均P<0.05),且观察组治疗2、4周NIHSS评分、PSQI评分均低于对照组(均P<0.05)。观察组不良反应发生率低于对照组(P<0.05)。结论:针刺治疗可显著改善中风后睡眠障碍患者的神经功能及睡眠质量,不良反应的发生率低,值得临床推广。Objective:To investigate the effects of acupuncture on neurological deficits and sleep quality in patients with post-stroke sleep disorders.Methods:A total of 62 patients with post-stroke sleep disorders were selected from the Department of Acupuncture and Moxibustion Rehabilitation,Quanzhou Hospital of Traditional Chinese Medicine,Fujian Province,from January 2022 to January 2024.They were randomly divided into a control group and an observation group,with 31 patients in each group.The control group received treatment with Estazolam,while the observation group was treated with acupuncture.Both groups underwent treatment for four weeks.The changes in scores from the National Institutes of Health Stroke Scale(NIHSS)and the Pittsburgh Sleep Quality Index(PSQI),as well as the incidence of adverse reactions,were compared between the two groups after two and four weeks of treatment.Results:After two and four weeks of treatment,both NIHSS and PSQI scores decreased in both groups(P s<0.05),and the scores in the observation group were lower than those in the control group at both time points(P s<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion:Acupuncture treatment significantly improved neurological functions and sleep quality in patients with post-stroke sleep disorders,with a lower incidence of adverse reactions.It is worth promoting in clinical settings.

关 键 词：针刺 中风 睡眠障碍 神经功能 睡眠质量 不良反应 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R338.63[医药卫生—临床医学] R245.31