"交通心肾"针刺联合耳穴压豆对心肾不交型中风后失眠患者睡眠质量和血清神经递质的影响  

Effect of"Jiaotong Xinshen"Acupuncture Combined with Auricular Point Pressing Beans on Sleep Quality and Serum Neurotransmitters in Patients with Insomnia after Stroke of Heart-Kidney Disjunction Type

作　　者：曾彩燕 范晓娟 赖榆芳 何炎坤 刘希琳 ZENG Cai-yan;FAN Xiao-juan;LAI Yu-fang;HE Yan-kun;LIU Xi-lin(Acupuncture and Moxibustion Rehabilitation Clinical Medical College of Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong,510006,China;Department of Acupuncture and Moxibustion,Foshan Hospital of Traditional Chinese Medicine,Foshan,Guangdong,528000,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006 [2]佛山市中医院针灸科,广东佛山528000

出　　处：《现代生物医学进展》2024年第18期3535-3538,共4页Progress in Modern Biomedicine

基　　金：广东省中医药局科研项目(20181078)。

摘　　要：目的:观察"交通心肾"针刺联合耳穴压豆对心肾不交型中风后失眠患者睡眠质量和血清神经递质的影响。方法:采用随机数字表法将佛山市中医院2021年4月~2023年1月期间收治的118例心肾不交型中风后失眠患者分为对照组(常规西药治疗)和研究组(对照组的基础上接受"交通心肾"针刺联合耳穴压豆),各为59例。对比两组疗效、中医证候积分、匹兹堡睡眠质量指数(PSQI)各项评分及总评分和血清神经递质水平。结果:研究组的临床总有效率高于对照组(P<0.05)。研究组治疗后主症评分、次症评分、总分低于对照组(P<0.05)。研究组治疗后PSQI各项评分及总分低于对照组(P<0.05)。研究组治疗后多巴胺(DA)、5-羟色胺(5-HT)高于对照组(P<0.05)。结论:"交通心肾"针刺联合耳穴压豆治疗心肾不交型中风后失眠患者,可改善睡眠质量和血清神经递质水平。Objective:To observe the effect of"jiaotong xinshen"acupuncture combineed with auricular point pressing beans on sleep quality and serum neurotransmitters in patients with insomnia after stroke of heart-kidney disjunction type.Methods:118 patients with insomnia after stroke of heart-kidney disjunction type admitted to Foshan Hospital of Traditional Chinese Medicine from April 2021 to January 2023 were divided into control group(conventional western medicine treatment)and study group(on the basis of control group,"jiaotong xinshen"acupuncture combine with auricular point pressing beans)by random number table method,with 59 cases in each group.The efficacy,traditional chinese medicine syndrome scores,Pittsburgh sleep quality index(PSQI)scores,total scores and serum neurotransmitter levels were compared between two groups.Results:The total clinical effective rate in study group was higher than that in control group(P<0.05).The main symptoms score,secondary symptoms score and total scores in study group were lower than those in control group after treatment(P<0.05).The PSQI scores and total scores in study group were lower than those in control group after treatment(P<0.05).Dopamine(DA)and 5-hydroxytryptamine(5-HT)in study group were higher than those in control group after treatment(P<0.05).Conclusion:"Jiaotong xinshen"acupuncture combined with auricular point pressing beans,which can improve the sleep quality and serum neurotransmitter level in patients with insomnia after stroke of heart-kidney disjunction type.

关 键 词："交通心肾"针刺 耳穴压豆 心肾不交型 中风后失眠 睡眠质量 神经递质 

分 类 号：R245.9[医药卫生—针灸推拿学] R256.23[医药卫生—中医临床基础]