柔肝调神针刺法联合右佐匹克隆在脑卒中患者术后康复中的应用  

Application of Rougan Tiaoshen acupuncture method combined with right zopiclone on postoperative rehabilitation in the patients with stroke

作　　者：唐亚静 张硕 陈骏 TANG Yajing;ZHANG Shuo;CHEN Jun(Department of Operating Room,the First Hospital of Nanyang,Nanyang 473000,China;Department of Neurology,the First Affiliated Hospital,Nanyang Medical College,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院手术部,南阳473000 [2]南阳医学高等专科学校第一附属医院神经内科,南阳473000

出　　处：《华夏医学》2024年第5期102-107,共6页Acta Medicinae Sinica

基　　金：河南省医学科技攻关项目(LHGJ202012153)。

摘　　要：目的观察柔肝调神针刺法联合右佐匹克隆对脑卒中患者术后康复情况及睡眠障碍的影响。方法选取100例脑卒中患者,按照随机数字表法分为西医组和中西医组,每组50例。西医组予以常规西医治疗及右佐匹克隆治疗,中西医组在西医组治疗基础上联合柔肝调神针刺法治疗,比较两组患者的神经功能、不良情绪、睡眠情况及预后情况。结果在不同治疗方案下,中西医组的脑源性神经营养因子(BDNF)、神经生长因子(NGF)、神经营养因子-3(NT-3)的水平均高于西医组,差异具有统计学意义(P<0.05);中西医组的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于西医组(P<0.05);中西医组的匹兹堡睡眠质量指数(PSQI)、阿森斯失眠量表(AIS)评分均低于西医组,褪黑素水平高于西医组(P<0.05);中西医组的不良预后发生率低于西医组(P<0.05)。结论柔肝调神针刺法联合右佐匹克隆能改善脑卒中患者的脑神经功能,对促进患者不良情绪、睡眠障碍恢复,并降低不良预后发生风险均有积极意义。Objective To observe the effects of the combination of Rougan Tiaoshen acupuncture method and right zopiclone on postoperative rehabilitation in the patients with stroke.Methods 100 patients with stroke were selected and randomly divided into the Western medicine group and traditional Chinese and Western medicine group,with 50 patients in each group.The patients in the Western medicine group were received routine Western medicine treatment and right zopiclone treatment.On the basis of the treatment in the Western medicine group,the patients in the traditional Chinese and Western medicine groups were jointly implemented Rogan Tianshen acupuncture method.The neurological function,adverse emotions,sleep status,and prognosis between the two groups of patients were compared.Results Under different treatment plans,the levels of brain derived neurotrophic factor(BDNF),nerve growth factor(NGF),and neurotrophin-3(NT-3)in the traditional Chinese and Western medicine groups were higher than those in the Western medicine group,and the difference was statistically significant(P<0.05).The scores of Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in the Chinese and Western medicine groups were lower than those in the Western medicine group(P<0.05).The Pittsburgh Sleep Quality Index(PSQI)and Asens Insomnia Scale(AIS)in the Chinese and Western medicine groups were lower than those in the Western medicine group,and the melatonin level in the Chinese and Western medicine group was higher than that in the Western medicine group(P<0.05).The incidence of poor prognosis in the Chinese and Western medicine group was 4.00%lower than that in the Western medicine group at 22.00%(P<0.05).Conclusion The combination of Rougan Tiaoshen acupuncture and right zopiclone improves the neurological function of stroke patients,promotes the recovery of negative emotions and sleep disorders,and reduces the risk of adverse prognosis.

关 键 词：脑卒中 柔肝调神针刺法 右佐匹克隆 术后康复 睡眠障碍 

分 类 号：R745[医药卫生—神经病学与精神病学]