耳穴压豆、穴位贴敷联合常规西药治疗中风后失眠的效果分析  

Effect Analysis of Auricular Acupoint Bean Pressing and Acupoint Application Combined with Conventional Western Medicine in Treatment of Post-Stroke Insomnia

作　　者：赵曼曼 陈智星 黄小丽[1] Zhao Manman;Chen Zhixing;Huang Xiaoli(Rehabilitation Department,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,Guangdong Province,China)

机构地区：[1]广东省第二中医院康复科,广东广州510095

出　　处：《中国社区医师》2024年第31期56-58,共3页Chinese Community Doctors

摘　　要：目的:分析耳穴压豆、穴位贴敷联合常规西药治疗中风后失眠的效果。方法:选取2022年3月—2023年3月广东省第二中医院收治的中风后失眠患者90例作为研究对象,采用随机数字表法分为对照组和观察组,各45例。对照组实施常规西药治疗,观察组在对照组基础上给予耳穴压豆和穴位贴敷。比较两组治疗效果、中医证候积分、睡眠质量评分。结果:观察组治疗总有效率高于对照组(P=0.035)。治疗后,两组入睡困难、多梦易醒、晨起困难、心悸易惊评分低于治疗前,且观察组低于对照组(P<0.05)。治疗后,两组睡眠质量评分低于治疗前,且观察组低于对照组(P<0.05);两组觉醒时长、睡眠潜伏时短于治疗前,且观察组短于对照组(P<0.05);两组睡眠总时长长于治疗前,且观察组长于对照组(P<0.05)。结论:耳穴压豆、穴位贴敷联合常规西药治疗中风后失眠的效果显著,可改善患者临床症状,提高睡眠质量。Objective:To analysis the effect of auricular acupoint bean pressing and acupoint application combined with conventional western medicine in treatment of post-stroke insomnia.Methods:From March 2022 to March 2023,90 patients with post-stroke insomnia admitted to Guangdong Second Traditional Chinese Medicine Hospital were selected as the study subjects.They were divided into control group and observation group according to random number table method,with 45 cases in each group.The control group received conventional western medicine treatment and the observation group received auricular acupoint bean pressing and acupoint application on the basis of control group.The treatment effect,TCM syndrome score and sleep quality score of the two groups were compared.Results:The total effective rate of treatment in the observation group was higher than that in the control group(P=0.035).After treatment,the scores of difficulty in falling asleep,dreaminess and restless sleep,difficulty in waking up in the morning,palpitations and easily roused in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the sleep quality scores in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group(P<0.05).The awakening time and sleep latency in the two groups were shorter than those before treatment,and the time in the observation group were shorter than those in the control group(P<0.05).The total sleep duration in the two groups was longer than that before treatment,and the duration in the observation group was longer than that in the control group(P<0.05).Conclusion:Auricular acupoint bean pressing and acupoint application combined with conventional western medicine is significantly effective in treatment of post-stroke insomnia,can ameliorate clinical symptoms of patients and improve sleep quality.

关 键 词：中风 失眠 耳穴压豆 穴位贴敷 

分 类 号：R259[医药卫生—中西医结合]