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潘 丹 金城钟 徐文斌 郎伯旭▲.醒脑开窍针法结合项八针对脑卒中后睡眠倒错患者夜间睡眠的影响[J].中国现代医生,2021,59(23):120-123+128
醒脑开窍针法结合项八针对脑卒中后睡眠倒错患者夜间睡眠的影响
Effect of Xingnaokaiqiao acupuncture combined with nape eight-needle acupuncture on nocturnal sleep in patients with perversion of sleep after cerebral apoplexy
  
DOI:
中文关键词:  脑卒中  睡眠倒错  针刺  夜间睡眠
英文关键词:Stroke  Sleep perversion  Acupuncture  Nocturnal sleep
基金项目:浙江省中医药科技计划项目(2018ZB137)
作者单位
潘 丹 金城钟 徐文斌 郎伯旭▲ 浙江省台州市立医院针灸推拿康复科浙江台州 318000 
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中文摘要:
      目的 观察醒脑开窍针法结合项八针对卒中后睡眠倒错患者夜间睡眠情况的改善,以评价其临床疗效。方法 选取我院2017年9月至2019年12月门诊及住院的120例卒中后睡眠倒错患者,采用随机数字表法分为治疗组和对照组,每组各60例。治疗组采用单纯醒脑开窍针法结合项八针治疗,对照组采用单纯口服艾司唑仑片治疗。两组患者治疗前后均予匹兹堡睡眠质量指数(PSQI)评估,行多导睡眠图(PSG)监测,对患者治疗前后的睡眠结构及睡眠进程进行评估。结果 ①两组治疗后的PSQI 评分低于治疗前,差异有统计学意义(P<0.05);治疗组治疗后PSQI 评分低于对照组,差异有统计学意义(P<0.05)。②两组治疗后的S1%低于治疗前,S3%+S4%和REM%高于治疗前,差异有统计学意义(P<0.05),治疗组治疗后S1%低于对照组,S3%+S4%和REM%高于对照组,差异有统计学意义(P<0.05)。③两组治疗后的总睡眠时间长于治疗前,睡眠潜伏期短于治疗前,觉醒次数少于治疗前,睡眠效率高于治疗前,差异有统计学意义(P<0.05);两组治疗后以上指标比较,差异无统计学意义(P>0.05)。结论 醒脑开窍针法结合项八针治疗卒中后睡眠倒错,在改善患者夜间睡眠情况方面优于口服艾司唑仑治疗,该疗法的优势可能在于通过降低患者的浅睡眠比,提高深睡眠比,从而起到改善患者整体睡眠质量的作用。
英文摘要:
      Objective To observe the effect of Xingnaokaiqiao acupuncture combined with nape eight-needle acupuncture on nocturnal sleep in patients with perversion of sleep after cerebral apoplexy,so as to evaluate its clinical efficacy.Methods A total of 120 outpatients and inpatients with perversion of sleep after the cerebral apoplexy from September 2017 to December 2019 were selected as research objects.The patients were randomly divided into the treatment group(n=60)and the control group (n=60).The treatment group was treated with Xingnaokaiqiao acupuncture combined with nape eight-needle acupuncture,while the control group was administrated orally with estazolam tablets.Both groups were evaluated by Pittsburgh sleep quality index (PSQI) before and after treatment.Polysomnography (PSG)was performed to evaluate the sleep structure and sleep process before and after treatment.Results 1.After treatment,PSQI scores of the two groups were lower than before treatment,the difference was statistically significant (P<0.05).After treatment,PSQI score of the treatment group was lower than that of the control group,the difference was statistically significant (P<0.05).2.After treatment,S1% was lower than before treatment,S3%+S4% and REM% were higher than before treatment,the differences were statistically significant (P<0.05),S3%+S4% and REM% after treatment were lower than control group,the differences were statistically significant(P<0.05).3.Compared with before treatment,the two intervention methods could significantly increase the total sleep time,shorten the sleep latency,reduce the number of awakening and improve the sleep efficiency,the difference was statistically significant(P<0.05).After treatment,there was no significant difference of above indexes between the two groups(P>0.05).Conclusion Xingnaokaiqiao acupuncture combined with nape eight-needle acupuncture in the treatment of perversion of sleep after cerebral apoplexy is superior to oral administration of estazolam in improving the nocturnal sleep status of patients,which can improve the overall sleep quality of patients by reducing the light sleep ratio and improving the deep sleep ratio.
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