醒脑开窍针法结合项八针治疗卒中后睡眠倒错临床观察

潘丹　　徐文斌　　泮金亮　　王罗丹　　郎伯旭

[关键词] 脑卒中;睡眠倒错;针刺;临床疗效

[中图分类号] R246.6          [文献标识码] B          [文章编号] 1673-9701（2021）21-0144-04

Clinical observation of Xingnao Kaiqiao Acupuncture Combined with Xiangba Needle in the treatment of sleep perversion after stroke

PAN Dan   XU Wenbin   PAN Jinliang   WANG Luodan   LANG Boxu

Department of Acupuncture，Massage and Rehabilitation，Taizhou Municipal Hospital，Taizhou   318000，China

[Abstract] Objective To observe the clinical effect of Xingnao Kaiqiao acupuncture combined with Xiangba needle in the treatment of post-stroke sleep preversion，as well as the improvement of daytime sleepiness and motor function.Methods A total of 120 patients with post-stroke sleep preversions in the outpatient and inpatient from September 2017 to March 2019 were selected.The random number table method was adopted，and the patients were divided into treatment group and control group，with 60 cases in each group.The treatment group was given Xingnao Kaiqiao acupuncture combined Xiangba needles，once a day，5 times a week for 4 weeks in a row.The control group was orally given estazolam tablets once a day，1 mg each time before sleep for 4 weeks in a row.The daytime sleepiness and motor function of each group before and after treatment were compared，and the clinical efficacy was compared between groups. Results ①After treatment，the total effective rate in the treatment group was 93.3%，which was better than 80.0% in the control group （P<0.05）.②After treatment，the Epworth Daytime Sleepiness Scale （ESS） score in the treatment group was （5.97±2.49） points，and that in the control group was （7.38±2.03） points.The difference was statistically significant （P<0.05）.③After treatment，the motor function score in the treatment group was （78.00±11.09） points and that in the control group was （72.20±10.84） points.The difference was statistically significant （P<0.05）. Conclusion Xingnao Kaiqiao acupuncture combined with Xiangba needles have a significant curative effect on post-stroke sleep preversion.

[Key words] Stroke;Sleep preversion;Acupuncture;Clinical efficacy

腦卒中是人类目前三大死因之一，严重威胁中老年人的健康[1]。睡眠-觉醒障碍是卒中后较常见的并发症之一，临床上至少有20%～40%的卒中患者伴发有睡眠-觉醒障碍[2]，这是一种常见但较少引起重视的卒中后并发症，其中睡眠倒错是常见的类型之一。该病易引起患者抑郁、焦虑等精神心理症状，使其生活质量下降，导致神经功能修复受阻，甚至增加脑卒中的复发率和病死率[3-5]。故寻找有效的治疗方法已成为当今临床上亟待解决的问题之一。本课题组采用醒脑开窍针法结合项八针[6]治疗卒中后睡眠倒错，效果满意，现报道如下。

1 资料与方法