不同时机的维筋相交针刺法对急性缺血性脑卒中患者负性情绪及睡眠的影响分析

Analysis of the effects of Weijin Xiangjiao acupuncture technique at different times on negative emotions and sleep quality in patients with acute ischemic stroke

目的探讨不同时机介入维筋相交针刺法对急性缺血性脑卒中患者负性情绪及睡眠的影响。方法选择本院于2021年6月-2023年6月收治的急性缺血性脑卒中患者作为样本,共94例。根据维筋相交针刺法不同介入时间将所有患者分为2组,各47例。观察组在发病后10 d内给予维筋相交针刺治疗,对照组在发病后10~30 d给予维筋相交针刺治疗,所有患者均治疗4周。比较患者治疗前后的中医证候评分(口舌歪斜、头晕目眩、半身不遂、肢体麻木)、美国国立卫生研究院卒中量表(NIHSS)评分和血液流变学(血浆黏度、高切全血黏度),分别通过用简化Fugl-Meyer运动功能评分量表和Berg平衡量表(BBS)评估患者的运动功能和平衡能力,采用洼田饮水试验(WST)和吞咽功能评价量表(SSA)评估患者治疗前后的吞咽能力,并通过焦虑自评量表(SAS)、抑郁自评量表(SDS)及匹兹堡睡眠质量指数(PSQI)评估患者治疗前后的负性情绪和睡眠状况。结果观察组患者治疗后的中医证候积分、NIHSS评分和血流动力学指标低于对照组,Fugl-Meyer评分、BBS评分和吞咽能力高于对照组,且SAS评分、SDS评分和PSQI评分更低,均具有统计学意义(P<0.05)。结论早期介入维筋相交针刺法有助于改善缺血性脑卒中患者的负性情绪和睡眠质量。

Objective To explore the effects of the Weijin Xiangjiao acupuncture technique applied at different times on negative emotions and sleep quality in patients with acute ischemic stroke.Methods A total of 94 patients with acute ischemic stroke treated in our hospital from June 2021 to June 2023 were selected as the research subjects.They were divided into an observation group and a control group,each consisting of 47 patients,based on the time of acupuncture intervention.The observation group received the acupuncture treatment within 10 days after onset,while the control group received the same treatment from 10 to 30 days after onset.All the patients were treated for 4 weeks.The traditional Chinese medicine(TCM)syndrome scores(including facial asymmetry,dizziness,hemiplegia,and limb numbness),National Institutes of Health Stroke Scale(NIHSS)scores,and hemorheological parameters(plasma viscosity,high shear whole blood viscosity)were compared before and after treatment.The patients'motor functions and balance abilities were assessed using the simplified Fugl-Meyer Assessment(FMA)and Berg Balance Scale(BBS),respectively.Their swallowing ability was evaluated using the Water Swallowing Test(WST)and Standardized Swallowing Assessment(SSA)before and after treatment.The patients'negative emotions and sleep quality were assessed using the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Pittsburgh Sleep Quality Index(PSQI)before and after treatment.Results After treatment,the observation group showed lower TCM syndrome scores,NIHSS scores,and hemodynamic indices compared to the control group.Furthermore,the observation group had higher Fugl-Meyer scores,BBS scores,and swallowing ability,as well as lower SAS scores,SDS scores,and PSQI scores,all indicating a statistically significant difference(P<0.05 for all).Conclusion An early intervention with the Weijin Xiangjiao acupuncture technique can help improve negative emotions and sleep quality in patients with ischemic stroke.