中西医结合治疗脑卒中后失眠症的疗效观察

Clinical Efficacy of Integrative Medicine for the Treatment of Insomnia after Stroke

目的:观察中西医结合治疗脑卒中后失眠症的临床疗效。方法:将符合标准的128例患者按随机数字表法随机分为观察组和对照组,对照组60例采用常规西医处理,观察组68例在对照组基础上加用针刺疗法配合补阳还五汤和酸枣仁汤加减治疗。结果:观察组和对照组总有效率分别为79.41%、46.67%,差异有统计学意义(P<0.05)。观察组PSQI评分各项指标与对照组治疗后比较,差异均有统计学意义(P<0.05);治疗后第7 d和第14 d,观察组PSQI总分均低于对照组,但差异无统计学意义(P>0.05);治疗后第21 d和第28 d,差异有统计学意义(P<0.05);2组治疗后第28 d与本组治疗前比较,差异均有统计学意义(P<0.05)。结论:针刺疗法与补阳还五汤和酸枣仁汤联合艾司唑仑和心理辅导干预治疗脑卒中后失眠症,能改善患者睡眠状况,降低PSQI评分,疗效优于单纯西医治疗。

Objective：To investigate the clinical efficacy of Integrative Medicine for the treatment of insomnia after stroke.Methods：128 cases of insomnia after stroke were divided into control group and observation group with the method of random number table.The observation group were additionally given acupuncture and Buyanghuanwu decoction and Suanzaoren decoction on the basis of Western Medicine treatment.Results：The total efficiency of the observation group and control group were 79.41% and 46.67%,has significant difference in significance（P 0.05）.At the 21d and 28d,the total PSQI score of the observation group was less than the control group（P 0.05）.After treatment,all the indicators of PSQI of the observation group was less than the control group（P 0.05）.Both of the 2 groups after treatment compared with the group before treatment,there were significant differences（P 0.05）.Conclusions：Integrative Medicine can improve patients＇ sleep and cut down the PSQI score.It is an effective and safe method of treating insomnia after stroke.