耳穴贴压结合腹式呼吸治疗老年卒中后睡眠障碍疗效观察

Clinical observation of ear-acupunture with abdominal respirationin in treating senile poststroke insomnia

目的观察耳穴贴压结合腹式呼吸治疗老年卒中后睡眠障碍的临床疗效。方法将74例老年卒中后睡眠障碍患者随机分为对照组(38例)与观察组(36例);两组均给予常规护理,观察组同时给予耳穴贴压结合腹式呼吸训练,疗程4周。观察两组临床疗效及治疗前后匹兹堡睡眠质量指数(PSQI)变化情况。结果观察组总有效率为91.67%,对照组为84.21%;观察组临床疗效优于对照组(P<0.01)。两组治疗前后PSQI各项目积分差值有显著性差异(P<0.05,P<0.01),即观察组积分下降幅度大于对照组。结论耳穴贴压结合腹式呼吸可显著改善老年卒中后睡眠障碍。

Objective To evaluate the clinical efficacy of earacupuncture with abdominal respiration in the treatment of senile post-stroke insomnia. Methods Seventy-four subjects were randomized into treatment group（ n = 38） and control group（ n = 36）. All the cases were given conventional nursing care,and the treatment group was additionally given earacupuncture and abdominal respiration,with a course of four weeks. The clinical efficacy and the sleep quality was evaluated with Pittsburgh sleep quality index（ PSQI） before and after treatment. Results The overall effective rate was 91. 67% in the treatment group and 84.21% in the control group,with better efficacy in the treatment group than in the control group（ P 〈 0. 01）. The PSQI score was decreased more significantly in the treatment group than in the control group（ P 〈 0. 05,P 〈 0. 01）. Conclusion Earacupuncture with abdominal respiration can obviously improve senile post-stroke insomnia.