中西医结合治疗脑卒中后失眠临床观察

Clinical Observation on the Combination of Traditional Chinese and Western Medicine in the Treatment of Insomnia after Cerebral Apoplexy

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2016年1月—2018年1月经我院诊治的116例脑卒中后失眠患者随机分为对照组(58例)和治疗组(58例)。对照组在基础治疗上选用艾司唑仑片1 mg睡前口服,治疗组在基础治疗上加用自拟中药汤剂治疗,治疗4周后进行疗效统计分析,并观察PSQI评分。结果治疗4周后总有效率方面,对照组为72.41%,治疗组为87.93%,2组比较有显著性差异(P<0.05);治疗后PSQI评分对比方面,2组比较有显著性差异(P<0.05)。结论中西医结合治疗脑卒中后失眠症能显著提高有效率,降低PSQI评分,值得临床推广及进一步研究。

Objective To observe the clinical effect of combination of traditional Chinese and Western medicine in the treatment of insomnia after stroke. Methods 116 patients with insomnia after cerebral apoplexy were randomly divided into control group（ n = 58） and treatment group（ n = 58） from January 2016 to January 2018 in our hospital. The control group used Estazolam tablets 1 mg before bedtime on the basis of the basic treatment,and the treatment group used self-made TCM decoction on the basis of the basic treatment. The statistical analysis the clinical efficacy after 4 weeks was carried out,and the PSQI score was observed. Result After 4 weeks of treatment,the total effective rate in the control group and the treatment group was 72. 41% and 87. 93% respectively. There was a significant difference between the two groups（ P〈0. 05）. There was a significant difference in the PSQI score between the two groups after treatment（ P〈0. 05）. Conclusion The combination of traditional Chinese and Western medicine in the treatment of insomnia after stroke can significantly improve the efficiency and reduce the PSQI score,which is worthy of clinical promotion and further study.