星状神经节联合重复经颅磁刺激对卒中后失眠患者的疗效

Therapeutic Effect of Stellate Ganglion Block Combined with Transcranial Magnetic Stimulation for Patients with Post-stroke Insomnia

目的分析星状神经节联合重复经颅磁刺激对卒中后失眠患者的治疗作用。方法选取2020年6月1日至2021年5月31日在嵩县西关骨科医院康复医学科就诊的44例卒中后失眠患者,通过随机数字表法分为治疗组和对照组。对照组20例接受单纯星状神经节阻滞,治疗组24例接受星状神经节阻滞联合重复经颅磁刺激疗法,两组患者均接受4周治疗,比较两组患者治疗前后匹茨堡睡眠质量指数量表(PSQI)评分和多导睡眠检测指标。结果治疗4周后,治疗组PSQI评分低于对照组(P<0.05),多导睡眠检测结果也显示睡眠时间、睡眠效率、快眼动睡眠和非快眼动睡眠的S_(1~4)期均较对照组有更好的改善(P<0.05)。结论星状神经节阻滞联合重复经颅磁刺激治疗卒中后失眠患者临床效果优于单独使用星状神经节阻滞,可以更有效地改善患者的睡眠质量,有助于患者的临床预后。

Objective To study the efficacy of stellate ganglion block combined with transcranial magnetic stimulation for patients with post-stroke insomnia.Methods A total of 44 post-stroke insomnia patients in Rehabilitation Department admitted in XiGuan Orthopaedic Hospital of Song Xian from June 1,2020 to May 31,2021 were selected in this study.According to the random number table method,they were divided into two groups,20 patients in the control group received stellate ganglion block alone,and 24 patients in the treatment group received stellate ganglion block combined with transcranial magnetic stimulation,both 4 weeks.Pittsburgh sleep quality index(PSQI)and polysomnography were compared between the two groups before and after treatment.Results After 4 weeks of treatment,the PSQI score in the observation group was lower than the control group(P<0.05).Polysomnography also showed better improvement in sleep duration,sleep efficiency,rapid eye movement sleep and non-rapid eye movement sleep stages S_(1-4) compared with the control group(P<0.05).Conclusion The clinical efficacy of stellate ganglion block combined with transcranial magnetic stimulation in the treatment of post-stroke insomnia is better than using stellate ganglion block only,which can more effectively improve the sleep therapy of patients and contribute to the clinical prognosis of patients.