酸枣仁汤加减配合针灸治疗脑卒中后失眠的效果

Effect of Modified Suanzaoren Decoction Combined with Acupuncture on Insomnia after Stroke

目的:探讨脑卒中后失眠患者应用酸枣仁汤加减配合针灸治疗的效果。方法:选取2020年4月-2021年8月福州神经精神病防治院收治的60例脑卒中后失眠患者。按照随机数字表法将患者分为对照组(n=30)与观察组(n=30)。对照组接受针灸治疗,观察组在针灸治疗基础上配合酸枣仁汤加减。比较两组治疗效果、睡眠质量、生活质量、神经功能改善情况及不良反应。结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组匹兹堡睡眠质量指数(PSQI)评分、Barthel指数与美国国立卫生研究院卒中量表(NIHSS)评分比较,差异均无统计学意义(P>0.05);治疗后,两组PSQI评分、NIHSS评分均低于治疗前,Barthel指数均高于治疗前,且观察组PSQI评分、NIHSS评分均低于对照组,Barthel指数高于对照组,差异均有统计学意义(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:脑卒中后失眠患者应用酸枣仁汤加减配合针灸治疗,能够促进其睡眠质量及生活质量改善,还有助于改善患者神经功能。

Objective:To explore the effect of modified Suanzaoren Decoction Combined with acupuncture on insomnia after stroke.Method:A total of 60 patients with insomnia after stroke admitted to Fuzhou Neuropsychiatric Prevention and Treatment Hospital from April 2020 to August 2021 were selected,according to the random number table,they were randomly divided into control group(n=30)and observation group(n=30).The control group received acupuncture treatment,while the observation group received acupuncture treatment combined with modified Suanzaoren Decoction.The treatment effect,sleep quality,quality of life,neurological function improvement and adverse reactions were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant (P<0.05). Before treatment, there were no significant differences in Pittsburgh sleep quality index (PSQI) scores, Barthel index and national institute of health stroke scale (NIHSS) scores between the two groups (P>0.05);after treatment, the PSQI scores and NIHSS scores of both groups were lower than those before treatment, and the Barthel index of both groups were higher than those before treatment, the PSQI score and NIHSS score of the observation group were lower than those of the control group, and the Barthel index of the observation group was higher than that of the control group, the differences were statistically significant (P<0.05). There was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion: The application of modified Suanzaoren Decoction combined with acupuncture in patients with insomnia after stroke can not only improve their sleep quality and quality of life, but also help to improve their neurological function.