观察中药药枕对脑卒中患者睡眠质量的影响

To Observe the Effect of Traditional Chinese Medicine Pillow on Sleep Quality of Stroke Patients

目的:观察中药药枕改善脑卒中患者睡眠质量的疗效。方法:选取2019年7月至2020年9月漳州市中医院收治的脑卒中睡眠障碍患者96例作为研究对象,按照随机数字表法分为观察组和对照组,每组48例。对照组给予常规治疗,观察组在常规治疗基础上给予中药药枕干预,疗程均为1个月。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的改善情况,采用汉密尔顿焦虑量表(HAMA)比较2组患者干预前后焦虑情绪改善情况,采用改良Barthel指数评分比较2组患者的生活活动能力的变化。结果:治疗后,2组患者的PSQI评分、HAMA评分均有所降低,且观察组的下降幅度更大,观察组显著低于对照组,2组比较差异有统计学意义(P<0.05);观察组改良Barthel指数评分显著高于对照组,2组比较差异有统计学意义(P<0.05)。结论:中药药枕干预能有效改善患者的睡眠质量,缓解患者的焦虑情绪,修复患者的神经功能缺损,操作简单,经济实用,值得临床推广使用。

Objective:To observe the effect of traditionalChinese medicine pillow on sleep quality of stroke patients.Methods:A total of 96 stroke patients with sleep disorder admitted to Zhangzhou Hospital of Traditional Chinese Medicine from July 2019 to September 2020 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 48 cases in each group.The control group was given conventional treatment,and the observation group was given traditional Chinese medicine pillow intervention on the basis of the conventional treatment.The course of treatment was 1 month.Pittsburgh Sleep Quality Index(PSQI)was used to compare the improvement of sleep quality between 2 groups,Hamilton Anxiely Scale(HAMA)was used to compare the improvement of anxiety between 2 groups before and after the intervention.Compare the change of living activity ability between 2 groups by using the modified Barthel index score.Results:After treatment,the PSQI score,HAMA score and Bathle index score in 2 groups were decreased,and the decrease amplitude was greater in the observation group,and the observation group was significantly lower than the control group,the difference between the 2 groups was statistically significant(P<0.05).Barthel index score in the observation group was significantly higher than that in the control group,and the difference between the 2 groups was statistically significant(P<0.05).Conclusion:Traditional Chinese medicine pillow intervention can effectively improve patient′s sleep quality,relieve patient′s anxiety and repair patient′s neurological defects.It is simple,economical and practical,and is worthy of clinical promotion.