耳穴贴压联合穴位贴敷治疗脑梗死后失眠临床研究

Clinical Study on Auricular Acupoint Pressing Combined with Acupoint Application for Insomnia After Cerebral Infarction

目的:观察耳穴贴压联合穴位贴敷治疗脑梗死后失眠的临床疗效。方法:选取86例脑梗死后失眠患者,按随机数字表法分成对照组和研究组各43例。对照组给予艾司唑仑片治疗,研究组在对照组基础上给予耳穴贴压联合穴位贴敷治疗。2组均治疗4周,随访4周。比较2组临床疗效、匹兹堡睡眠质量指数(PSQI)评分及失眠复发率。结果:研究组总有效率90.70%,高于对照组72.09%(P<0.05)。治疗后,2组PSQI评分均较治疗前降低(P<0.05),研究组PSQI评分低于对照组(P<0.05)。随访4周,对照组PSQI评分较治疗后升高,且高于研究组(P<0.05);研究组PSQI评分与同组治疗后比较,差异无统计学意义(P>0.05)。随访4周,研究组复发率7.69%,低于对照组29.03%(P<0.05)。结论:耳穴贴压联合穴位贴敷能有效改善脑梗死后失眠患者的睡眠质量,减少失眠复发。

Objective:To observe the clinical effect of auricular acupoint pressing combined with acupoint application for insomnia after cerebral infarction.Methods:A total of 86 cases of patients with insomnia after cerebral infarction were divided into the control group and the study group according to the random number table method,with 43 cases in each group.The control group was treated with Estazolam Tablets,and the study group was additionally treated with auricular acupoint pressing combined with acupoint application based on the treatment of the control group.Both groups were treated for 4 weeks and followed up for 4 weeks.The clinical effects,the scores of Pittsburgh Sleep Quality Index(PSQI)and the recurrence rates of insomnia were compared between the two groups.Results:The total effective rate was 90.70% in the study group,higher than that of 72.09% in the control group(P<0.05).After treatment,PSQI scores in the two groups were decreased when compared with those before treatment(P<0.05),and the PSQI score in the study group was lower than that in the control group(P<0.05).After 4 weeks of follow-up,the PSQI score in the control group was increased when compared with that before treatment,and higher than than in the study group(P<0.05);there was no significant difference being found in PSQI score in the study group when compared with that after treatment(P>0.05).After 4 weeks of follow-up,the recurrence rate was 7.69% in the study group,lower than that of 29.03% in the control group(P<0.05).Conclusion:The therapy of auricular acupoint pressing combined with acupoint application can effectively improve the sleep quality of patients with insomnia after cerebral infarction and reduce the recurrence of insomnia.