热敏悬灸联合督脉烫熨对卒中后睡眠障碍患者睡眠质量的影响

Effect of heat-sensitive suspension moxibustion combined with governor meridian acupoint ironing on sleep quality in patients with post-stroke sleep disorders

目的 探讨热敏悬灸联合督脉烫熨在治疗脑卒中后睡眠障碍的临床效果。方法 选取2020年12月至2022年3月赣州市立医院收治的60例脑卒中后睡眠障碍患者作为研究对象,根据治疗方案的不同将其分为对照组(n=30)和试验组(n=30)。对照组采用西药方案治疗,试验组患者采用热敏悬灸联合督脉烫熨治疗,比较两组患者的治疗效果和不良反应发生率。结果 治疗前,两组患者睡眠质量、入睡时间、睡眠时间和睡眠效率评分比较,差异无统计学意义(P>0.05);治疗后,试验组四项指标评分均低于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者椎动脉和基底动脉收缩峰血流速度比较,差异无统计学意义(P>0.05);治疗后,试验组两项指标均高于对照组,差异有统计学意义(P<0.05)。试验组治疗后的主症和次症积分低于对照组,差异有统计学意义(P<0.05)。试验组治疗期间不良反应总发生率为6.67%,低于对照组的40.00%,差异有统计学意义(P<0.05)。结论 热敏悬灸联合督脉烫熨治疗脑卒中后睡眠障碍效果确切且安全性良好,值得借鉴。

Objective To investigate the clinical effect of heat-sensitive suspension moxibustion combined with governor meridian acupoint ironing on post-stroke sleep disorders.Methods A total of 60 patients with post-stroke sleep disorders admitted to Ganzhou Municipal Hospital from December 2020 to March 2022 were selected as the study objects,they were divided into control group(n=30) and experimental group(n=30) according to different treatment regiments.The control group was treated with Western medicine,and the experimental group was treated with heat-sensitive suspension moxibustion combined with governor meridian acupoint ironing.The therapeutic effect and incidence of adverse reactions were compared between the two groups.Results Before treatment,there were no significant differences in sleep quality,sleep time,sleep time and sleep efficiency scores between the two groups(P>0.05).After treatment,the scores of the four indexes in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in systolic blood flow Vpeak between the two groups(P>0.05).After treatment,two indexes in experimental group were higher than those in control group,and the differences were statistically significant(P<0.05).After treatment,the scores of the main disease and secondary disease in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the experimental group was 6.67%,lower than that in the control group(40.00%),and the difference was statistically significant(P<0.05).Conclusion Heat-sensitive suspension moxibustion combined with governor meridian acupoint ironing is effective and safe in the treatment of post-stroke sleep disorders.