探究中医针灸治疗中风患者失眠症的临床效果

Exploration on the clinical effect of traditional Chinese medicine acupuncture and moxibustion in the treatment of insomnia in stroke patients

目的探究中医针灸治疗中风患者失眠症的临床效果。方法72例中风患者,按随机数字表法分为对照组(予常规口服用药治疗)和观察组(予中医针灸治疗),每组36例。比较两组患者临床疗效以及治疗前后的睡眠质量、快速眼动期(REM)、睡眠效率(SE)、总睡眠时间(TST)。结果治疗后,观察组总有效率为100.00%高于对照组的72.22%(P<0.05)。治疗后两组患者日间功能、睡眠质量、睡眠效率、睡眠时间评分及总分对比,观察组更低(P<0.05)。治疗后,对照组患者REM为(58.39±4.88)min、SE为(75.48±4.49)%、TST为(338.48±32.49)min,观察组患者REM为(82.44±5.49)min、SE为(81.29±5.33)%、TST为(387.29±36.94)min,观察组REM短于对照组、SE高于对照组、TST长于对照组(P<0.05)。结论在中风患者失眠症治疗中实施中医针灸治疗获得了显著的临床效果,患者的睡眠质量得到明显改善,SE得到提高,TST延长,REM缩短,临床应用价值显著。

Objective To explore the clinical effect of acupuncture and moxibustion in the treatment of insomnia in stroke patients.Methods 72 stroke patients were divided into a control group and an observation group according to the random number table,with 36 cases in each group.The control group was treated with conventional oral medication,and the observation group was treated with traditional Chinese medicine acupuncture and moxibustion.The clinical efficacy,sleep quality,rapid eye movement phase(REM phase),sleep efficiency(SE)and total sleep time(TST)of the two groups were compared before and after treatment.Results After treatment,the total effective rate of 100.00%in the observation group was higher than 72.22%in the control group(P<0.05).The comparison of daytime function,sleep quality,sleep efficiency,sleep time,and total score between the two groups of patients showed that the observation group had lower scores(P<0.05).After treatment,the control group had REM phase of(58.39±4.88)min,SE of(75.48±4.49)%and TST of(338.48±32.49)min;the observation group had REM phase of(82.44±5.49)min,SE of(81.29±5.33)%and TST of(387.29±36.94)min;the REM phase,SE and TST were higher in the observation group when comparing the two groups of patients(P<0.05).Conclusion In the treatment of insomnia in stroke patients,the implementation of traditional Chinese medicine acupuncture and moxibustion treatment has obtained significant clinical effects.The sleep quality of patients has been significantly improved,the sleep efficiency has been improved,the total sleep time has been prolonged,and the rapid-eye-movement phase has been shortened.The clinical application value is significant.