中西医结合治疗脑卒中合并睡眠呼吸暂停综合征临床效果观察

Clinical Effect of Integrated Traditional Chinese and Western Medicine in Treating Stroke Combined with Sleep Apnea Syndrome

目的:探讨中西医结合治疗脑卒中合并睡眠呼吸暂停综合征患者的临床效果及对睡眠质量的改善作用。方法:选取2021年12月至2023年12月宝清县中医院收治的脑卒中合并睡眠呼吸暂停综合征患者68例作为研究对象,按照随机数字表法分为对照组和观察组,每组34例。对照组行持续气道正压通气治疗,观察组行持续气道正压通气+针刺+耳穴压豆治疗,比较2组睡眠呼吸参数、中医证候积分及疲乏、嗜睡、睡眠和生命质量评分。结果:治疗后,观察组睡眠呼吸参数优于对照组,差异有统计学意义(P<0.05);中医证候积分低于对照组,差异有统计学意义(P<0.05);疲劳严重度量表、Epworth嗜睡量表、匹兹堡睡眠质量指数评分均低于对照组,Calgary睡眠呼吸暂停生命质量指数评分高于对照组,差异有统计学意义(P<0.05);治疗总有效率比对照组高,差异有统计学意义(P<0.05)。结论:中西医结合治疗脑卒中合并睡眠呼吸暂停综合征的疗效确切,值得推广。

Objective:To explore the clinical effect of integrated traditional Chinese and Western medicine on patients with stroke complicated with sleep apnea syndrome and the improvement of sleep quality.Methods:A total of 68 cases of stroke patients with sleep apnea syndrome were treated in Baoqing County Hospital of Traditional Chinese Medicine from December 2021 to December 2023,randomly divided into a control group(continuous positive airway pressure treatment)and an observation group(continuous positive airway pressure+acupuncture+ear pressure treatment),compare 2 groups of sleep breathing parameters,TCM syndrome integral and fatigue,drowsiness,sleep and quality of life score.Results:After treatment,the sleep breathing parameters of the observation group were better than the control group(P<0.05);TCM syndrome score was lower than the control group(P<0.05);the fatigue severity scale,Epworth sleepiness scale,and Pittsburgh sleep quality index were lower than the control group,the Calgary sleep apnea quality index was higher than the control group(P<0.05);the total treatment response rate was higher than the control group(P<0.05).Conclusion:The curative effect of integrated Chinese and Western medicine in treating stroke and sleep apnea syndrome is accurate and worth popularizing.