择时安神足浴联合耳穴贴压治疗卒中后失眠临床研究

Effectiveness of timely Anshen foot bath combined with auricular acupressure treatment on post-stroke insomnia

目的观察择时安神足浴联合耳穴贴压治疗卒中后失眠的临床疗效。方法将80例卒中后失眠患者按照随机数字表法分为2组,对照组40例予耳穴贴压,治疗组40例在对照组基础上联合基于营卫理论的择时安神足浴。2组均14天为1个疗程,连续干预2个疗程。比较2组疗效;比较2组干预前后匹兹堡睡眠质量指数量表(PSQI)评分、生活质量综合评定问卷-74(GQOL-74)评分变化。结果治疗组总有效率95.00%(38/40),对照组总有效率80.00%(32/40),治疗组疗效优于对照组(P<0.05)。2组干预后主观睡眠质量、睡眠效率、入睡时间、睡眠时间、睡眠障碍、日间功能评分及总评分均较本组干预前降低(P<0.05),且治疗组降低更明显(P<0.05)。2组干预后物质生活状态、心理功能、躯体功能、社会功能评分均较本组干预前升高(P<0.05),且治疗组升高更明显(P<0.05)。结论择时安神足浴联合耳穴贴压能改善卒中后失眠患者睡眠质量和生活质量。

Objective To explore the improvement effect of timely Anshen foot bath combined with auricular acupressure treatment on post-stroke insomnia.Methods A total of 80 patients with post-stroke insomnia were assigned into a control group(n=40)and a study group(n=40),the all patients received routine care and auricular acupressure treatment,while those in the study group additionally received timely Anshen foot bath based on nutrient-defense theory.The patients of two groups were treated for two courses(14 days as a course of treatment).The curative effects of the two groups were assessed.The changes in Pittsburgh Sleep Quality Index(PSQI)score and Generic Quality of Life Inventory-74(GQOL-74)score before and after intervention were compared between the two groups.Results The total effective rates of the study group was significantly higher than that of the control group(95.00%[38/40]vs 80.00%[32/40],P<0.05).After intervention,the dimensions scores and total score of PSQI(subjective sleep quality,sleep efficiency,time to fall asleep,sleep duration,sleep disorders,daytime function)were significantly lower than those before intervention(P<0.05),which in the study group were more pronounced relative to the control group(P<0.05).After intervention,the dimensions scores and total score of GQOL-74 scores(including material life status,psychological function,physical function and social function)were significantly higher than those before intervention(P<0.05),which in the study group were more obvious compared to the control group(P<0.05).Conclusion Timely Anshen foot bath combined with auricular acupressure treatment can effectively improve the quality of sleep and life by regulating yin and yang in post-stroke insomnia patients.