手指点穴治疗卒中后睡眠障碍临床观察

Finger Point-pressing in the Treatment of Sleep Disorders after Stroke

目的探究分析临床对卒中后睡眠障碍患者实施手指点穴疗法的效果。方法选择2021年5月—2022年9月景德镇市中医医院中风病科收治的卒中后睡眠障碍患者40例,依据随机单盲对照的试验设计方法划分成观察组(手指点穴治疗)和对照组(常规治疗+右佐匹克隆片治疗)。比较两组的疾病预后、睡眠质量评分、临床疗效、心理状态评分等。结果两组患者治疗前后疾病预后评分、睡眠质量评分、心理状态评分等比较,差异均有显著统计学意义(P<0.01)。而观察组治疗总有效率为95.00%(19/20),高于对照组的70.00%(14/20),差异有统计学意义(P<0.05)。治疗后,观察组格拉斯哥昏迷量表(GCS)评分高于对照组,匹兹堡睡眠质量指数(PSQI)、焦虑评分、抑郁评分低于对照组,差异有统计学意义(P<0.05)。结论针对卒中后睡眠障碍,采用手指点穴疗法,对患者临床效果的提升、不良心理状态的改善、睡眠质量的提升意义重大,同时能够缩短治疗时间、改善预后,适合临床应用推广。

Objective To explore and analyze the clinical effect of finger point-pressing on patients with sleep disorders after stroke.Methods Forty patients with post-stroke sleep disorders in Jingdezhen Hospital of Traditional Chinese Medicine from May 2021 to September 2022 were selected.According to the randomized,single blind and controlled experimental design,they were divided into the observation group(finger point-pressing)and the control group(routine treatment and dexzopiclone tablets).The disease progno⁃sis,sleep quality score,efficacy and psychological status score between the two groups were compared.Results There were significant differences in disease prognosis score,sleep quality score,and psychological status score between the two groups before and after treat⁃ment(P<0.01).The total effective rate of the observation group was 95.00%(19/20),higher than that of the control group(70.00%,14/20)(P<0.05).The scores of GCS,PSQI,SAS and SDS in the observation group were lower than those in the control group(P<0.05).Conclusion For the sleep disorders after stroke,the use of finger point-pressing is of great significance for the improvement of clinical efficacy,unhealthy psychological state and sleep quality.It can also reduce the time for treatment,improve the prognosis of the dis⁃ease,and is suitable for clinical promotion.