摘要
目的探讨中西医结合治疗脑卒中患者睡眠障碍的效果。方法将60例睡眠障碍的住院脑卒中患者按住院先后顺序分为研究组30例和对照组30例。两组均给予脑血管病常规药物治疗,对照组采用阿普唑仑治疗,研究组在此基础上增加中医治疗(包括口服解郁安神胶囊和中药足浴),治疗时间为2周,治疗前后,采用睡眠疗效评价标准、匹兹堡睡眠质量指数(PSQI)量表评价两组患者的睡眠情况。结果治疗前,研究组的PSQI评分为(13.4±3.5)分,对照组为(13.9±4.1)分,两组比较,差异无统计学意义(t=0.51,P>0.05),治疗后,研究组的PSQI评分为(5.1±1.7)分,对照组为(6.7±2.1)分,两组比较,差异有统计学意义(t=3.24,P<0.01);研究组的总有效率为93.3%,明显高于对照组的76.7%(χ2=3.27,P<0.05)。结论中西医结合治疗脑卒中患者睡眠障碍的效果优于单纯西医治疗,值得临床推广应用。
Objective To explore the effect of integrated traditional Chinese and western medicine treating sleep disor- ders of the patients with stroke. Methods According to the successively sequence in hospital, 60 patients with stroke and sleep disorders were divided into the study group （n=30） and the control group （n=30）,the two groups were given routine drug therapy of cerebrovascular disease,the control group were given alprazolam ,on this basis,the study group was added traditional Chinese medicine treatment （including oral jieyu anshen capsule and traditional Chinese medicine foot bath）,the treatment time last for 2 weeks.Before and after treatment,the sleep condition of the two groups was evaluated by the sleep curative effect evaluation standard and Pittsburgh sleep quality index （PSQI） scale. Results Before treatment,the PSQI score in the study group was （13.4±3.5） points,the PSQI score in the control group was （13.9±4.1）,and there was no statistical difference between the two groups （t =0.51,P〉0.05）,after treatment,the PSQI score in the study group was （5.1±l.7）points,the PSQI score in the control group was （6.7±2.1）points,and there was a statistical difference between the two groups （t=3.24,P〈0.01）;the total effective rate of the study group （93.3%） was higher than that in the control group （76.7%） （X2=3.27,P〈0.05）. Conclusion The effect of integrated traditional Chinese and western medicine treating sleep disorders of patients with stroke is better than only western medicine,it is worthy of clinical promotion and application.
出处
《中国当代医药》
2014年第7期121-123,共3页
China Modern Medicine
关键词
脑卒中
睡眠障碍
中西医
对照研究
Stroke
Sleep disorders
Traditional Chinese and western medicine
Control study
