摘要
目的:观察心脑共治针法治疗缺血性脑卒中睡眠节律障碍临床疗效。方法:将符合纳入标准的60例缺血性脑卒中睡眠节律障碍患者随机分为观察组和对照组,每组各30例。观察组采用心脑共治针法治疗,对照组口服苯二氮卓类药物,共治疗21 d,57例患者完成观察。观察治疗前后两组患者的阿森斯失眠量表(AIS-8)评分、Epworth嗜睡量表(ESS)评分及综合疗效。结果:治疗第21天,两组患者阿森斯失眠量表(AIS-8)评分及Epworth嗜睡量表(ESS)评分与治疗前比较均明显改善(P<0.05),且观察组与对照组评分比较无统计学意义(P>0.05);观察组有效率为96.55%(28/29),对照组有效率为85.71%(24/28),两组疗效比较无统计学意义(P>0.05);安全性分析方面,对照组口服苯二氮卓类药物有头昏、乏力、嗜睡等不良反应,与降压等药物存在相互作用,增加临床用药风险。结论:心脑共治针法治疗缺血性脑卒中睡眠节律障碍疗效与常规药物组相当,但规避了常规药物组的不良反应,彰显了针灸疗法的优势。
Objective:To observe the clinical efficacy of heart-brain co-therapy acupuncture in the treatment of sleep rhythm disorder of ischemic stroke.Methods:60 patients with sleep rhythm disorder of ischemic stroke were randomly divided into the observation group and the control group,with 30 cases in each group.The observation group was treated with heart-brain co-therapy acupuncture,whereas the control group was treated with Benzodiazepines.The treatment duration was 21 days in both groups,and 57 patients complete the observation.The scores of AIS-8 and ESS were evaluated before and after the treatment in the two groups,and the overall efficacy was compared between the two groups.Results:On the 21st day of the treatment,the scores of AIS-8 and ESS showed significant improvements compared to those before the treatment in both groups(P<0.05),but there were no statistical differences in the scores between the observation group and the control group(P>0.05).The overall effective rate in the observation group was 96.55%(28/29)and it was 85.71%(24/28)in the control group,of which there was no statistical difference between the two groups(P>0.05).There was no significant difference between the efficacy of the observation group and the control group(P>0.05).In terms of safety analysis,there were adverse reactions,such as dizziness,fatigue,drowsiness,in the control group,which have interactions with the hypotensive drugs and increase the risk of clinical medication.Conclusion:The efficacy of heart-brain co-therapy acupuncture is comparable to that of the conventional drug in the treatment of sleep rhythm disorders of ischemic stroke,but has less adverse reactions,which highlights the advantages of acupuncture therapy.
作者
李春雨
金龙涛
马玉琴
王静
LI Chunyu;JIN Longtao;MA Yuqin;WANG Jing(Zhenjiang Fourth People's Hospital,Zhenjiang 212001,China)
出处
《中医药信息》
2022年第1期60-64,共5页
Information on Traditional Chinese Medicine
关键词
针刺
心脑共治针法
昼间嗜睡
脑卒中
睡眠节律障碍
Acupuncture
Heart-brain co-therapy acupuncture
Daytime sleepiness
Stroke
Sleep rhythm disorder
