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耳穴贴压联合开天门在脑卒中伴失眠患者中的应用效果

《中国中医药现代远程教育》[ISSN:1672-2779/CN:11-5024/R]

文章信息/Info

  • Title:耳穴贴压联合开天门在脑卒中伴失眠患者中的应用效果

  • 卷期:2023年21卷24期

  • 作者:高飞 潘全慧 徐建珍

  • 南京医科大学附属脑科医院中医科，江苏 南京 210029

  • Author(s):Fei Gao, Quanhui Pan, Jianzhen Xu

  • Department of Traditional Chinese Medicine, Brain Hospital of Nanjing Medical University，Jiangsu, Nanjing

  • 关键词耳穴贴压；开天门；脑卒中；失眠

  • Keywords:Ear acupuncture point pressure; Kaitianmen ;Stroke; Insomnia

  • 摘要: 目的 探讨耳穴贴压联合开天门在脑卒中伴失眠患者中的应用效果。方法 脑卒中伴失眠患者60例，采用随机数字表法分为对照组和观察组，每组各30例。对照组施行常规护理干预，观察组在常规护理干预的基础上施行耳穴贴压联合开天门疗法，4周后比较两组患者干预前后睡眠质量指数变化。结果 干预前两组患者PSQI分值无明显差异（P＞0.05），干预后两组PSQI分值均有下降，观察组得分低于对照组，且PSQI差值高于对照组，P＜0.05，有统计学意义。 结论 耳穴贴压联合开天门在脑卒中伴失眠患者中效果确切，安全可行，值得临床推广应用。                                                                                                                                                                                

  • Abstract: To investigate the effect of auricular acupressure combined with Kaitianmen in patients with stroke with insomnia. Methods: Sixty patients with stroke with insomnia were divided into a control group and an observation group using the random number table method, with 30 cases in each group. The control group implemented conventional nursing interventions, while the observation group implemented auricular acupressure combined with Kaitianmen on the basis of conventional nursing interventions, and compared the changes in the sleep indices of the two groups before and after the intervention after 4 weeks. Results: There was no significant difference in the PSQI scores between the two groups before the intervention (P>0.05), but after the intervention, the total PSQI score of the observation group was significantly lower than that of the control group, and the difference in PSQI before and after the intervention was significantly higher than that of the control group, and there was a statistical difference between the two groups (P<0.05).Conclusion: The combination of auricular acupressure and Kaitianmen in stroke patients with insomnia is effective, safe and feasible, and worthy of clinical application.

    失眠是一种主观体验，是个体具备了合适的睡眠环境、睡眠机会，仍对睡眠质量及睡眠时间不满意，且影响到白天的工作、学习及生活[1]。脑卒中患者由于脑部组织缺血缺氧，神经通路受损，以及发病后对病人角色的不适应，约38.2%的人会出现脑卒中后失眠 [2] 。

    参考文献/References:

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    [3]TOPCUOGLU, MEHMET A., SAKA, ESEN, SILVERMAN, SCOTT B., et al. Recrudescence of Deficits After Stroke Clinical and Imaging Phenotype, Triggers, and Risk Factors[J]. JAMA neurology,2017,74(9):1048-1055.
    [4]窦海伟,赵晓东,吴江昀,等. 浅谈中医对不寐病因病机的认识[J]. 中华中医药杂志,2015,30(11):4169-4170.
    [5]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志,2018,51(9):666-682.
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