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龙胆汤内服足浴在脑卒中后失眠老年患者中的临床应用体会

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

文章信息/Info

  • Title:龙胆汤内服足浴在脑卒中后失眠老年患者中的临床应用体会

  • 卷期:2024年22卷1期

  • 作者:杜粉兰 朱杰*

  • 江苏省兴化市中医内科,江苏兴化225700

  • Author(s):Du fanlan, Zhu Jie *

  • Department of traditional Chinese medicine, Xinghua City, Jiangsu Province, 225700

  • 关键词脑卒中;失眠;龙胆汤;艾司唑仑;名老中医经验;足浴;护理

  • Keywords:Stroke; Insomnia; Longdan Decoction; Eszolam; Famous old Chinese medicine experience; Foot bath; nursing

  • 摘要:目的:研究龙胆汤内服与足浴在脑卒中后失眠老年患者中的临床疗效。方法:选取66例脑卒中后失眠患者,随机分为对照组和观察组,每组33例。对照组采用艾司唑 仑片口服治疗,观察组采用龙胆汤内服与足浴治疗。2组疗程均为4周。比较2组患者临床疗效。结果:治疗后观察组治疗总有效率明显高于对照组(P<0.01)。结论:采用龙胆汤内服与足浴治疗脑卒中后失眠患者,可有效改善睡眠,无明显副作用,值得临床推广。                                                                                                                                                                                

  • Abstract:To study the clinical efficacy of oral administration of Longdan Decoction and foot bath in elderly patients with insomnia after stroke. Methods: 66 patients with insomnia after stroke were randomly divided into control group and observation group, with 33 cases in each group. The control group was treated with esmazole,The observation group was treated with Longdan Decoction and foot bath. The course of treatment for both groups was 4 weeks. The clinical effects of the two groups were compared. Results: after treatment, the total effective rate of the observation group was significantly higher than that of the control group (P < 0.01). Conclusion: using Longdan Decoction and foot bath to treat insomnia patients after stroke can effectively improve sleep without obvious side effects, which is worthy of clinical promotion.

    脑卒中多由气血逆乱、血溢于脑所致,以突然晕厥、肢体活动障碍麻木等为主要表现,常存在后遗症,影响生活质量。大病之后,容易胆气虚怯,心神不宁,常常由于感到惊怖而夜寐不安,引起顽固的失眠。临床资料显示,多数脑卒中患者睡眠时间与深度均有不同程度的影响,入睡困难,辗转反侧,或睡眠不实,睡中易醒,或早醒醒来后不能再眠,甚至彻夜不眠。

    参考文献/References:

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