手指点穴治疗卒中后睡眠障碍临床疗效研究

文章信息/Info

• Title:手指点穴治疗卒中后睡眠障碍临床疗效研究

• 卷期:2024年22卷17期

• 作者:周云枫，乐智卿，刘亚鸣，岑小杰，黄夏雨

• 景德镇市中医医院中风病科  江西景德镇  333000

• Author(s):Zhou Yunfeng, Le Zhiqing, Liu Yaming, Cen Xiaojie, Huang Xiayu

• Jingdezhen Traditional Chinese Medicine Hospital Stroke Department Jingdezhen City, Jiangxi Province

• 关键词脑卒中;睡眠障碍;手指点穴;疗效评估

• Keywords:stroke; Sleep disorders; Acupoint pressing with fingers; Efficacy evaluation

• 摘要:目的：探究分析针对卒中后睡眠障碍患者，临床实施手指点穴治疗取得的疗效。方法：选择时间为2021年5月至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实验设计方法划分成观察组（手指点穴治疗的方式）和对照组（常规治疗+右佐匹克隆片治疗）。比较两组间的疾病预后、睡眠质量评分、疾病疗效、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、疾病疗效、心理状态评分等比较差异均显著差异；而观察组治疗总有效率19例高于对照组14例，差异有统计学意义（P＜0.05）；观察组焦虑、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患者，通过采用手指点穴治疗模式，对患者临床疗效的提升、不良心理状态的改善、睡眠质量的提升意义重大，同时能够降低疾病治疗所用时间，改善疾病预后，适合应用于临床上进行推广。                                                                                                                                                                                

• Abstract To explore and analyze the clinical effect of finger acupoint tapping on patients with sleep disorder after stroke. Methods: Forty patients with post stroke sleep disorder who were admitted to the Stroke Department of Jingdezhen Traditional Chinese Medicine Hospital 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 (the way of acupoint tapping) and the control group (routine treatment+right zopiclone). The disease prognosis, sleep quality score, disease efficacy and psychological status score between the two groups were compared. Results: There were significant differences in disease prognosis score, sleep quality score, disease efficacy and psychological status score between the two groups before and after treatment; The total effective rate of 19 cases in the observation group was higher than that of 14 cases in the control group (P<0.05); The scores of anxiety and depression in the observation group were lower than those in the control group (P<0.05). Conclusion: For the patients with sleep disorder after stroke, the use of finger point tapping therapy mode is of great significance for the improvement of clinical efficacy, the improvement of unhealthy psychological state, and the improvement of sleep quality. It can also reduce the time for disease treatment, improve the prognosis of the disease, and is suitable for clinical promotion.

  脑卒中后睡眠障碍是常见于脑卒中患者的一种并发症，不利于疾病预后，降低日常生活活动能力，影响功能恢复。通过流行病学研究显示，存在睡眠失调的脑血管病患者占比为95.00%，且急性卒中后的失眠有高达56.7%-67.7%的发生率[1]。而脑梗死后继发睡眠障碍，将使得患者发生情绪低落、睡眠不足，从而又进一步促进脑梗死 病症发展和恶化，形成恶性循环，甚至诱发脑梗死的再次发生，对患者健康产生极大影响，所有效的改善睡眠状况对其愈后尤为重要。有研究显示:卒中后睡眠障碍同卒中部位、程度，以及患者的性别、年龄等存在密切关联。