小脑顶核电刺激结合针刺治疗卒中后失眠疗效观察
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摘要
目的观察小脑顶核电刺激结合针刺治疗卒中后失眠的临床效果。方法 117例纳入患者随机分为2组,对照组58例采用西药基础治疗及小脑顶核电刺激干预,治疗组59例在对照组基础上再结合针刺安眠九针治疗,均每日干预1次,每周5～6次,连续治疗2～3周。结果治疗结束后,分析比较两组患者PSQI指数评分及总有效率方面,结果显示差异均有统计学意义(P <0. 05)。结论小脑顶核电刺激结合针刺治疗卒中后失眠有良好的综合效应,其疗效优于对照组。
Objective To observe the clinical effect of cerebellar fastigial nuclear electrical stimulation combined with acupuncture on post-stroke insomnia. Method 117 patients were randomly divided into two groups. 58 patients in the control group were treated with western medicine and cerebellar fastigial nuclear electrical stimulation. 59 patients in the treatment group were treated with acupuncture and sleeping nine needles on the basis of the control group. All patients were intervened once a day,5-6 times a week for 2-3 weeks. Result After treatment,the PSQI score and total effective rate of the two groups were analyzed and compared. The results showed that the difference was statistically significant( P< 0. 05). Conclusion Cerebellar fastigial nuclear electrical stimulation combined with acupuncture has a good comprehensive effect on insomnia after stroke,and its curative effect is better than that of the control group.
Objective To observe the clinical effect of cerebellar fastigial nuclear electrical stimulation combined with acupuncture on post-stroke insomnia. Method 117 patients were randomly divided into two groups. 58 patients in the control group were treated with western medicine and cerebellar fastigial nuclear electrical stimulation. 59 patients in the treatment group were treated with acupuncture and sleeping nine needles on the basis of the control group. All patients were intervened once a day,5-6 times a week for 2-3 weeks. Result After treatment,the PSQI score and total effective rate of the two groups were analyzed and compared. The results showed that the difference was statistically significant( P< 0. 05). Conclusion Cerebellar fastigial nuclear electrical stimulation combined with acupuncture has a good comprehensive effect on insomnia after stroke,and its curative effect is better than that of the control group.
引文
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[10]任云锋,胡雨华.针刺十三鬼穴治疗中风后失眠的临床研究[J].陕西中医药大学学报,2017,40(3):32-34.
[2]林参,陈志刚,马丽珍,等.急性脑梗死后并发睡眠障碍的发生机制探讨[J].中西医结合心脑血管病杂志,2011,9(2):169-171.
[3]李婷,郅文婧,范学文.缺血性脑卒中后睡眠障碍患者睡眠参数与生活质量的相关性研究[J].宁夏医学杂志,2016,38(12):1143-1146.
[4]曾庆礼,覃川.脑卒中患者睡眠障碍的临床特点及相关因素研究[J].中国实用神经疾病杂志,2015,18(17):25-26.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994.
[6]张斌.中国失眠障碍诊断和治疗指南[M].北京:人民卫生出版社,2016:26-27; 44; 106-107.
[7]呼延静,王豆,冯卫星,等.海坤失眠治疗仪配合心理疏导治疗卒中后失眠疗效观察[J].延安大学学报(医学科学版),2018,16(1):51-53.
[8]刘四维,关敏,李宝金,等.小脑顶核电刺激治疗脑卒中后睡眠障碍临床研究[J].中国现代神经疾病杂志,2017,17(3):192-196.
[9]雷正权,冯卫星,杨斌,等.调心安神针刺法对失眠症患者脑血流速度的影响及疗效观察[J].中国中医基础医学杂志,2014,20(6):811-812.
[10]任云锋,胡雨华.针刺十三鬼穴治疗中风后失眠的临床研究[J].陕西中医药大学学报,2017,40(3):32-34.