摘要
目的探讨刺络放血联合拔罐用于脑卒中后睡眠障碍患者的效果.方法选择2019年1月—2020年12月我院收治的70例脑卒中后睡眠障碍患者,随机分为两组.对照组35例予以针刺治疗,观察组35例在对照组基础上采用刺络放血联合拔罐治疗.两组均持续治疗4周.比较两组治疗效果、睡眠质量、神经递质水平及安全性.结果观察组治疗总有效率为94.29%,高于对照组的74.29%,差异有统计学意义(P<0.05);两组治疗后匹兹堡睡眠质量指数量表(PSQI)中睡眠时间、睡眠质量、睡眠效率、睡眠障碍、入睡时间、日间功能障碍评分及总分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组治疗后5-HT、Ach、NA水平均高于治疗前,且观察高于对照组,差异有统计学意义(P<0.05);两组治疗期间均未发生断针、血肿、滞针、晕针等不良反应.结论在脑卒中后睡眠障碍患者中采用刺络放血联合拔罐治疗能够改善神经递质水平,改善睡眠障碍,且安全性较高.
Objective To investigate the effect of pricking collaterals and bloodletting combined with cupping in patients with post-stroke sleep disorders.Methods A total of 70 patients with post-stroke sleep disorders who were admitted to our hospital from January 2019 to December 2020 were selected and randomly divided into two groups.The 35 cases in the control group were treated with acupuncture,and the 35 cases in the observation group were treated with pricking collaterals and bloodletting on the basis of the control group.Both groups continued treatment for 4 weeks.The therapeutic effect,sleep quality,neurotransmitter level and safety were compared between the two groups.Results The effective rate of treatment in the observation group was 94.29%,which was higher than 74.29%in the control group,and the difference was statistically significant(P<0.05).The sleep time,sleep quality,sleep efficiency,sleep disturbance,time to fall asleep,daytime dysfunction score and total score in pittsburgh sleep quality index scale(PSQI)of the two groups after treatment were lower than those before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The 5-HT,Ach and NA levels of the two groups after treatment were higher than those before treatment,and the observation group was higher than that of the control group,the differences were statistically significant(P<0.05);there was no adverse reactions such as broken needles,hematoma,needle stagnation,and fainting of needles occurred in the two groups during treatment.Conclusion In patients with post-stroke sleep disorders,pricking and bloodletting combined with cupping therapy can improve neurotransmitter levels and sleep disorders,with high safety.
作者
陈树昌
侯金燕
吕德源
陈雅杰
CHEN Shuchang;HOU Jinyan;LYU Deyuan;CHEN Yajie(Department of General,Beijing Fengtai Jiandu Hospital of Integrated Traditional Chinese and Western Medicine,Beijing,100079,China;Department of Traditional Chinese Medicine,Beijing Yamei Hospital,Beijing,102218,China;Department of Traditional Chinese Medicine,Dahongmen Village Health Service Station,Fengtai,Beijing,100075,China)
出处
《反射疗法与康复医学》
2021年第19期30-33,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
睡眠障碍
刺络放血
拔罐
睡眠质量
神经递质
Stroke
Sleep disorders
Bloodletting
Cupping
Sleep quality
Neurotransmitters
