摘要
目的 评价中药浴足与心理治疗手段相结合对脑卒中后睡眠障碍的疗效。方法选择200例脑卒中合并匹兹堡睡眠质量指数（PSQI）量表评定总分〉7分的患者,采用简单随机分组法,分为化学药物组50例、温经散寒洗剂浴足组50例,心理疗法组50例,温经散寒洗剂浴足联合心理疗法组（联合治疗组）50例。各组均根据病情给予基础治疗,同时化学药物组患者每晚口服舒乐安定片2mg,连续4周;温经散寒洗剂浴足组每晚睡前采用中药浴足,每次20~30min,每日1次,连续4周;心理疗法组采用心理认知行为治疗,隔日1次,连续4周;联合治疗组采用中药浴足与心理疗法相结合的方法,连续4周。评价各组患者治疗前后PSQI量表、肢体运动功能（FMA量表）、日常生活能力（MBI量表）评分,并对各组患者的依从性和安全性进行评价。结果经统计学分析,各组患者治疗前后组内比较PQSI评分、FMA评分、MBI评分有统计学差异（P〈0.05）,治疗4周后联合治疗组与其余3组PSQI评分相比较有统计学差异（P〈0.05）,治疗4周后各组患者FMA评分、MBI评分组间比较无统计学差异（P〉0.05）。结论温经散寒洗剂浴足联合心理疗法具有改善脑卒中后失眠症患者的睡眠障碍,疗效较佳。
Objective To verify the clinical efficacy of Warming Meridian and Dissipating Could Lotion by lavipeditum and psychotherapy on somnipathy in stroke.Methods Two hundred patients of cerebral infarction or cerebral hemorrhage with scores of PSQI〉7 were randomly divided into four groups,50 cases in each one.Among them,the patients in treatment group were treated with estazolam,2 mg per night,patients in lavipeditum group were treated with Warming Meridian and Dissipating Could Lotion by lavipeditum,20.30 min each time,once daily,patients in psychotherapy group were treated with cognitive-behavioral therapy,once every other day,patients combined treatment group were treated with Warming Meridian and Dissipating Could Lotion by lavipeditum and cognitive-behavioral therapy,4-week treatment was aquired in four groups.The Pinsburgh Sleep Quality lndex（PSQI）/Fugl-meyer assessment（FMA）/Modified Bathel index（MBI） assessment was evaluated before and after 4-week treatment in four groups.Results The score of PSQI/FMA/MBI in two groups after 4-week treatment was higher than that in prior treatment（P 〈0.05）;There was no statistically difference among the four groups in the score of FMA and MBI after 4-week treatment（P 〉0.05）;The score of PSQI in combined treatment group was higher than that in the other groups after 4-week treatment.Conclusion The therapy of Warming Meridian and Dissipating Could Lotion by lavipeditum and psychotherapy can well improve the somnipathy in stroke.
出处
《中草药》
CAS
CSCD
北大核心
2016年第11期1926-1930,共5页
Chinese Traditional and Herbal Drugs
基金
浙江省中医药管理局A类资助项目(2012ZA098)
关键词
脑卒中
睡眠障碍
温经散寒洗剂
心理疗法
浴足
stroke
somnipathy
Warming Meridian and Dissipating Could Lotion
psychotherapy
lavipeditum
