摘要
目的:探究针灸联合中药对高血压脑出血偏瘫合并睡眠障碍患者康复效果的影响。方法:选取2015年2月至2016年6月到唐山市丰南区中医医院治疗的高血压脑出血偏合并睡眠障碍患者120人,按照随机数表法将患者分为观察组和对照组,每组各60人。对照组高血压脑出血偏瘫合并睡眠障碍患者采取中药治疗联合常规治疗方法,观察组患者在采用自拟潜阳息风,化瘀通络,安神方联合针刺治疗,治疗8周后,比较2组治疗效果。检测2组患者的日常生活活动能力(ADL,用Barthel指数表示)、患者简式FMA运动功能平分法评分、患者治疗前后神经功能缺损评分以及患者治疗后肌力情况,应用睡眠质量评估表(PSQI)进行检测患者的睡眠障碍治疗效果,包括PSQI总分、睡眠质量、入睡时间、睡眠时间等。结果:治疗8周后,观察组患者的日常生活能力以及身体FMA评分要明显高于对照组,观察组患者的Barthel指数为(61.5±14.9)分,对照组患者的Barthel指数为(42.0±13.2)分,观察组患者FMA评分为(69.0±19.2)分,对照组患者FMA评分为(46.2±11.3)分,二者的差异均有统计学意义(P<0.01);观察组患者的神经受损修复情况要明显高于对照组患者,观察组神经功能缺损评分为(6.4±5.5)分,对照组神经功能缺损评分为(11.5±8.9)分;观察组肌力提升等级总有效率要明显高于对照组,观察组的总效率为95.1%,对照组的总效率为77.7%;观察组患者的睡眠质量、睡眠时间、PSQI总分均优于对照组患者,观察组患者的睡眠质量评分为(0.52±0.23)分,对照组患者的睡眠质量评分为(0.86±0.49)分,观察组患者的PSQI总评分为(1.77±1.00)分,对照组患者的总评分为(2.44±1.30)分,以上差异均具有统计学意义(P<0.05)。结论:针灸联合中药能够明显提高高血压脑出血偏瘫患者的康复效果,对恢复患者的受损神经、提高患者的日常生活能力以及缓解患者的睡眠障碍,提高患者�
Objective： To explore the effect of acupuncture and moxibustion combined with traditional Chinese medicine on rehabilitation of patients with hypertensive cerebral hemorrhage and hemiplegia complicated with sleep disorder.Methods： From February 2015 to June 2016,120 patients with hypertensive intracerebral hemorrhage associated with sleep disorder were selected and divided into observation group and control group according to the method of random number. The patients in the control group were treated with traditional Chinese medicine combined with routine treatment,while the patients in the observation group were treated with self-made latent yang and wind,removing blood stasis and dredging collaterals. After 8 weeks of treatment,the therapeutic effects of the two groups were compared. The ADL and ADL of the patients in the two groups were measured,expressed by Barthel index. Patients with simple FMA motor function score,patients before and after treatment neurological impairment score and patients after treatment of muscle strength.The effects of sleep disorder were measured by sleep quality assessment（ PSQI）,including total score of PSQI,sleep quality,sleep time,sleep time and so on. Results： After 8 weeks of treatment,the ADL and FMA scores of the patients in the observation group were significantly higher than those in the control group. The Barthel index of the patients in the observation group was（ 61. 5 ± 14. 9）. The Barthel index of the patients in the control group was（ 42. 0 ± 13. 2） and the FMA score of the patients in the observation group was（ 69. 0 ± 19. 2）. The FMA score of the control group was（ 46. 2 ±11. 3）. The difference between the two groups was statistically significant（ P 0. 01）. The nerve damage repair in the observation group was significantly higher than that in the control group,and the neurological deficit score in the observation group was（ 6. 4 ± 5. 5）. The neurological deficit score in the control group was（ 11. 5 ± 8. 9）; The total effec
出处
《世界睡眠医学杂志》
2018年第1期75-79,共5页
World Journal of Sleep Medicine
关键词
针灸
中药
高血压脑出血偏瘫
Acupuncture and moxibustion
Traditional Chinese medicine
Hypertensive cerebral hemorrhage hemiplegia
