摘要
目的探究揿针对脑瘫伴睡眠障碍患儿睡眠质量与习惯的影响。方法选取2018年8月至2020年3月本院收治的240例脑瘫伴睡眠障碍患儿作为研究对象,按照患儿住院日期的先后顺序随机分为揿针组(揿针治疗)、中药组(口服地牡宁神口服液)、毫针组(毫针治疗)与中药+揿针组(揿针同时口服地牡宁神口服液),每组60例。比较4组CSHQ评分、PSQI评分及睡眠紊乱指数。结果治疗前,4组CSHQ评分、PSQI评分、睡眠紊乱指数比较差异无统计学意义;治疗后,4组CSHQ评分、PSQI评分、睡眠紊乱指数均明显低于治疗前,差异有统计学意义(P<0.05)。相同时间点,中药+揿针组CSHQ评分、PSQI评分、睡眠紊乱指数明显低于其他3组,差异有统计学意义(P<0.05);中药组、揿针组、毫针组CSHQ评分、PSQI评分、睡眠紊乱指数两两比较差异无统计学意义。治疗期间,4组均未出现严重治疗相关不良反应。结论揿针联合中药对儿童高脑瘫伴睡眠障碍具有良好治疗效果,能有效提高睡眠质量,减轻睡眠障碍,延长有效睡眠睡眠时间,值得临床推广应用。
Objective To explore the effect of press needle on the sleep quality and habits of children with cerebral palsy and sleep disorders.Methods 240 children with cerebral palsy and sleep disorders admitted to our hospital from August 2018 to March 2020 were selected as the research subjects,and they were randomly divided into the press needle group(press needle treatment),the Traditional Chinese Medicine group(oral Dimu Ningshen oral liquid),the mill needle group(mill needle treatment)and the Chinese Medicine+press-needle group(press needle and the Dimu Ningshen oral liquid was taken orally at the same time)according to the order of their hospitalization dates,with 60 cases in each group.The CSHQ score,PSQI score and sleep disturbance index were compared among the four groups.Results Before treatment,there was no statistically significant difference in the CSHQ score,PSQI score,and sleep disorder index among the four groups;after treatment,the CSHQ score,PSQI score,and sleep disorder index in the four groups were significantly lower than before treatment,and the difference was statistically significant(P<0.05).At the same time point,the CSHQ score,PSQI score,and sleep disturbance index in the Traditional Chinese Medicine+press needle group were significantly lower than the other three groups,and the difference was statistically significant(P<0.05);there was no statistically significant difference in the CSHQ score,PSQI score,and sleep disorder index among the Traditional Chinese Medicine group,the press needle group,and the mill needle group.During the treatment period,no serious treatment-related adverse reactions occurred among the four groups.Conclusion Press needle combined with Traditional Chinese Medicine has good therapeutic effect on children with high cerebral palsy with sleep disorders.It can effectively improve sleep quality,reduce sleep disorders,and prolong effective sleep time.It is worthy of clinical application.
作者
张泽
王春南
ZHANG Ze;WANG Chunnan(Department of Rehabilitation Three,Shenyang Children’s Hospital,Shenyang,Liaoning,110032,China)
出处
《当代医学》
2021年第18期12-14,共3页
Contemporary Medicine
基金
沈阳市卫计委科研计划项目(2018228)。
关键词
揿针
脑性瘫痪
睡眠障碍
睡眠质量
Press needle
Cerebral palsy
Sleep disorder
Sleep quality