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中西医联合治疗脑梗死并失眠在改善神经功能与睡眠质量方面的效果观察

Observation on the Effect of Combining Traditional Chinese and Western Medicine in Treating Cerebral Infarction with Insomnia in Improving Neurological Function and Sleep Quality
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摘要 目的:探讨中西医联合治疗方法在脑梗死并失眠临床治疗中的应用效果,结合患者的神经功能恢复情况与睡眠质量改善情况进行评价。方法:选取2020年1月至2022年12月福建省尤溪县中医医院脑病康复科收治的脑梗死并失眠患者50例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组25例。观察组采用中西医联合治疗,对照组采用常规治疗,比较2组的神经功能恢复情况及治疗效果。结果:治疗后,观察组患者的神经功能缺损评分(NIHSS)评分、匹兹堡睡眠质量指数量表(PSQI)评分、中医证候积分(不寐、困倦、脘闷)、焦虑自评量表(SAS)评分低于对照组,健康调查简表(SF-36)评分高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的治疗有效率高于对照组,差异有统计学意义(P<0.05)。结论:脑梗死并失眠患者的临床治疗中应用中西医联合治疗方法,能够有效促进神经功能恢复,改善其生命质量。 Objective:To explore the application effect of the combination of Chinese and Western medicine in the clinical treatment of cerebral infarction and insomnia,and evaluate the recovery of neurological function and improvement of sleep quality in patients.Methods:Fifty patients with cerebral infarction and insomnia admitted to our hospital from January 2020 to December 2022 were selected as the research subjects.They were divided into an observation group(combined traditional Chinese and Western medicine treatment) and a control group(conventional treatment),with 25 cases each.The treatment effects of the two groups were compared.Results:To evaluate the recovery of neurological function,the National Institutes of Health(NIHSS) score of observation group was lower than that of control group after treatment(P<0.05).To evaluate the improvement of sleep quality,the Pittsburgh Sleep Quality Index(PSQI) score of the observation group was lower than that of the control group after treatment(P<0.05).The score of TCM syndrome(insomnia,drowsiness,epigastric depression) after treatment was compared,and the observation group was lower than the control group(P<0.05).Compared with the self-rating Anxiety Scale(SAS) score(after treatment),the observation group was lower than the control group(P<0.05).The SF-36 score(after treatment) in the observation group was higher than that in the control group(P<0.05).The effective rate of observation group was higher than that of control group(P<0.05).Conclusion:In the clinical treatment of patients with cerebral infarction and insomnia,the combination of traditional Chinese and Western medicine can effectively promote the recovery of neurological function and improve their quality of life.
作者 王俊 WANG Jun(Department of Cerebral Rehabilitation,Youxi County Hospital of Traditional Chinese Medicine,Youxi 365100,China)
出处 《世界睡眠医学杂志》 2023年第11期2596-2598,共3页 World Journal of Sleep Medicine
关键词 中西医联合治疗 脑梗死 失眠 神经功能 睡眠质量 Combined treatment of traditional Chinese and Western medicine Cerebral infarction Insomnia Neurological function Sleep quality
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