调督安神针法治疗脑卒中后睡眠障碍的临床观察

发布时间：2018-05-23 12:44

本文选题：脑卒中后睡眠障碍 + 调督安神　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:研究和分析调督安神针刺法治疗脑卒中后睡眠障碍的治疗效果,为临床治疗脑卒中后睡眠障碍提供一种科学有效、操作简单、易于推广的针灸疗法。方法:选取2015年12月至2016年12月在黑龙江中医药大学附属第一院针灸三科病房住院的患者60例;采用随机数字表的分组方法将60例患者分为调督安神针法组30例和对照组30例;治疗组为普通中风取穴+调督安神取穴,对照组:普通中风取穴+教材失眠取穴。采用数学统计学方法统计治疗组和对照组的治疗前后各组的PSQI(匹兹堡量表)评分,SRSS(睡眠状况自评量表)评分,NIHSS(神经功能缺损评定)评分;评价其临床疗效。结果:1.两组治疗前PSQI(匹兹堡量表)评分组间比较P值大于0.05,在统计学上无意义;调督安神针法组和对照组治疗前和治疗后组内PSQI各因子评分量表比较P值均小于0.05,在统计学具有意义;治疗后调督安神针法组和对照组PSQI总评分比较P为0.00小于0.05,在统计学具有意义,有可比性。2.两组治疗前SRSS评分组间比较P值大于0.05,在统计学上无意义;治疗前和治疗后两组组内SRSS评分比较P值为0.00均小于0.05,在统计学上具有意义;治疗组和对照组治疗后组间SRSS评分P值为0.00,其小于0.05,在统计学具有意义,有可比性。3.调督安神针法组和对照组治疗前NIHSS评分组间比较P值大于0.05,在统计学上无意义;治疗前调督安神针法组和对照组与治疗后组内NIHSS评分比较P值为0.00均小于0.05,在统计学上具有意义;治疗组和对照组治疗后组间NIHSS评分P值为0.01,其小于0.05,在统计学上具有意义,有可比性。4.两组患者治疗后的临床疗效比较P值为0.03,其小于0.05,在统计学上具有意义,有可比性。结论:1、治疗组与对照组治疗脑卒中后睡眠障碍均有效,二者均能改善患者的临床症状。2、调督安神针刺法在改善脑卒中后睡眠障碍患者的PSQI量表评分、SRSS量表评分、NIHSS量表评分、睡眠疗效方面都明显优于对照组。3、调督安神针刺法是临床上一种治疗脑卒中后睡眠障碍易于操作,行之有效的治疗方法,值得临床推广。
[Abstract]:Objective: to study and analyze the therapeutic effect of the acupuncture method of regulating du and soothing the mind in the treatment of sleep disorder after stroke, and to provide a scientific, effective, simple and easy to popularize acupuncture therapy for the clinical treatment of sleep disorder after stroke. Methods: from December 2015 to December 2016, 60 patients in three departments of acupuncture and moxibustion in the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine were selected, and 60 patients were divided into two groups: 30 patients in the acupuncture group and 30 in the control group. The treatment group was treated with common apoplexy, and the control group was treated with common apoplexy. The scores of PSQI (Pittsburgh scale) and NIHSS (Self-Rating Sleep scale) were statistically analyzed before and after treatment in the treatment group and the control group, and the clinical efficacy was evaluated. The result is 1: 1. There was no statistical significance between the two groups (P > 0.05) in the PSQI (Pittsburgh scale) score before treatment, and P < 0.05 before and after treatment in the control group and the control group (P < 0.05), which had statistical significance. After treatment, the total score of PSQI in the treatment group and the control group was less than 0.05, which was statistically significant and comparable. There was no statistical significance between the two groups before and after treatment with SRSS score P > 0.05, the SRSS score before and after treatment was less than 0.05, which had statistical significance. The SRSS score between the treatment group and the control group was 0. 00P, which was less than 0. 05, which was statistically significant and comparable. The comparison of NIHSS score between the two groups before treatment (P > 0.05) had no statistical significance. Before treatment, the NIHSS score of the treatment group and the control group was less than 0.05, which had statistical significance, the NIHSS score of the treatment group and the control group after treatment was 0.01, which had statistical significance. Comparable. The P value of the two groups after treatment was 0.03, which was less than 0.05, which was statistically significant and comparable. Conclusion both the treatment group and the control group are effective in the treatment of post-stroke sleep disorder. Both of them can improve the clinical symptoms of stroke patients. The treatment group and the control group can improve the PSQI scale score and the NIHSS score of the patients with post-stroke sleep disorder by regulating du Anshen acupuncture method. The therapeutic effect of sleep is obviously better than that of control group. Acupuncture method of regulating du and soothing the mind is an easy and effective method to treat sleep disorder after stroke and is worth popularizing clinically.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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