推拿配合经颅磁刺激治疗脑卒中后失眠临床研究

发布时间：2018-05-07 14:25

本文选题：推拿 + 经颅磁刺激　；参考：《山东中医杂志》2017年05期

【摘要】：目的 :观察推拿配合经颅磁刺激治疗脑卒中后失眠的疗效。方法 :将60例脑卒中后失眠患者按照随机数字表法分为观察组和对照组各30例。观察组采用头部推拿配合重复经颅磁刺激对头部经络、穴位进行刺激,对照组服用艾司唑仑片。治疗2个疗程后,观察两组治疗前后匹兹堡睡眠质量指数(PSQI)评分变化及不良反应情况,评价两组疗效。结果:治疗组总有效率93.3%,对照组90.0%,差异无统计学意义(P0.05)。两组治疗后PSQI评分均显著降低,与治疗前比较,差异有统计学意义(P0.05);组间比较,差异无统计学意义(P0.05)。观察组不良反应率低于对照组,差异有统计学意义(P0.05)。结论 :推拿配合经颅磁刺激治疗脑卒中后失眠疗效与艾司唑仑片相当,但不良反应低。
[Abstract]:Objective: to observe the effect of massage combined with transcranial magnetic stimulation on insomnia after stroke. Methods: 60 patients with insomnia after stroke were randomly divided into observation group (n = 30) and control group (n = 30). The observation group used head massage combined with repeated transcranial magnetic stimulation to stimulate the meridians and acupoints of the head, while the control group took eszolam tablets. After two courses of treatment, the changes of Pittsburgh Sleep quality Index (PSQI) scores and adverse reactions were observed before and after treatment, and the efficacy of the two groups was evaluated. Results: the total effective rate of the treatment group was 93. 3%, while that of the control group was 90. 0. The difference was not statistically significant (P 0. 05). The PSQI scores of the two groups were significantly decreased after treatment, and the difference was statistically significant compared with that before treatment (P 0.05), but there was no significant difference between the two groups (P 0.05). The adverse reaction rate in the observation group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: the curative effect of massage combined with transcranial magnetic stimulation on insomnia after stroke is similar to that of eszolam tablets, but the adverse reaction is low.
【作者单位】：山东中医药大学第二临床医学院;山东中医药大学第二附属医院;
【分类号】：R244.1

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