醒腦開竅針法結合項八針治療卒中后睡眠倒錯臨床觀察

潘丹　　徐文斌　　泮金亮　　王羅丹　　郎伯旭

[關鍵詞] 腦卒中;睡眠倒錯;針刺;臨床療效

[中圖分類號] R246.6? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）21-0144-04

Clinical observation of Xingnao Kaiqiao Acupuncture Combined with Xiangba Needle in the treatment of sleep perversion after stroke

PAN Dan? ?XU Wenbin? ?PAN Jinliang? ?WANG Luodan? ?LANG Boxu

Department of Acupuncture，Massage and Rehabilitation，Taizhou Municipal Hospital，Taizhou? ?318000，China

[Abstract] Objective To observe the clinical effect of Xingnao Kaiqiao acupuncture combined with Xiangba needle in the treatment of post-stroke sleep preversion，as well as the improvement of daytime sleepiness and motor function.Methods A total of 120 patients with post-stroke sleep preversions in the outpatient and inpatient from September 2017 to March 2019 were selected.The random number table method was adopted，and the patients were divided into treatment group and control group，with 60 cases in each group.The treatment group was given Xingnao Kaiqiao acupuncture combined Xiangba needles，once a day，5 times a week for 4 weeks in a row.The control group was orally given estazolam tablets once a day，1 mg each time before sleep for 4 weeks in a row.The daytime sleepiness and motor function of each group before and after treatment were compared，and the clinical efficacy was compared between groups. Results ①After treatment，the total effective rate in the treatment group was 93.3%，which was better than 80.0% in the control group （P<0.05）.②After treatment，the Epworth Daytime Sleepiness Scale （ESS） score in the treatment group was （5.97±2.49） points，and that in the control group was （7.38±2.03） points.The difference was statistically significant （P<0.05）.③After treatment，the motor function score in the treatment group was （78.00±11.09） points and that in the control group was （72.20±10.84） points.The difference was statistically significant （P<0.05）. Conclusion Xingnao Kaiqiao acupuncture combined with Xiangba needles have a significant curative effect on post-stroke sleep preversion.

[Key words] Stroke;Sleep preversion;Acupuncture;Clinical efficacy

腦卒中是人類目前三大死因之一，嚴重威脅中老年人的健康[1]。睡眠-覺醒障礙是卒中后較常見的并發癥之一，臨床上至少有20%～40%的卒中患者伴發有睡眠-覺醒障礙[2]，這是一種常見但較少引起重視的卒中后并發癥，其中睡眠倒錯是常見的類型之一。該病易引起患者抑郁、焦慮等精神心理癥狀，使其生活質量下降，導致神經功能修復受阻，甚至增加腦卒中的復發率和病死率[3-5]。故尋找有效的治療方法已成為當今臨床上亟待解決的問題之一。本課題組采用醒腦開竅針法結合項八針[6]治療卒中后睡眠倒錯，效果滿意，現報道如下。

1 資料與方法