择时安神足浴联合耳穴贴压治疗卒中后失眠临床研究
Effectiveness of timely Anshen foot bath combined with auricular acupressure treatment on post-stroke insomnia
陆燕敏 1徐宁 1路悦 1仝欣1
作者信息
- 1. 江苏省常州市武进中医医院康复科,江苏 常州 213000
- 折叠
摘要
目的 观察择时安神足浴联合耳穴贴压治疗卒中后失眠的临床疗效.方法 将 80 例卒中后失眠患者按照随机数字表法分为2 组,对照组40 例予耳穴贴压,治疗组40 例在对照组基础上联合基于营卫理论的择时安神足浴.2 组均14 天为1 个疗程,连续干预2 个疗程.比较2 组疗效;比较2 组干预前后匹兹堡睡眠质量指数量表(PSQI)评分、生活质量综合评定问卷-74(GQOL-74)评分变化.结果 治疗组总有效率95.00%(38/40),对照组总有效率80.00%(32/40),治疗组疗效优于对照组(P<0.05).2 组干预后主观睡眠质量、睡眠效率、入睡时间、睡眠时间、睡眠障碍、日间功能评分及总评分均较本组干预前降低(P<0.05),且治疗组降低更明显(P<0.05).2 组干预后物质生活状态、心理功能、躯体功能、社会功能评分均较本组干预前升高(P<0.05),且治疗组升高更明显(P<0.05).结论 择时安神足浴联合耳穴贴压能改善卒中后失眠患者睡眠质量和生活质量.
Abstract
Objective To explore the improvement effect of timely Anshen foot bath combined with auricular acupres-sure treatment on post-stroke insomnia.Methods A total of 80 patients with post-stroke insomnia were assigned into a con-trol group(n=40)and a study group(n=40),the all patients received routine care and auricular acupressure treatment,while those in the study group additionally received timely Anshen foot bath based on nutrient-defense theory.The patients of two groups were treated for two courses(14 days as a course of treatment).The curative effects of the two groups were assessed.The changes in Pittsburgh Sleep Quality Index(PSQI)score and Generic Quality of Life Inventory-74(GQOL-74)score before and after intervention were compared between the two groups.Results The total effective rates of the study group was signifi-cantly higher than that of the control group(95.00%[38/40]vs 80.00%[32/40],P<0.05).After intervention,the dimen-sions scores and total score of PSQI(subjective sleep quality,sleep efficiency,time to fall asleep,sleep duration,sleep disor-ders,daytime function)were significantly lower than those before intervention(P<0.05),which in the study group were more pronounced relative to the control group(P<0.05).After intervention,the dimensions scores and total score of GQOL-74 scores(including material life status,psychological function,physical function and social function)were significantly higher than those before intervention(P<0.05),which in the study group were more obvious compared to the control group(P<0.05).Conclusion Timely Anshen foot bath combined with auricular acupressure treatment can effectively improve the quality of sleep and life by regulating yin and yang in post-stroke insomnia patients.
关键词
卒中/入睡和睡眠障碍/熏洗疗法/耳穴贴压疗法Key words
Stroke/Sleeping and sleep disorders/Fumigation therapy/Auricular acupressure therapy引用本文复制引用
基金项目
常州市武进区科学技术局科技支撑计划项目(WS201933)
出版年
2024
国家科技期刊平台
NSTL
万方数据