首页|面、线、点式头部刮痧联合腕踝针对脑卒中失眠患者的治疗效果

面、线、点式头部刮痧联合腕踝针对脑卒中失眠患者的治疗效果

扫码查看
目的 探讨面、线、点式头部刮痧联合腕踝针在脑卒中失眠患者治疗中的应用价值.方法 选取脑卒中后睡眠障碍患者118例,其中对照组接受艾司唑仑片治疗,观察组在此基础上接受面、线、点式头部刮痧联合腕踝针治疗,观察两组治疗效果、匹兹堡睡眠质量指数(PSQI)评分、Flinders疲劳量表(FFS)评分、睡眠脑电图指标、神经递质指标差异.结果 观察组治疗效果优于对照组(P<0.05);观察组治疗后PSQI评分和FFS评分低于对照组(P<0.05);观察组治疗后觉醒次数和觉醒时间低于对照组(P<0.05),而睡眠总时间长于对照组(P<0.05);观察组治疗后5-羟色胺(5-HT)、褪黑素(MLT)和乙酰胆碱(Ach)高于对照组(P<0.05),而多巴胺(DA)和去甲肾上腺素(NE)低于对照组(P<0.05).观察组护理满意情况优于对照组(P<0.05).结论 面、线、点式头部刮痧联合腕踝针治疗脑卒中失眠有较好的临床效果,可改善患者睡眠质量及神经递质水平,患者对护理满意率高.
Effect of Facial,Line,and Point Head Scraping Combined with Wrist and Ankle Treatment in Patients with Insomnia After Stroke
Objective To explore the application value of surface,line,and point head scraping combined with wrist ankle acupuncture in the treatment of insomnia patients with stroke.Methods A total of 118 patients with post-stroke sleep disorders were selected.The control group was treated with wrist ankle acupuncture,while the observation group was treated with facial,line,and point head scraping combined with wrist ankle acupuncture.The treatment efficacy,Pittsburgh sleep quality index(PSQI)score,Flinders fatigue scale(FFS)score,sleep EEG indicatorsand neurotransmitter indicators of the two groups were observed.Results The therapeutic effect of the observation group was superior to that of the control group(P<0.05).After treatment,the PSQI and FFS scores,as well as the number of awakenings and awakening duration,were lower in the observation group compared to the control group(P<0.05),while total sleep time was longer(P<0.05).After treatment,the levels of 5-hydroxytryptamine(5-HT),melatonin(MLT)and acetylcholine(Ach)in the observation group were higher than those in the control group(P<0.05),while the levels of dopamine(DA)and noradrenaline(NE)were lower than those in the control group(P<0.05).Nursing satisfaction of the observation group was superior to that of the control group(P<0.05).Conclusion The combination of facial,line,and point head scraping with wrist and ankle acupuncture has a good clinical effect on treating insomnia after stroke,can improve patients'sleep quality and neurotransmitters,and nursing satisfaction rate of patients was high.

strokeinsomniahead scrapingwrist ankle needlesleep qualityneurotransmittersclinical effect

李杰、冉小静

展开 >

河南省中医院(河南中医药大学第二附属医院)脑病科,河南郑州 450003

脑卒中 失眠 头部刮痧 腕踝针 睡眠质量 神经递质 临床效果

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(22)