云南医药2024,Vol.45Issue(1) :69-73.

疏肝安神针刺疗法对卒中后睡眠障碍和神经免疫学指标的影响

Effects of acupuncture therapy on sleep disorders and neuroimmunological indexes after strokee

高雁鸿 何冰 孙华
云南医药2024,Vol.45Issue(1) :69-73.

疏肝安神针刺疗法对卒中后睡眠障碍和神经免疫学指标的影响

Effects of acupuncture therapy on sleep disorders and neuroimmunological indexes after strokee

高雁鸿 1何冰 1孙华1
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作者信息

  • 1. 曲靖市第一人民医院中医科,云南 曲靖 655000
  • 折叠

摘要

目的 比较疏肝安神针刺疗法与西药治疗卒中后睡眠障碍的疗效差异.方法 将入组患者随机分入针刺组和药物组,针刺组加用疏肝安神针刺法;药物组组加用氟西汀分散片治疗,疗程后使用PSQI等评分,血清5-HT水平等评价疗效.结果 (1)疏肝安神针刺法能够有效降低PSQI评分;(2)治疗结束时针刺组有效率高于药物组;(3)疏肝安神法能够有效调节卒中后睡眠障碍患者血清5-HT及TH1/TH2所分泌炎性细胞因子的失衡;(4)疏肝安神法能够有效改善卒中患者的神经缺损.结论 疏肝安神针刺法能够有效改善卒中后睡眠障碍患者的睡眠情况且疗效优于氟西汀.

Abstract

Objective To compare the therapeutic effect difference of the acupuncture therapy and western medicine in the treatment of sleep disorder after stroke.Methods The enrolled patients were randomly divided into acupuncture group and drug group.The acupuncture group was treated with acupuncture therapy.The drug group was treated with fluoxetine dispersive tablets.After treatment,PAQI score and serum 5-HT level were used to evaluate the efficacy.Results 1.The acupuncture therapy can effectively reduce PSQI score;2.The effective rate of acupuncture group was higher than that of the drug group at the end of treatment;3.Acupuncture therapy can effectively regulated the imbalance of 5-HT and TH1/TH2 inflammatory cytokines for patients with sleep disorders after stroke;4.Acupuncture therapy can effectively improve nerve defects in stroke patients.Conclusions The Acupuncture therapy can effectively improve the sleep condition of patients with sleep disorders after stroke and the efficacy is better than fluoxetine.

关键词

卒中/睡眠障碍/针刺/疏肝安神/免疫因子

Key words

stroke/sleep disorders/acupuncture/liver-soothing and mind-calming/immune factor

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出版年

2024
云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
参考文献量13
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