首页|吴茱萸涌泉穴贴敷联合针刺治疗脑卒中后心肾不交型失眠的临床效果研究

吴茱萸涌泉穴贴敷联合针刺治疗脑卒中后心肾不交型失眠的临床效果研究

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目的 分析吴茱萸涌泉穴贴敷联合针刺治疗脑卒中后心肾不交型失眠的临床疗效。方法 90 例脑卒中后心肾不交型失眠患者,以随机数字表法分为针刺组、穴贴组和针刺+穴贴组,各30 例。针刺组采用针刺治疗,穴贴组采用吴茱萸涌泉穴贴敷治疗,针刺+穴贴组采用针刺联合吴茱萸涌泉穴贴敷治疗。对比三组匹兹堡睡眠质量指数(PSQI)评分和临床疗效。结果 治疗后,针刺+穴贴组睡眠质量评分(1。17±0。18)分、入睡时间评分(1。37±0。21)分、睡眠时间评分(1。24±0。21)分、睡眠效率评分(1。25±0。19)分、睡眠障碍评分(1。34±0。21)分、催眠药物评分(1。52±0。20)分、日间功能障碍评分(1。40±0。16)分以及PSQI总分(9。29±2。14)分均较针刺组的(1。33±0。21)、(1。67±0。31)、(1。47±0。28)、(1。50±0。33)、(1。70±0。33)、(1。70±0。25)、(1。53±0。28)、(10。90±3。10)分以及穴贴组的(1。50±0。23)、(1。67±0。35)、(1。57±0。32)、(1。56±0。31)、(1。62±0。30)、(1。83±0。29)、(1。83±0。29)、(11。58±2。47)分更低,有统计学差异(P<0。05)。针刺+穴贴组治疗总有效率 96。67%较针刺组的 80。00%和穴贴组的 73。33%更高,有统计学差异(P<0。05)。结论 吴茱萸涌泉穴贴敷联合针刺治疗脑卒中后心肾不交型失眠的疗效显著,能够改善患者睡眠质量,具有一定应用价值。
Clinical study on the effect of external application of Fructus Evodiae on Yongquan acupoint combined with acupuncture in the treatment of post-stroke insomnia of heart-kidney imbalance type
Objective To analyze the clinical efficacy of external application of Fructus Evodiae on Yongquan acupoint combined with acupuncture in the treatment of post-stroke insomnia of heart-kidney imbalance type.Methods 90 patients with post-stroke insomnia of heart-kidney imbalance type were divided into acupuncture group,acupoint application group and acupuncture+acupoint application group by random number table,each with 30 cases.The acupuncture group was treated with acupuncture,the acupoint application group was treated with external application of Fructus Evodiae on Yongquan acupoint,and the acupuncture+acupoint application group was treated by acupuncture combined with Evodia application on Yongquan acupoint.The Pittsburgh Sleep Quality Index(PSQI)scores and clinical outcomes of the three groups were compared.Results After treatment,the sleep quality score of acupuncture+acupoint application group was(1.17±0.18)points,the sleep latency score was(1.37±0.21)points,the sleep time score was(1.24±0.21)points,the sleep efficiency score was(1.25±0.19)points,the sleep disorder score was(1.34±0.21)points,the hypnotic drug score was(1.52±0.20)points,the daytime dysfunction score was(1.40±0.16)points and the total PSQI score was(9.29±2.14)points,which were lower than those of acupuncture group[(1.33±0.21),(1.67±0.31),(1.47±0.28),(1.50±0.33),(1.70±0.33),(1.70±0.25),(1.53±0.28)and(10.90±3.10)points]and acupoint application group[(1.50±0.23),(1.67±0.35),(1.57±0.32),(1.56±0.31),(1.62±0.30),(1.83±0.29),(1.83±0.29)and(11.58±2.47)points],and there were statistical differences(P<0.05).The total therapeutic efficiency of 96.67%in the acupuncture+acupoint application group was higher than 80.00%in the acupuncture group and 73.33%in the acupoint application group,and there was a statistical difference(P<0.05).Conclusion The effect of external application of Fructus Evodiae on Yongquan acupoint combined with acupuncture in the treatment of post-stroke insomnia of heart-kidney imbalance type is significant,which can improve the sleep quality of patients and has certain application value.

Fructus EvodiaeYongquan acupointExternal applicationAcupunctureHeart-kidney imbalance typeStrokeInsomnia

闫伟、王奇、张孟列、杨金凤、陈静

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221116 徐州市铜山区中医院神经内科

吴茱萸 涌泉穴 贴敷 针刺 心肾不交型 脑卒中 失眠

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(24)