摘要
目的探讨缺血性卒中后睡眠障碍伴焦虑患者的中医证候特征。方法根据患者焦虑状况,将符合纳入标准的患者分为睡眠障碍伴焦虑组(20例)和睡眠障碍不伴焦虑组(60例)。采用匹兹堡睡眠质量指数(PSQI)分别对两组患者进行睡眠质量评估,采用"中风病证候诊断标准"进行中医证候评分。结果睡眠障碍伴焦虑组睡眠紊乱、日间功能障碍和PSQI总分的分值均高于不伴焦虑组(P<0.05或P<0.01)。睡眠障碍伴焦虑组火热证候和阴虚阳亢证候得分高于不伴焦虑组(P<0.05或P<0.01)。结论缺血性卒中后睡眠障碍伴焦虑患者与不伴焦虑患者相比,其睡眠质量差,睡眠紊乱和日间功能障碍明显,其火热证候和阴虚阳亢证候较为突出。
Objective To study the characteristics of traditional Chinese medicine（TCM）syndrome characteristics of ischemic stroke patients（pts） with sleep disturbance and anxiety.Methods All pts enrolled were divided into two groups：Sleep disturbance with anxiety group（n=20） and sleep disturbance without anxiety group（n=60）.After routine treatment of western medicine for 2 weeks,the sleep quality of pts were evaluated with Pittsburgh sleep quality index（PSQI）and the TCM symptom scores were determined by the Diagnostic Criteria of Syndrome Differentiation of stroke.Results The scores of sleep disturbance,daily disturbance and overall PSQI score in the sleep disturbance with anxiety group were higher than that in sleep disturbance without anxiety group（P0.05 or P0.01）.The symptom scores of yin-deficiency and yang-predominance syndrome and heat syndrome were higher in the sleep disturbance with anxiety group（P0.05 or P0.01）.Conclusion The pts with both sleep disturbance and anxiety after ischemic stroke had lower sleep quality than that in pts with sleep disturbance alone.The yin-deficiency and yang-predominance syndrome and heat syndrome were more significant in the sleep disturbance with anxiety group.
出处
《中西医结合心脑血管病杂志》
2010年第8期932-934,共3页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词
缺血性卒中
睡眠障碍
焦虑
中医证候
ischemic stroke
sleep disturbance
anxiety
traditional Chinese medicine symptom
