摘要
目的观察针刺治疗老年缺血性卒中后失眠的临床疗效。方法2016年6月-2018年3月,收集就诊于上海市中医医院的老年缺血性卒中后失眠患者84例,通过完全随机数字表将受试者随机分为针刺组(n=43)和对照组(n=41)。针刺组取百会、神庭、印堂、安眠(双)、神门(双)、三阴交(双)和足三里(双)针刺治疗,每次30 min,1周3次,共计4周。对照组取穴相同,予假针刺治疗,针尖不刺破皮肤。治疗前后,应用匹兹堡睡眠质量指数量表(PSQI)、无线睡眠监测仪及脑卒中专用生活质量量表(SS-QoL)对患者的疗效进行评估。结果针刺4周后2组PSQI均降低,且针刺组PSQI评分低于对照组[(9.05±2.88)分vs(11.07±3.30)分,P=0.004],针刺组治疗前后的差值大于对照组(P<0.01)。2组睡眠有效率(SE)均有所升高,且针刺组SE高于对照组[(86.14±6.47)%vs(81.45±8.22)%,P=0.005],但2组治疗前后的SE差值差异无统计学意义;2组睡眠总时间(TST)均有所升高,针刺组TST高于对照组[(472.05±162.31)min vs(434.84±159.75)min,P<0.01],且针刺组治疗前后的TST差值大于对照组(P=0.022)。2组治疗前后的睡眠觉醒次数(SA)及差值比较,差异均无统计学意义。治疗4周后针刺组SS-QoL评分高于对照组[(197.19±29.43)分vs(188.76±35.41)分,P<0.01],针刺组治疗前后的SS-QoL差值大于对照组(P=0.002)。结论针刺可能是改善老年缺血性卒中后失眠的一种有效方法。
Objective To explore the clinical effects of acupuncture on post-stoke insomnia in the elderly.Methods 84 elderly with post-stoke insomnia were enrolled in our hospital from June 2016 to March 2018.They were divided randomly into two groups:acupuncture group(n=43)and control group(n=41).The acupuncture group was treated by acupuncture on the acupoints of Baihui,Shenting,Yintang,Anmian,Shenmen,Sanyinjiao,Zusanli,30 minutes each time,3 times a week for 4 weeks.The control group was treated by the sham acupuncture on the same acupoints,but the needle tip did not pierce the skin.The Pittsburgh sleep quality index(PSQI),wireless sleep monitor and stroke-specific quality of life(SS-QoL)scale were used to evaluate the efficacy before and after the treatment.Results After 4 weeks of the treatment,PSQI of both groups decreased and the acupuncture group was lower than the control group[(9.05±2.88)vs(11.07±3.30),P=0.004],the difference of PSQI before and after treatment was greater in the acupuncture group than in the control group(P<0.01).The sleep efficacy(SE)increased in both groups and the acupuncture group was higher than the control group[(86.14±6.47)%vs(81.45±8.22)%,P=0.005],but the difference of SE before and after treatment was not significant statistically between two groups.Total sleep time(TST)in both groups increased and the acupuncture group was longer than the control group[(472.05±162.31)min vs(434.84±159.75)min,P<0.01],the difference of TST before and after treatment in the acupuncture group was greater than that in the control group(P=0.022).There was no significant difference in the number of sleep awakenings and the difference before and after treatment between the two groups.After 4 weeks of treatment,the SS-QoL of the acupuncture group was higher than that of the control group[(197.19±29.43)vs(188.76±35.41),P<0.01],the difference of SS-QoL before and after treatment in the acupuncture group was greater than that in the control group(P=0.002).Conclusion Acupuncture may be an effective way to improve the sleep quality and life quality of the elderly with post-stoke insomnia.
作者
曹燕
吴君怡
蔡丽
张晓艳
徐世芬
Cao Yan;Wu Junyi;Cai Li;Zhang Xiaoyan;Xu Shifen(Department of Acupuncture,Shanghai Traditional Chinese Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200071,P.R.China;Department of Neurology,Shanghai Traditional Chinese Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200071,P.R.China)
出处
《老年医学与保健》
CAS
2020年第3期464-467,共4页
Geriatrics & Health Care
基金
上海市进一步加快中医药事业发展三年行动计划[ZY(2018-2020)-ZYJS-03]。
关键词
老年人
针灸
失眠
脑卒中
elderly
acupuncture
insomnia
stroke
