發(fā)布時間：2018-05-23 12:44

  本文選題：腦卒中后睡眠障礙 + 調(diào)督安神　； 參考：《黑龍江中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:研究和分析調(diào)督安神針刺法治療腦卒中后睡眠障礙的治療效果,為臨床治療腦卒中后睡眠障礙提供一種科學有效、操作簡單、易于推廣的針灸療法。方法:選取2015年12月至2016年12月在黑龍江中醫(yī)藥大學附屬第一院針灸三科病房住院的患者60例;采用隨機數(shù)字表的分組方法將60例患者分為調(diào)督安神針法組30例和對照組30例;治療組為普通中風取穴+調(diào)督安神取穴,對照組:普通中風取穴+教材失眠取穴。采用數(shù)學統(tǒng)計學方法統(tǒng)計治療組和對照組的治療前后各組的PSQI(匹茲堡量表)評分,SRSS(睡眠狀況自評量表)評分,NIHSS(神經(jīng)功能缺損評定)評分;評價其臨床療效。結果:1.兩組治療前PSQI(匹茲堡量表)評分組間比較P值大于0.05,在統(tǒng)計學上無意義;調(diào)督安神針法組和對照組治療前和治療后組內(nèi)PSQI各因子評分量表比較P值均小于0.05,在統(tǒng)計學具有意義;治療后調(diào)督安神針法組和對照組PSQI總評分比較P為0.00小于0.05,在統(tǒng)計學具有意義,有可比性。2.兩組治療前SRSS評分組間比較P值大于0.05,在統(tǒng)計學上無意義;治療前和治療后兩組組內(nèi)SRSS評分比較P值為0.00均小于0.05,在統(tǒng)計學上具有意義;治療組和對照組治療后組間SRSS評分P值為0.00,其小于0.05,在統(tǒng)計學具有意義,有可比性。3.調(diào)督安神針法組和對照組治療前NIHSS評分組間比較P值大于0.05,在統(tǒng)計學上無意義;治療前調(diào)督安神針法組和對照組與治療后組內(nèi)NIHSS評分比較P值為0.00均小于0.05,在統(tǒng)計學上具有意義;治療組和對照組治療后組間NIHSS評分P值為0.01,其小于0.05,在統(tǒng)計學上具有意義,有可比性。4.兩組患者治療后的臨床療效比較P值為0.03,其小于0.05,在統(tǒng)計學上具有意義,有可比性。結論:1、治療組與對照組治療腦卒中后睡眠障礙均有效,二者均能改善患者的臨床癥狀。2、調(diào)督安神針刺法在改善腦卒中后睡眠障礙患者的PSQI量表評分、SRSS量表評分、NIHSS量表評分、睡眠療效方面都明顯優(yōu)于對照組。3、調(diào)督安神針刺法是臨床上一種治療腦卒中后睡眠障礙易于操作,行之有效的治療方法,值得臨床推廣。
[Abstract]:Objective: to study and analyze the therapeutic effect of the acupuncture method of regulating du and soothing the mind in the treatment of sleep disorder after stroke, and to provide a scientific, effective, simple and easy to popularize acupuncture therapy for the clinical treatment of sleep disorder after stroke. Methods: from December 2015 to December 2016, 60 patients in three departments of acupuncture and moxibustion in the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine were selected, and 60 patients were divided into two groups: 30 patients in the acupuncture group and 30 in the control group. The treatment group was treated with common apoplexy, and the control group was treated with common apoplexy. The scores of PSQI (Pittsburgh scale) and NIHSS (Self-Rating Sleep scale) were statistically analyzed before and after treatment in the treatment group and the control group, and the clinical efficacy was evaluated. The result is 1: 1. There was no statistical significance between the two groups (P > 0.05) in the PSQI (Pittsburgh scale) score before treatment, and P < 0.05 before and after treatment in the control group and the control group (P < 0.05), which had statistical significance. After treatment, the total score of PSQI in the treatment group and the control group was less than 0.05, which was statistically significant and comparable. There was no statistical significance between the two groups before and after treatment with SRSS score P > 0.05, the SRSS score before and after treatment was less than 0.05, which had statistical significance. The SRSS score between the treatment group and the control group was 0. 00P, which was less than 0. 05, which was statistically significant and comparable. The comparison of NIHSS score between the two groups before treatment (P > 0.05) had no statistical significance. Before treatment, the NIHSS score of the treatment group and the control group was less than 0.05, which had statistical significance, the NIHSS score of the treatment group and the control group after treatment was 0.01, which had statistical significance. Comparable. The P value of the two groups after treatment was 0.03, which was less than 0.05, which was statistically significant and comparable. Conclusion both the treatment group and the control group are effective in the treatment of post-stroke sleep disorder. Both of them can improve the clinical symptoms of stroke patients. The treatment group and the control group can improve the PSQI scale score and the NIHSS score of the patients with post-stroke sleep disorder by regulating du Anshen acupuncture method. The therapeutic effect of sleep is obviously better than that of control group. Acupuncture method of regulating du and soothing the mind is an easy and effective method to treat sleep disorder after stroke and is worth popularizing clinically.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6

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