本文選題：推拿 + 經(jīng)顱磁刺激　； 參考：《山東中醫(yī)雜志》2017年05期

【摘要】：目的 :觀察推拿配合經(jīng)顱磁刺激治療腦卒中后失眠的療效。方法 :將60例腦卒中后失眠患者按照隨機(jī)數(shù)字表法分為觀察組和對(duì)照組各30例。觀察組采用頭部推拿配合重復(fù)經(jīng)顱磁刺激對(duì)頭部經(jīng)絡(luò)、穴位進(jìn)行刺激,對(duì)照組服用艾司唑侖片。治療2個(gè)療程后,觀察兩組治療前后匹茲堡睡眠質(zhì)量指數(shù)(PSQI)評(píng)分變化及不良反應(yīng)情況,評(píng)價(jià)兩組療效。結(jié)果:治療組總有效率93.3%,對(duì)照組90.0%,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。兩組治療后PSQI評(píng)分均顯著降低,與治療前比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);組間比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組不良反應(yīng)率低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 :推拿配合經(jīng)顱磁刺激治療腦卒中后失眠療效與艾司唑侖片相當(dāng),但不良反應(yīng)低。
[Abstract]:Objective: to observe the effect of massage combined with transcranial magnetic stimulation on insomnia after stroke. Methods: 60 patients with insomnia after stroke were randomly divided into observation group (n = 30) and control group (n = 30). The observation group used head massage combined with repeated transcranial magnetic stimulation to stimulate the meridians and acupoints of the head, while the control group took eszolam tablets. After two courses of treatment, the changes of Pittsburgh Sleep quality Index (PSQI) scores and adverse reactions were observed before and after treatment, and the efficacy of the two groups was evaluated. Results: the total effective rate of the treatment group was 93. 3%, while that of the control group was 90. 0. The difference was not statistically significant (P 0. 05). The PSQI scores of the two groups were significantly decreased after treatment, and the difference was statistically significant compared with that before treatment (P 0.05), but there was no significant difference between the two groups (P 0.05). The adverse reaction rate in the observation group was lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: the curative effect of massage combined with transcranial magnetic stimulation on insomnia after stroke is similar to that of eszolam tablets, but the adverse reaction is low.
【作者單位】： 山東中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院;山東中醫(yī)藥大學(xué)第二附屬醫(yī)院;
【分類(lèi)號(hào)】：R244.1

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