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(xué)》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(xué)有效、操作簡(jiǎn)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(xué)附屬第一院針灸三科病房住院的患者60例;采用隨機(jī)數(shù)字表的分組方法將60例患者分為調(diào)督安神針?lè)ńM30例和對(duì)照組30例;治療組為普通中風(fēng)取穴+調(diào)督安神取穴,對(duì)照組:普通中風(fēng)取穴+教材失眠取穴。采用數(shù)學(xué)統(tǒng)計(jì)學(xué)方法統(tǒng)計(jì)治療組和對(duì)照組的治療前后各組的PSQI(匹茲堡量表)評(píng)分,SRSS(睡眠狀況自評(píng)量表)評(píng)分,NIHSS(神經(jīng)功能缺損評(píng)定)評(píng)分;評(píng)價(jià)其臨床療效。結(jié)果:1.兩組治療前PSQI(匹茲堡量表)評(píng)分組間比較P值大于0.05,在統(tǒng)計(jì)學(xué)上無(wú)意義;調(diào)督安神針?lè)ńM和對(duì)照組治療前和治療后組內(nèi)PSQI各因子評(píng)分量表比較P值均小于0.05,在統(tǒng)計(jì)學(xué)具有意義;治療后調(diào)督安神針?lè)ńM和對(duì)照組PSQI總評(píng)分比較P為0.00小于0.05,在統(tǒng)計(jì)學(xué)具有意義,有可比性。2.兩組治療前SRSS評(píng)分組間比較P值大于0.05,在統(tǒng)計(jì)學(xué)上無(wú)意義;治療前和治療后兩組組內(nèi)SRSS評(píng)分比較P值為0.00均小于0.05,在統(tǒng)計(jì)學(xué)上具有意義;治療組和對(duì)照組治療后組間SRSS評(píng)分P值為0.00,其小于0.05,在統(tǒng)計(jì)學(xué)具有意義,有可比性。3.調(diào)督安神針?lè)ńM和對(duì)照組治療前NIHSS評(píng)分組間比較P值大于0.05,在統(tǒng)計(jì)學(xué)上無(wú)意義;治療前調(diào)督安神針?lè)ńM和對(duì)照組與治療后組內(nèi)NIHSS評(píng)分比較P值為0.00均小于0.05,在統(tǒng)計(jì)學(xué)上具有意義;治療組和對(duì)照組治療后組間NIHSS評(píng)分P值為0.01,其小于0.05,在統(tǒng)計(jì)學(xué)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(jì)學(xué)上具有意義,有可比性。結(jié)論:1、治療組與對(duì)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(píng)分、SRSS量表評(píng)分、NIHSS量表評(píng)分、睡眠療效方面都明顯優(yōu)于對(duì)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(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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