醒脑开窍针刺法结合灵龟八法治疗脑卒中后昼间嗜睡

王文熠1，王锋2*

(1.天津中医药大学，天津 300193；2.天津中医药大学第一附属医院针灸特需科，天津 300193)

摘要：目的观察醒脑开窍针刺法结合灵龟八法治疗脑卒中后昼间嗜睡的临床疗效。方法将70例脑卒中后昼间嗜睡患者随机分为治疗组和对照组，治疗组予醒脑开窍针刺法结合灵龟八法治疗，对照组予醒脑开窍结合药物治疗，比较2种治疗方案对患者Epworth嗜睡量表(ESS)评分、匹兹堡睡眠量表质量指数(PSQI)的影响及临床疗效。结果治疗4周后，2组患者的ESS评分和PSQI评分均较治疗前改善，差异有统计学意义(P<0．01)；治疗组ESS评分改善情况优于对照组(P<0．01)，2组PSQI评分改善情况无统计学意义(P>0．05)，治疗组总有效率高于对照组(P<0．05)。结论醒脑开窍针刺法结合灵龟八法改善脑卒中后昼间嗜睡患者夜间睡眠质量的效果与药物相近，同时可更有效地改善白天嗜睡的症状。

关键词：灵龟八法；醒脑开窍针刺法；昼间嗜睡；脑卒中

DOI:10.13463/j.cnki.jlzyy.2015.11.029

中图分类号：R246．6文献标志码： A

作者简介：王文熠(1987-)，男，博士研究生，主要从事针灸临床研究。

*通信作者：王锋，电话-13820381233，电子信箱-1402529570@qq.com

Therapeutic “XNKQ” acupuncture therapy with “LGBF” acupuncture

on post-stroke excessive daytime sleepiness

WANG Wenyi1, WANG Feng2*

(1.Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China；

2.Dutpatient Department of Acupuncture,The First Affiliated Hospital of Tianjin University of TCM,

Tianjin 300193,China)

Abstract：ObjectiveTo investigate the therapeutic effect of “XNKQ” acupuncture therapy with “LGBF” acupuncture on post-stroke EDS. MethodsSeventy patients diagnosed definitely with post-stroke excessive daytime sleepiness were randomly allocated to treatment and control groups, each group had 35 cases. The treatment group received “XNKQ” acupuncture therapy with “LGBF|” acupuncture and the control group received “XNKQ” acupuncture therapy plus medication. Compared with the two kind of treatments' influence to the ESS、PSQI and clinical symptom. ResultsAfter treatment of 4 weeks, in both groups the ESS and PSQI were better than those before treatment(P<0.01); after treatment the ESS and total efficacy rate of treatment group were better than control group(P<0.01), but the two groups' PSQI showed no significant difference (P>0.05). The treatment group total effective rate was higher than control group (P < 0.05). Conclusion“XNKQ” acupuncture therapy with “LGBF” acupuncture can effectively improve the ESS assessment and clinical symptom of post-stroke excessive daytime sleepiness patients, and has similar effect with medication on improve patients' sleep quality at night.

Keywords：“LGBF” acupuncture; “XNKQ” acupuncture therapy; excessive daytime sleepiness; stroke

昼间嗜睡(EDS)是脑卒中后的常见并发症，其主要表现为白天在安静或单调环境下，不分场合和时机的困乏嗜睡，症状表现为短暂发作性或慢性持续性，少数可周期性发作，通常伴有夜间睡眠质量下降和睡眠结构的改变。EDS是脑卒中后睡眠障碍的一种重要类型，其发病率仅次于睡眠呼吸暂停，约为40%[1]。已有的流行病学研究结果显示中老年人群中，EDS是脑卒中发病的独立危险因素之一[2]。脑卒中后EDS症状如不能得到改善，将阻碍患者的康复进程和导致不良预后。笔者应用醒脑开窍针刺法结合灵龟八法按时开穴治疗脑卒中后EDS患者，取得较好的临床疗效，现报道如下。……