李福强

摘要  目的：探究针刺五腧穴对脑梗死后患者睡眠质量的影响以改善脑梗死后患者睡眠质量。方法：选取2016年5月至2017年5月唐山市丰南区中医医院收治的脑梗死后睡眠障碍患者62例，按照随机数表法随机分为观察组和对照组，每组31例。观察组给予针刺五腧穴，对照组患者艾司唑仑，治疗共进行2个月。对2组患者临床疗效、治疗前后睡眠质量和睡眠情况进行比较。结果：治疗前，2组PSQI各方面评分差异均无统计学意义（ P >0.05）;治疗后，观察组患者PSQI各方面评分均低于对照组，差异均有统计学意义（ P <0.05）;治疗前2组患者睡眠情况差异无统计学意义（ P >0.05）;治疗后，观察组患者夜间觉醒次数、早醒延迟时间均低于对照组，差异有统计学意义（ P <0.05）。结论：针刺五腧穴可有效改善脑梗死后患者睡眠质量。

关键词  针刺;五腧穴;脑梗死;睡眠质量

中图分类号：R338.63 文献标识码：A  doi： 10.3969/j.issn.2095-7130.2018.10.002

Effect of Acupuncture at Wuji Points on Sleep Quality of Patients After Cerebral Infarction

Li Fuqiang

（Fengnan District Hospital of traditional Chinese medicine，Tangshan City，Tangshan，063300）

Abstract Objective： To explore the effect of acupuncture at Wuji points on sleep quality of patients after cerebral infarction to improve the sleep quality of patients after cerebral infarction. Methods： A Total of 62 patients with sleep disorders after cerebral infarction admitted to our hospital from May 2016 to May 2017 were selected.Patients were randomly divided into observation group and control group according to random number table method，31 cases in each group.The patients in the control group were given exisalam，and the observation group was given acupuncture at five acupoints for 2 months.The clinical efficacy，sleep quality and sleep status before and after treatment were compared between the two groups. Results： Before treatment，there was no significant difference in the scores of PSQI between the two groups（ P >0.05）.After treatment，the scores of PSQI in the observation group were lower than those in the control group，and the differences were statistically significant（ P <0.05）.There was no significant difference in sleep between the two groups before treatment（ P >0.05）.After treatment，the number of night awakening and early wake-up time in the observation group were lower than the control group，the difference was statistically significant（ P <0.05）. Conclusion： Acupuncture at Wuji Point can effectively improve the sleep quality of patients after cerebral infarction.

Key Words  Acupuncture; Wuji points; Cerebral infarction; Sleep quality

失眠是常見的一种睡眠障碍[1]。脑梗死是临床常见的一种多发病，多发于老年人，近年来，其发病率呈逐渐上升的趋势，脑梗死后患者易发睡眠障碍，是其发生率达60%[2]。脑梗死患者发生睡眠障碍会导致焦虑、抑郁等情绪的发生，还会导致注意力的涣散、记忆力的减退，不利于患者健康恢复[3]。故临床改善脑梗死后患者睡眠质量工作成为重中之重，目前，睡眠障碍的主要治疗方法包括非药物治疗和药物治疗，非药物治疗治疗费用高、占用时间长，药物疗法具有成瘾性、依赖性，故探究有效、安全的治疗方法对患者健康恢复具有重要意义[4]。有学者认为，针刺五腧穴可有效改善脑梗死后患者睡眠障碍，但无研究明确其治疗效果，故本研究对针刺五腧穴对脑梗死后患者睡眠质量的影响进行了探究。