【摘要】 目的观察"调阴阳、和营卫"法对中风后失眠病人睡眠质量的影响。方法选取2018年1月—2019年12月北京中医医院怀柔医院脑病科住院且符合纳入标准的病人100例,脱落7例,共纳入93例,随机分为治疗组(47例)与对照组(46例)。两组基础治疗相同,对照组服用艾司唑仑1 mg,每晚睡前30 min服用,每日1次;治疗组服用"调阴阳、和营卫"中药,早卯时(06:00)、晚酉时(19:00)各服1次。两组疗程均为4周。采用匹兹堡睡眠质量指数量表(PSQI)评价受试者的睡眠质量,观察两组治疗前、治疗后28 d PSQI评分变化,比较两组临床疗效。结果对照组治疗后睡眠质量、入睡时间及总分较治疗前明显降低(P<0.05或P<0.01);治疗组治疗后睡眠质量、入睡时间、睡眠效率、睡眠障碍、安眠药物使用、日间功能及总分均较治疗前明显降低(P<0.05或P<0.01);治疗组治疗后睡眠质量、睡眠效率、安眠药物使用、日间功能及总分均低于对照组(P<0.05或P<0.01)。治疗组总有效率为93.62%,高于对照组的73.91%,差异有统计学意义(P<0.01)。结论 "调阴阳、和营卫"法可有效治疗中风后失眠,改善病人睡眠质量,提高临床疗效。更多还原

【Abstract】 Objective To observe the therapeutic effect of "regulating Yin and Yang,harmonizing Ying and Wei" on insomnia after stroke.Methods A total of 100 patients who were admitted to Beijing Huairou Hospital of Traditional Chinese Medicine from January 2018 to December 2019 and met the inclusion criteria were selected,of which 7 cases were dropped out,and a total of 93 patients were included and divided into treatment group(47 cases) and control group(46 cases).The patients in control group were given estezolam 1 mg,once a day,30 minite before going to bed,the patients in treatment group were given "regulating Yin and Yang,harmonizing Ying and Wei" Chinese medicine,in early Mao time(06:00) and late Unitary time(19:00) last for 4 weeks.The quality of sleep was evaluated by Pittsburgh Sleep Quality Index(PSQI).The PSQI scores before and 28 days after treatment and curative effect were compared between two groups.Results In control group,the sleep quality,sleep time scores,and total scores of PSQI significantly decreased after treatment(P<0.05 or P<0.01).After treatment,the sleep quality,sleep time,sleep efficiency,sleep disorder,application of sleeping drugs,daytime function scores,and total scores of PSQI in treatment group significantly decreased compared with those before treatment(P<0.05 or P<0.01).After treatment,the sleep quality,sleep efficiency,application of sleeping drugs,daytime function scores,and total scores of PSQI in treatment group were lower than those in control group(P<0.05 or P<0.01).The total effective rate of treatment group was 93.61%,which was higher than that of control group(78.26%),and the difference was statistically significant(P< 0.01).Conclusion The method of "regulating Yin and Yang,and harmonizing Ying and Wei" was effective in the treatment of insomnia patients after stroke.更多还原