扶阳罐温灸刮疗法联合耳部三联疗法在卒中后失眠中的应用效果OA
The Application Effect of Fuyang Cupping Warm Moxibustion Scraping Therapy Combined with Auricular Triple Therapy in Insomnia after Stroke
目的:探讨扶阳罐温灸刮疗法联合耳部三联疗法治疗卒中后失眠患者的效果,为临床优化卒中后失眠的中医干预方案提供循证依据.方法:选取连云港市中医院2024年10月—2025年10月收治的130例卒中后失眠患者,随机分为 A 组与 B 组,各 65 例.两组均遵医嘱接受常规基础治疗,A 组增加耳部三联疗法,B 组在 A 组基础上增加扶阳罐温灸刮疗法,两组均治疗 4 周.比较两组治疗前后的睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]、多导睡眠监测参数(总睡眠时间、睡眠效率、睡眠潜伏期、觉醒次数)、焦虑抑郁情绪(SAS、SDS 评分),以及临床疗效、不良反应发生率.结果:B 组治疗后的 PSQI各维度评分及总分均低于 A 组(P<0.05);B 组总睡眠时间长于 A 组,睡眠效率高于 A 组,睡眠潜伏期短于 A 组,觉醒次数少于 A 组(P<0.05);B 组治疗后的 SAS、SDS 评分均低于 A 组(P<0.05);B 组治疗总有效率高于 A 组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:扶阳罐温灸刮疗法联合耳部三联疗法,可有效改善卒中后失眠患者的睡眠质量,调节睡眠结构,缓解焦虑抑郁情绪,疗效确切且安全性良好.
Objective:To explore the effect of Fuyang cupping warm moxibustion scraping therapy combined with auricular triple therapy in the treatment of patients with insomnia after stroke,and to provide evidence-based basis for optimizing the traditional Chinese medicine intervention plan for insomnia after stroke in clinical.Method:A total of 130 patients with insomnia after stroke admitted to Lianyungang Hospital of Traditional Chinese Medicine from October 2024 to October 2025 were selected and randomly divided into group A and group B,with 65 cases in each group.Both groups received conventional basic treatment as prescribed by the doctor,group A added the auricular triple therapy,and group B added the Fuyang cupping warm moxibustion scraping therapy on the basis of group A.Both groups were treated for 4 weeks.The sleep quality[Pittsburgh sleep quality index(PSQI)score],polysomnography parameters(total sleep time,sleep efficiency,sleep latency,number of awakenings),anxiety and depression(SAS,SDS score)before and after treatment,clinical efficacy and incidence of adverse reactions between the two groups were compared.Result:The scores of each dimension and the total score of PSQI in group B after treatment were lower than those in group A(P<0.05).The total sleep time of group B was longer than that of group A,the sleep efficiency was higher than that of group A,the sleep latency was shorter than that of group A,and the number of awakenings was less than that of group A(P<0.05).The SAS and SDS scores of group B after treatment were both lower than those of group A(P<0.05).The total effective rate of group B was higher than that of group A(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of Fuyang cupping warm moxibustion scraping therapy and auricular triple therapy can effectively improve the sleep quality of patients with insomnia after stroke,regulate sleep structure,and relieve anxiety and depression,the therapeutic effect is definite and the safety is good.
龚璇;卞光美
连云港市中医院脑病科 江苏 连云港 222000连云港市中医院脑病科 江苏 连云港 222000
医药卫生
扶阳罐温灸刮疗法耳部三联疗法卒中后失眠睡眠质量焦虑抑郁
Fuyang cupping warm moxibustion scraping therapyAuricular triple therapyInsomnia after strokeSleep qualityAnxiety and depression
《中国医学创新》 2026 (23)
102-106,5
南京医科大学康达学院科研发展基金课题(KD2024KYJJ096)
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