[1] LI Feng REN Yingjie WAN Chao HUANG Jinliang MA Junjie YAN Jun ZHENG Su,.Clinical Study of Foot Bathing Combined with Ear Point Pressing Bean on Patients with Insomnia of Heart Kidney Disharmony After Stroke [J]. Modern Traditional Chinese Medicine, 2021, (05): 81-84. [doi: 10.13424/j.cnki.mtcm.2021.05.015]
Clinical Study of Foot Bathing Combined with Ear Point Pressing
Bean on Patients with Insomnia of Heart Kidney
Disharmony After Stroke
- Article number:
- 1672-0571(2021)05-0081-04
- Keywords:
- Foot bathing with traditional Chinese medicine; Pressing beans at ear points; Insomnia; Stroke; Heart kidney disharmony
- ZTFLH:
- R256.23?
- Code:
- A
- Abstract:
- Objective To observe the clinical effect of foot bathing combined with ear point pressing bean on patients with insomnia of heart kidney disharmony after stroke.Methods 60 patients with insomnia of heart kidney disharmony after stroke were randomly divided into control group and treatment group，with 30 cases in each group.The treatment group was treated with foot bathing with traditional Chinese medicine and pressing beans at ear points;The control group was treated with oral estazolam tablets.Before and after treatment，Pittsburgh Sleep Scale (PSQI)，Hamilton Anxiety Scale (HAMA)，Hamilton Depression Scale (HAMD)，TCM symptomatic indexes and sleep efficiency were used to evaluate the sleep quality of the two groups.Spss20.0 statistical software was used for processing，t-test was used for measurement data，and chi square test was used for counting data.Results There were significant differences in PSQI，HAMA，HAMD，TCM syndrome analysis and sleep efficiency between the two groups before and after treatment (P<0.05).Comparison between the treatment group and the control group after treatment: the treatment group was better than the control group，and there was significant difference between the two groups (P<0.05).Conclusion Foot bathing combined with auricular bean pressing is an effective method for the treatment of insomnia with heart kidney disharmony after stroke.
References:
［1］韦颖辉.脑卒中后睡眠障碍的病因及危险因素分析\[J\].世界睡眠医学杂志,2018,5(2):149-151.
［2］王雪霞,张洪雷.“三神针”治疗中风后失眠\[J\].中医学报,2020,35(3):666-670.
［3］张鹏，李雁鹏，吴惠涓，等.中国急性缺血性脑卒中诊治指南 2014\[J\].中华神经科杂志,2015,48(4):246-257.
［4］中华医学会神经病学分会中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南 2015\[J\].中华神经科杂志,2015,48（8）：629-643.
［5］中华医学会神经病学分会,中华医学会神经病学分.中国成人失眠诊断与治疗指南(2017版)\[J\].中华神经科杂志,2018,51(5):324-335.
［6］中医中医科学院失眠症中医临床实践指南课题组.失眠症中医临床实践指南(WHO/WPO)\[J\].世界睡眠医学杂志,2016,3(1):8-25.
［7］郭丽娜,海英.原发性失眠相关标准及量表的选择与应用\[J\].江西中医药,2019,50(2):77-80．
［8］Satin JR,Linden W,Phillips MJ.Depression as a predictor of disease progression and mortality in cancer patients\[J\].Cancer,2009,115(22):5349-5361.
［9］Mcfarland DC,Jutagir DR，Rosenfeld B,et al.Depression and inflammation among epidermal growth factor receptor (EGFR) mutant nonsmall cell lung cancer patients\[J\].Psycho-Oncology,2019,28(7):1461-1469.
［10］罗辉,廖星,王茜.中医证候积分在疗效评价中的应用:基于240项随机对照试验的比较研究\[J\].中国中西医结合杂志,2015,35(10):1261-1266.
［11］柯庆宗.郁三针配合定神针治疗更年期睡眠障碍的临床研究\[D\]．广州：广州中医药大学,2015：27.
［12］邢雨胜.耳穴贴压治疗中风后失眠32例\[J\].保健医学研究与实践,2014,11(2)：41-43.
［13］刘娜,张子丽.耳穴揿针联合西药治疗脑卒中后失眠临床观察\[J\].浙江中医药大学学报,2017,41(11):907-910.
［14］谢珊,吴华,徐秋霞,等.耳穴贴压法对于脑卒中后抑郁伴失眠的临床效果与分析\[J\].国际精神病学杂志,2017,44(6)：1057-1059.
［15］兰颖,吴曦，吴利,等.古今理论结合谈耳穴治疗失眠的选穴规律\[J\].时珍国医国药,2015,26(2):426-428.
［16］樊思恩,赵华.针刺治疗失眠研究进展\[J\].新疆中医药,2018,36(2):133-136.
［17］姜岳波,关玲,毕玲玲.宁心安神揿针结合耳穴治疗失眠的疗效分析\[J\].针灸临床杂志,2018,34(11):6-10.
［18］许银英.耳穴埋豆联合中药沐足改善失眠的效果观察\[J\].实用糖尿病杂志,2017,13(1):19-20.
［19］黄晶晶，李园，王文莲，等.中药沐足联合耳穴压豆治疗2型糖尿病伴失眠患者的疗效观察\[J\].中医临床研究，2019，11(7):129-131.
［20］高燕飞,邬雅平.穴位按摩结合中药足浴治疗老年住院患者失眠症65例观察［J］.浙江中医杂志,2015,50(7):530-531.
Memo
基金项目：深圳市宝安区科技计划基础研究项目（2019JD250）