“调神潜阳”针刺法对伴有高血压的卒中相关睡眠障碍患者血压及睡眠质量的影响

目的:观察"调神潜阳"针刺法对伴有高血压的卒中相关睡眠障碍(SSD)患者清晨血压、睡眠质量以及脑卒中神经功能恢复的影响。方法:将120例患者随机分为观察组(60例)和对照组(60例,脱落1例),两组均施以醒脑开窍针刺法(内关、水沟、三阴交、极泉、尺泽、委中),观察组加用"调神潜阳"针刺法,针刺百会、四神聪深纳久留针5 h。每日针刺1次,每周5次,共治疗30次。检测两组患者治疗期间清晨血压;观察两组治疗前后匹兹堡睡眠质量指数(PSQI)、美国国立卫生研究院卒中量表(NIHSS)评分。结果:两组治疗后清晨收缩压(SBP)均较治疗前降低(P<0.05),观察组治疗后清晨舒张压(DBP)较治疗前降低(P<0.05),且观察组清晨SBP、DBP低于对照组(P<0.05)。观察组治疗后PQSI总分、NIHSS评分均较治疗前降低(P<0.01,P<0.05),且观察组PQSI总分、NIHSS评分低于对照组(P<0.01,P<0.05),NIHSS减分率高于对照组(P<0.05)。结论:在醒脑开窍针刺法基础上,加用"调神潜阳"针刺法可明显改善伴有高血压的...

Effect of Tiaoshen Qianyang acupuncture on blood pressure and sleep quality in patients with stroke-related sleep disorders complicated with hypertension

Objective To observe the effect of Tiaoshen Qianyang acupuncture on morning blood pressure, sleep quality and post-stroke nerve function recovery in patients with stroke-related sleep disorders(SSD) complicated with hypertension. Methods A total of 120 patients were randomized into an observation group(60 cases) and a control group(60 cases, 1 case dropped off). Both groups were treated with Xingnao Kaiqiao acupuncture(Neiguan PC 6], Shuigou GV 26],Sanyinjiao SP 6], Jiquan HT 1], Chize LU 5] and Weizhong BL 40]). In addition, Tiaoshen Qianyang acupuncture was applied in the observation group, deep needling at Baihui(GV 20) and Sishencong(EX-HN 1) for 5 h. Once a day, 5 times a week, 30 times in total. The morning blood pressure was measured during treatment in the two groups, the Pittsburgh sleep quality index(PSQI) and National Institute of Health stroke scale(NIHSS) scores before and after treatment were observed in the two groups. Results Compared before treatment, the morning systolic blood pressure(SBP) after treatment were decreased in the two groups(P<0.05), and the morning diastolic blood pressure(DBP) after treatment was decreased in the observation group(P<0.05). The levels of SBP and DBP after treatment in the observation group were lower than the control group(P<0.05). Compared before treatment, the total score of PSQI and NIHSS score after treatment in the observation group were decreased(P<0.01, P<0.05), which were lower than the control group(P<0.01, P<0.05), the decreasing rate of NIHSS score in the observation group was higher than the control group(P<0.05). Conclusion On the basis of Xingnao Kaiqiao acupuncture, Tiaoshen Qianyang acupuncture could improve morning blood pressure and sleep quality for patients with SSD complicated with hypertension, promote the recovery of nerve function.