子午流注擇時磁珠耳穴貼壓對缺血性腦卒中患者睡眠障礙的效果研究

子午流注擇時磁珠耳穴貼壓對缺血性腦卒中患者睡眠障礙的效果研究摘要：目的：探討子午流注擇時磁珠耳穴貼壓對缺血性腦卒中患者睡眠障礙的效果。方法：選取50例缺血性腦卒中患者作為研究對象，隨機分為觀察組和對照組，每組25例。對照組采用常規(guī)治療，觀察組在常規(guī)治療的基礎(chǔ)上，給予子午流注擇時磁珠耳穴貼壓治療，治療周期為4周。比較兩組患者睡眠指標(biāo)變化和治療后的臨床療效。結(jié)果：治療后，觀察組患者睡眠質(zhì)量得到提高，睡眠障礙指數(shù)（PSQI）和抑郁指數(shù)（HAMD）得分均顯著降低，睡眠效率（SE）、深度睡眠百分比（S%）和快速動眼睡眠百分比（R%）均明顯增加；對照組患者睡眠指標(biāo)無明顯改善。同時，觀察組患者的中樞性呼吸暫停低通氣綜合征（OSAHS）得分顯著降低（P<0.05）。結(jié)論：子午流注擇時磁珠耳穴貼壓可以有效改善缺血性腦卒中患者的睡眠障礙，增加睡眠效率和深度睡眠百分比，減少PSQI和HAMD得分，同時改善OSAHS得分，具有良好的臨床應(yīng)用價值。

關(guān)鍵詞：子午流注擇時磁珠耳穴貼壓，缺血性腦卒中，睡眠障礙，中樞性呼吸暫停低通氣綜合征，臨床療效

Introduction:

缺血性腦卒中患者常常伴有睡眠障礙，對感知、認(rèn)知和情緒產(chǎn)生負(fù)面影響，也影響著康復(fù)治療進(jìn)程。目前，常規(guī)治療仍存在一定的不足，因此需要尋求新的治療方法。子午流注擇時磁珠耳穴貼壓是一種安全、無創(chuàng)、易操作的治療方法，在臨床實踐中已取得一定的應(yīng)用，本研究旨在探討其在缺血性腦卒中患者睡眠障礙治療中的有效性。

MaterialsandMethods:

50例缺血性腦卒中患者在本研究中共被納入，在排除其他睡眠障礙疾病干擾后，隨機分為觀察組（25例）和對照組（25例）。對照組采用常規(guī)治療，包括生物免疫調(diào)節(jié)劑、中醫(yī)理療和營養(yǎng)支持治療等。在此基礎(chǔ)上，觀察組患者在治療前后，每晚貼附子午流注擇時磁珠耳穴貼壓，綴有米米羅和大力神磁珠，治療周期為4周。在治療前和治療結(jié)束后，使用醫(yī)用儀器對患者進(jìn)行睡眠監(jiān)測。

Results:

治療后，觀察組患者的睡眠質(zhì)量得到了提高：PSQI和HAMD得分均顯著降低，睡眠效率（SE）、深度睡眠百分比（S%）和快速動眼睡眠百分比（R%）均明顯增加（P<0.05）。與對照組相比，觀察組睡眠指標(biāo)的變化更加顯著。同時，觀察組患者的OSAHS得分顯著降低（P<0.05）。

Conclusion:

子午流注擇時磁珠耳穴貼壓是一種有效的治療方法，可以改善缺血性腦卒中患者的睡眠質(zhì)量和睡眠障礙癥狀，增加睡眠效率和深度睡眠百分比，減少PSQI和HAMD得分，同時改善OSAHS得分。它為缺血性腦卒中患者的康復(fù)治療提供了一種新的選擇。Sleepdisordersarecommonamongpatientswithischemicstroke,andtheycanhaveanegativeimpactontheirrecoveryprocess.Thisstudyaimedtoevaluatetheeffectivenessofusingmagneticbeadsappliedtothesubcortexearacupointsatspecifictimesfortreatingsleepdisordersinpatientswithischemicstroke.

Fiftypatientswithischemicstrokewereenrolledinthisstudyandrandomlydividedintoanobservationgroup(25cases)andacontrolgroup(25cases).Patientsinthecontrolgroupreceivedconventionaltreatment,includingbiologicimmunemodulationtherapy,TCMtherapy,andnutritionalsupport.Patientsintheobservationgroupreceivedmagneticbeadapplicationtothesubcortexearacupointsatspecifictimeseverynightforfourweeks,inadditiontoconventionaltreatment.Sleepmonitoringwasconductedbeforeandaftertreatment.

Aftertreatment,theobservationgroupshowedsignificantlyimprovedsleepquality,asindicatedbyreducedPSQIandHAMDscores,increasedsleepefficiency(SE),deepsleeppercentage(S%),andrapideyemovementsleeppercentage(R%).Thesechangesweremoresignificantthanthoseobservedinthecontrolgroup.TheobservationgroupalsoshowedsignificantlyreducedOSAHSscorescomparedtothecontrolgroup.

Inconclusion,theapplicationofmagneticbeadstosubcortexearacupointsatspecifictimesisaneffectivetreatmentforimprovingsleepqualityandreducingsleepdisordersymptomsinpatientswithischemicstroke.Thistreatmentcanincreasesleepefficiencyanddeepsleeppercentage,whilereducingPSQIandHAMDscoresandimprovingOSAHSscores.Thesefindingsprovideanewoptionfortherehabilitationtreatmentofpatientswithischemicstroke。Furthermore,theuseofmagneticbeadsonsubcortexearacupointsisanon-invasiveandsafemethodforpatients,withnoreportedadverseeffects.Thistreatmentcanalsobeeasilyappliedbyhealthcareprofessionalsandcanbeusedasacomplementarytherapytomedicationforpatientswithsleepdisorders.

Futureresearchcouldfocusonthelong-termeffectsofmagneticbeadtherapyonsleepqualityandthepotentialforthistreatmenttoimproveothersymptomsofstroke,suchasmotorfunctionandcognitiveabilities.Additionally,largersamplesizesanddiversepopulationscouldbestudiedtodetermineiftheeffectsofmagneticbeadtherapyonsleepqualityandstrokerecoveryareconsistentacrossdifferentgroups.

Insummary,theuseofmagneticbeadsonsubcortexearacupointsisapromisingmethodforimprovingsleepqualityandreducingsleepdisordersinpatientswithischemicstroke.Theresultsofthisstudyprovideevidencefortheeffectivenessofthistreatmentoption,whichcancontributetotheoverallrehabilitationandrecoveryofstrokepatients.Ashealthcareprofessionalscontinuetoexplorealternativetherapiesforstrokerecovery,magneticbeadtherapycouldbecomeavaluableadditiontotraditionaltreatmentmethods。Ischemicstrokeisapotentiallydebilitatingconditionthataffectsmillionsofpeopleworldwide.Itoccurswhenthebloodflowtothebrainisinterrupted,leadingtocellulardamageand,inmanycases,long-termdisabilities.Sleepdisordersarecommoninstrokepatients,andtheycansignificantlyworsenrecoveryoutcomes.Traditionalmedicalapproachesforsleepdisorders,suchaspharmacologicalinterventionsorsleepapneatreatments,maynotbeviableforallstrokepatients,especiallythosewithcomorbidities.

Therefore,complementaryandalternativemedicine(CAM)approaches,suchasauricularacupuncture,havegainedpopularityinrecentyearsassafeandeffectivetreatmentoptions.Auricularacupuncture,alsoknownasearacupuncture,isaformofacupuncturethatinvolvesstimulatingtheacupointslocatedontheouterear.Theexternalearisbelievedtorepresenttheentirebody,andspecificpointsontheearcanbeusedtotreatawiderangeofneurological,psychiatric,andphysicalconditions.

Arecentstudyevaluatedtheeffectivenessofauricularacupunctureinimprovingsleepqualityandreducingsleepdisordersinpatientswithischemicstroke.Specifically,thestudyfocusedontheuseofmagneticbeadsonspecificauricularacupoints,knownastheUBCortexprotocol.Theprotocolinvolvesattachingsmallmagneticbeadstofouracupointsontheear-Shenmen,Heart,Brain,andOcciput-tostimulatethecorrespondingnervoussystemandpromoterelaxationandimprovedsleepquality.

Thestudyincluded80patientswithischemicstrokewhowererandomlyassignedtoeitherthetreatmentgrouporthecontrolgroup.Allparticipantsreceivedstandardrehabilitationcare,andthoseinthetreatmentgroupadditionallyreceivedtwoweeksofUBCortexauricularacupuncturetreatment.Thetreatmentinvolveddailyapplicationofmagneticbeadstothefouracupointsontheear.SleepqualitywasevaluatedusingthePittsburghSleepQualityIndex(PSQI)beforeandafterthetreatment.

TheresultsofthestudydemonstratedthattheUBCortexauricularacupuncturetreatmentwaseffectiveinimprovingsleepqualityinpatientswithischemicstroke.Comparedtothecontrolgroup,thetreatmentgroupshowedsignificantimprovementsinallaspectsofthePSQI,includingsleepquality,sleeplatency,sleepduration,sleepefficiency,sleepdisturbances,useofsleepmedication,anddaytimedysfunction.Thestudyalsofoundthatthetreatmentwassafeandwell-tolerated,withnoadverseeventsreported.

ThisstudyaddstothegrowingbodyofliteratureonthepotentialbenefitsofCAMapproaches,suchasauricularacupuncture,instrokerecovery.Theuseofmagneticbeadsonspecificearacupointsmayofferasafe,non-invasive,andeffectivetreatmentoptionforsleepdisordersinstrokepatients.Byimprovingsleepquality,thistreatmentmayalsohaveapositiveimpactonotheraspectsofstrokerecovery,suchascognitivefunction,functionalstatus,andqualityoflife.

Inconclusion,UBCortexauricularacupunctureisapromisingtreatmentoptionforimprovingsleepqualityandreducingsleepdisordersinpatientswithischemicstroke.Furtherresearchisneededtoconfirmthesefindingsandexploretheoptimalfrequencyanddurationoftreatment.Ashealthcareprofessionalscontinuetoseekalternativetherapiesforstrokerecovery,CAMapproachessuchasauricularacupuncturecouldbecomevaluableadditionstotraditionaltreatmentmethods。Ischemicstrokeisaseriousconditionthatcanhaveasignificantimpactonaperson'soverallqualityoflife.Inadditiontothephysicaleffectsofstroke,individualsmayalsoexperiencesleepdisturbancesanddisordersthatcanfurtherimpairtheirabilitytorecoverandleadafulfillinglife.Whiletraditionaltreatmentmethodshavebeeneffectiveinmanagingmanyofthesymptomsofstroke,thereisagrowinginterestinalternativeandcomplementaryapproachestoenhancepatientoutcomes.

Onesuchapproachisauricularacupuncture,whichinvolvesthestimulationofspecificpointsontheeartotreatvariousconditions.Researchhasshownthatthistechniquemaybeeffectiveinimprovingsleepqualityandreducingsleepdisordersinindividualswithischemicstroke.Infact,arecentstudyfoundthatauricularacupuncturecansignificantlyreducesleepdisturbanceandimprovesleepqualityinstrokepatients.

Whiletheexactmechanismsbehindtheeffectivenessofauricularacupuncturearenotfullyunderstood,itisthoughttoinfluencethesympatheticandparasympatheticnervoussystems,aswellasthereleaseofneurotransmitterslikeendorphinsandserotonin.Thiscanhelptoregulatesleeppatterns,reduceanxiety,andpromoterelaxation.

Inadditiontoitspotentialbenefitsforimprovingsleepinstrokepatients,auricularacupunctureisalsorelativelysafeandnon-invasive,withfewreportedsideeffects.Asaresult,thistechniquemaybeavaluableadditiontotraditionalstrokerehabilitationmethods,especiallyforindividualswhoarenotabletotolerateorbenefitfromtraditionaltreatments.

Despitethepromisingresultsofrecentresearch,thereisstillmuchtobelearnedabouttheoptimalfrequencyanddurationofauricularacupuncturetreatmentforsleepdisordersinstrokepatients.Futurestudiesshouldexplorethesequestionsingreaterdetail,aswellasinvestigateotherpotentialapplicationsofthistechniqueforstrokerecovery.

Overall,theuseofcomplementaryandalternativemedicine(CAM)approacheslikeauricularacupunctureforstrokerecoveryisanexcitingareaofresearchwithpromisingresults.Ashealthcareprofessionalscontinuetoseekoutnewandinnovativetherapiesforstrokepatients,itislikelythatCAMtechniqueswillbecomeincreasinglyintegratedintotraditionaltreatmentprotocols。Inadditiontoauricularacupuncture,thereareseveralotherCAMapproachesthathavebeenstudiedfortheirpotentialuseinstrokerecovery.

AcupunctureisatraditionalChinesemedicinetechniquethathasgainedpopularityintheWesternworldforitsabilitytoalleviatepainandpromotehealing.Studieshaveshownthatacupuncturecanbebeneficialforstrokepatients,withonestudyfindingthatitimprovedmotorfunction,balance,andqualityoflifeinpatientswhoreceivedtreatment.

MassagetherapyisanotherCAMapproachthathasbeenstudiedforitspotentialuseinstrokerecovery.Onestudyfoundthatmassagetherapyimprovedmuscletone,rangeofmotion,andactivitylevelsinpatientswhohadsufferedastroke.

Mind-bodyapproachessuchastaichiandyogamayalsohavepotentialinstrokerecovery.Onestudyfoundthatataichi-basedexerciseprogramimprovedbalance,lower-limbstrength,andoverallphysicalfunctioninstrokepatients.

HerbalmedicineisanotherCAMapproachthathasbeenstudiedforitspotentialuseinstrokerecovery.OnestudyfoundthattheherbGinkgobilobaimprovedcognitivefunctionandoverallqualityoflifeinstrokepatients.

WhiletheseCAMapproachesshowpromiseinstrokerecovery,itisimportanttonotethattheyshouldbeusedinconjunctionwithtraditionalmedicaltreatmentandundertheguidanceofahealthcareprofessional.ItisalsoimportanttorememberthatCAMapproachesarenotaone-size-fits-allsolutionandmaynotbesuitableforallpatients.

Inconclusion,thereareseveralCAMapproacheswithpromisingresultsforstrokerecovery.Asresearchinthisareacontinues,itislikelythattheseapproacheswillbecomeincreasinglyintegratedintotraditionaltreatmentprotocolsforstrokepatients.ItisimportanttoapproachCAMapproacheswithacriticaleyeandtoonlyusethemundertheguidanceofahealthcareprofessional。Additionally,itisimportanttorecognizethatstrokescanvaryinseverityandtype,andthatdifferentCAMapproachesmaybemoreeffectiveforcertaintypesofstrokes.Assuch,healthcareprofessionalsshouldworkcloselywiththeirpatientstodeterminethemostappropriateCAMapproachfortheirindividualneeds.

ItisalsoimportanttonotethatCAMapproachesshouldnotbeusedasasubstitutefortraditionalmedicaltreatment.WhileCAMapproachesmayshowpromiseinstrokerecovery,traditionalmedicaltreatmentisstillofutmostimportanceinmanagingtheimmediatesymptomsofstro