[1]邢 越,孔令丽,李 樱,等.针刺五脏俞联合涌泉穴艾灸对脑卒中失眠患者血清5-HT、多巴胺水平的影响[J].陕西中医,2021,(12):1773-1775,1782.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.032]
 XING Yue,KONG Lingli,LI Ying,et al.Effect of acupuncture on Wuzang Shu combined with moxibustion at Yongquan point on serum 5-HT and DA levels in patients with cerebral apoplexy and insomniac[J].,2021,(12):1773-1775,1782.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.032]
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针刺五脏俞联合涌泉穴艾灸对脑卒中失眠患者血清5-HT、多巴胺水平的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年12期
页码:
1773-1775,1782
栏目:
针灸经络
出版日期:
2021-12-05

文章信息/Info

Title:
Effect of acupuncture on Wuzang Shu combined with moxibustion at Yongquan point on serum 5-HT and DA levels in patients with cerebral apoplexy and insomniac
作者:
邢 越孔令丽李 樱王淑杰
(黑龙江省中医药科学院,黑龙江 哈尔滨 150036)
Author(s):
XING YueKONG LingliLI YingWANG Shujie
(Heilongjiang Academy of Traditional Chinese Medicine,Harbin 150036,China)
关键词:
脑卒中 失眠 针刺 五脏俞 艾灸 神经递质
Keywords:
Stroke Insomnia Acupuncture Wuzang Shu Moxibustion Neurotransmitter
分类号:
R 255.2
DOI:
DOI:10.3969/j.issn.1000-7369.2020.12.032
文献标志码:
A
摘要:
目的:研究针刺五脏俞联合涌泉穴艾灸对脑卒中失眠患者血清5-羟色胺(5-HT)、多巴胺(DA)的影响。方法:80例脑卒中失眠患者按照随机数字表法将其分为观察组和对照组,每组40例。观察组予针刺五脏俞联合涌泉穴艾灸治疗,对照组予艾司唑仑治疗。比较两组临床疗效、中医证候积分、匹兹堡睡眠质量指数(PSQI)评分及血清5-HT、DA水平。结果:观察组治疗总有效率92.50%,高于对照组的75.00%,差异有统计学意义(P<0.05)。治疗后,观察组失眠、心烦、精神萎靡、入睡时间、睡眠时间、睡眠质量、睡眠效率评分和PSQI总分低于对照组,差异有统计学意义(均P<0.05)。治疗后,观察组5-HT高于对照组,DA低于对照组,差异有统计学意义(均P<0.05)。结论:针刺五脏俞联合涌泉穴艾灸可以改善脑卒中失眠睡眠质量,提高血清5-HT、降低血清DA水平。
Abstract:
Objective:To study effect of acupuncture Wuzang Shu combined with moxibustion at Yongquan point on serum levels of 5-hydroxytryptamine(5-HT)and dopamine(DA)in patients with cerebral apoplexy and insomnia.Methods:80 stroke insomnia patients were divided into observation group and control group according to random number table method,40 cases in each group.The observation group was treated with acupuncture Wuzang Shu combined with moxibustion at Yongquan point,while the control group was treated with estazolam.Clinical efficacy,TCM syndrome score,pittsburgh sleep quality index(PSQI)score,and serum 5-HT,DA levels were compared between the two groups.Results:The total effective rate of the treatment group was 92.50% higher than 75.00% of the control group,difference statistically significant(P<0.05).After treatment,the scores of insomnia,upset,depression,sleep time,sleep quality,sleep efficiency and PSQI score in the observation group were lower than those in the control group,difference statistically significant(all P<0.05).After treatment,the level of serum 5-HT in the observation group was higher than that in the control group,the level of serum DA in the observation group was lower than that in the control group,difference statistically significant(all P<0.05).Conclusion:Acupuncture Wuzang Shu combined with moxibustion at Yongquan point can improve sleep quality of stroke insomnia patients,improve serum 5-HT level,and reduce serum DA level.

参考文献/References:

[1] 赵立伟,李 芳.替罗非班联合丁苯酞治疗进展性脑卒中对患者P-selectin、CD63、CD62p水平及预后的影响[J].陕西医学杂志,2021,50(1):89-92.
[2] 蔡春霞.耳穴埋豆联合酸枣仁汤加减治疗卒中后失眠的疗效及对血清TNF-α的影响[J].现代中西医结合杂志,2017,18(26):103-105.
[3] 聂容荣,莫碧文,曾伟星,等.针灸对脑卒中后抑郁症患者血清5-HT、NE和BDNF水平的影响[J].西部医学,2017,29(6):808-812,816.
[4] 林悦佳,马朝晖,沈 虹,等.祛风化痰,活血通络法联合耳穴压豆治疗风痰上扰夹瘀型脑卒中后失眠症疗效观察[J].陕西中医,2017,38(7):852-853.
[5] 中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南[J].中国临床医生,2010,2(3):50-59.
[6] 中华医学会精神科学会.中国精神疾病分类方案与诊断标准[M].南京:东南大学出版社,1995:94-95.
[7] 国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[8] 周仲英.中医内科学[M].北京:中国中医药出版社,2011:148-149.
[9] 国家中医药管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:98-99.
[10] Buysse DJ,Iii C,Monk TH,et al.The pittsburgh sleep quality index:A new instrument for psychiatric practice and research[J].Psychiatry Research,1989,28(2):193-213.
[11] 许文杰,王 枫,周一心,等.脑卒中后失眠中西医病因机制初探[J].陕西中医,2020,41(1):134-136.
[12] 刘露阳,王鹏琴.眼针治疗卒中后失眠的随机对照研究[J].针刺研究,2017,42(1):67-71.
[13] 高 婷,潘 婕,刘婧斐,等.针刺治疗脑卒中后平衡功能障碍研究进展[J].陕西中医,2021,42(5):677-680.
[14] 段晓荣,田春艳,管 浩,等.五脏俞埋线结合耳穴压豆对围绝经期抑郁状态的影响[J].针灸临床杂志,2019,35(11):36-40.
[15] 张婉容,金园园.“引气归元针法”配合涌泉穴艾灸治疗心肾不交型围绝经期失眠症临床疗效观察[J].中国针灸,2018,38(12):1279-1282.
[16] 代利利,李秋芬,倪光夏.针刺五脏俞治疗慢性阻塞性肺疾病合并焦虑、抑郁临床观察[J].辽宁中医杂志,2020,47(12):157-159.
[17] 李欧静,王 凡.针刺五脏俞加膈俞配神门穴治疗女性更年期失眠临床研究[J].中国针灸,2018,38(5):469-472.
[18] 白树新,李 莉,王德斌,等.草酸艾司西酞普兰联合化瘀理气清热汤治疗脑卒中后抑郁疗效及对血清DA、5-HT及NE含量的影响[J].现代中西医结合杂志,2017,26(15):1644-1646.
[19] 蒙华琳,叶 琳,曹俊涛.金匮肾气丸对雄性失眠大鼠多巴胺和褪黑素的影响[J].海峡药学,2019,31(9):37-39.
[20] 司井夫,刘 峰,卜 渊,等.针刺推拿联合疏肝安神汤对失眠患者5-HT、DA水平及睡眠质量的影响[J].针灸临床杂志,2018,34(12):21-25.

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备注/Memo

备注/Memo:
基金项目:黑龙江省中医药科研项目(ZHY16-048)
更新日期/Last Update: 2021-12-09