五音调神法对急性缺血性脑卒中病人创伤后应激障碍及睡眠质量的影响

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Abstract  Objective：To explore the effect of Wuyintiaoshen therapy on post-traumatic stress disorder（PTSD） and sleep quality in patients with acute ischemic stroke.Methods：A total of 68 patients with acute ischemic stroke secondary to PTSD admitted to the Rehabilitation Department of the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from March 2021 to March 2022 were selected as the research subjects.They were randomly divided into the Wuyintiaoshen group and the cognitive⁃behavioral therapy（CBT） group，with 34 cases each.Both groups received basic drug therapy and routine rehabilitation nursing.On the basis of this，the Wuyintiaoshen group received Yudiao Wuxing music combined with acupuncture at governor vessel acupoints（Baihui，Shenting，Yintang）；the CBT group received CBT treatment based on routine treatment.Before and after the treatment，the PTSD Checklist⁃Civilian Version（PCL⁃C），Pittsburgh Sleep Quality Index（PSQI），Hamilton Depression Rating Scale 17（HAMD⁃17），National Institutes of Health Stroke Scale（NIHSS） to evaluate and detect serum cortisol（Cor），norepinephrine（NE），and 5⁃hydroxytryptamine（5⁃HT）.Results：After the treatment，the scores of PCL⁃C，PSQI，HAMD⁃17，NIHSS，and serum levels of Cor and NE in the two groups were significantly lower than those before treatment，and the level of serum 5⁃HT was significantly higher than that before treatment（P<0.05）.The PCL⁃C，PSQI，and NIHSS scores and serum 5⁃HT levels of patients in the Wuyintiaoshen group were better than those in the CBT group（P<0.05）.Conclusions：The Wuyintiaoshen therapy could effectively reduce PTSD⁃related symptoms and improve sleep quality in patients with acute ischemic stroke by regulating the activity of the hypothalamic⁃pituitary⁃adrenal axis（HPA） and the levels of Cor，NE，and 5⁃HT.

Keywords  ischemic stroke； post⁃traumatic stress disorder； sleep quality； Wuxing music； acupuncture； nursing

摘要  目的：探讨五音调神法对急性缺血性脑卒中病人创伤后应激障碍（PTSD）及睡眠质量的影响。（剩余17258字）