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[目的]探讨中药离子导入在老年脑卒中后失眠病人中的应用及效果。[方法]采用便利抽样法收集2015年5月—2016年5月在我院诊断为脑卒中后失眠的老年病人83例,按住院号随机分为观察组和对照组。对照组给予常规干预,观察组在对照组基础上给予中药离子导入,干预4周后评定老年病人的主客观睡眠状况及疗效。[结果]干预后观察组匹兹堡睡眠质量指数(PSQI)得分为8.90分±4.75分,较之前下降了4.98分,低于对照组12.56分±5.31分(t=3.311,P=0.001);观察组较对照组入睡潜伏期缩短,总睡眠时间增加,睡眠疗效显著优于对照组(Z=634.500,P=0.030)。[结论]常规护理基础上采用中药离子导入,可缩短老年脑卒失眠病人睡眠潜伏期,提高睡眠效率和睡眠质量。
[Objective] To investigate the application and effect of iontophoresis of traditional Chinese medicine in patients with insomnia after stroke in senile patients. [Methods] 83 cases of elderly patients diagnosed as post-stroke insomnia in our hospital from May 2015 to May 2016 were collected by convenience sampling method and randomly divided into observation group and control group according to hospitalization. The control group was given routine intervention. The observation group was given iontophoresis on the basis of the control group, and the subjective and objective sleep conditions and therapeutic effects were evaluated in the elderly patients after intervention for 4 weeks. [Results] After the intervention, the Pittsburgh Sleep Quality Index (PSQI) score of the observation group was 8.90 ± 4.75 points, which was 4.98 points lower than before and 12.56 points ± 5.31 points lower than the control group (t = 3.311, P = 0.001) Compared with the control group, the latent period of falling asleep was shorter and the total sleep time was longer than that of the control group (Z = 634.500, P = 0.030). [Conclusion] The conventional nursing based on the traditional Chinese medicine iontophoresis can shorten the sleep latency of elderly patients with stroke and stroke, and improve the sleep efficiency and sleep quality.