目的 探讨香佩疗法对脑卒中后睡眠障碍患者的临床效果，为改善其睡眠状况提供方案。方法 2021年3月至2023年6月，采用便利选取福建省某三级甲等康复医院脑病康复科的脑卒中后睡眠障碍患者为研究对象，并将其随机分为观察组（n=40）和对照组（n=39）。两组均接受常规治疗、护理和康复训练，观察组给予佩戴中药香囊，对照组给予佩戴外观相同安慰剂香囊，干预时间4周，均在医院进行。每日21:00到次日7:00，患者睡眠时香囊距离头部30 cm以内，次日7:00后将香囊收纳包好、避免挥发。干预前及干预2周、4周后采用匹兹堡睡眠质量指数（Pittsburgh sleep quality index，PSQI）评估两组患者睡眠质量，干预2周、4周后比较两组患者的睡眠疗效。结果 除睡眠障碍及催眠药物外，两组患者PSQI的各项评分及总分在时间、组别及交互效应上的差异均有统计学意义（均P＜0.05）；干预4周后，观察组疗效标准临床有效率为82.50%优于对照组的48.72%，差异有统计学意义（P＜0.05）。结论 香佩疗法可改善脑卒中后睡眠障碍患者的睡眠质量，提高睡眠疗效，值得临床推广。

Objective To explore the clinical effects of Sachet-therapy in patients with post-stroke sleep disorders(PSSD),and to provide regimens for improving sleep conditions.Methods From March 2021 to June 2023,patients with PSSD in the Department of Neurological Rehabilitation of a tertiary A rehabilitation hospital in Fujian Province were selected by the convenience sampling method and randomly divided into an observation group(n=40) and a control group(n=39).Both groups received conventional treatment,nursing care and rehabilitation training.The observation group was given Traditional Chinese Medicine sachets,while the control group was given placebo sachets with the same appearance.The intervention lasted for 4 weeks and was all conducted in the hospital.From 21:00 to 7:00 the next day,the sachets were placed within 30 cm of the patients’ heads during sleep.After 7:00 the next day,the sachets were stored in a bag to avoid evaporation.The Pittsburgh Sleep Quality Index(PSQI) was used to assess the sleep quality of the patients in both groups before the intervention and at 2 and 4 weeks after the intervention.The sleep efficacy of the patients in both groups was compared at 2 and 4 weeks after the intervention.Results Except for sleep disorders and hypnotic drugs,the differences in the scores of each item and the total score of PSQI between the two groups in terms of time,group and interaction effect were all statistically significant(all P＜0.05).After 4 weeks of intervention,the clinical effective rate of the observation group was 82.50%,which was better than that of the control group(48.72%),and the difference was statistically significant(P＜0.05).Conclusions Sachet-therapy can improve the sleep quality of patients with PSSD,improve their sleep efficacy,and is worthy of clinical promotion.

R473.74；R248

福建省中青年教师教育厅科研项目（JAT220140）