| Objective:To observe the clinical effect of Ziyin Qianyang acupuncture on insomnia after stroke.Methods:From October 2019 to November 2020,60 patients who met the inclusion criteria in the clinical department of acupuncture and moxibustion of the First Affiliated Hospital of Tianjin University of traditional Chinese medicine were selected.Randomly divided into two groups,30 cases in each group.Both groups were given routine treatment of stroke,combined with Xingnao Kaiqiao acupuncture.In the observation group,Zusanli,Xuehai,Taixi,Shenmen,Sishencong and Anmian were selected,while in the control group,the acupoint selection and operation of insomnia were referred to the tenth edition of acupuncture therapeutics edited by Gao Shuzhong,Acupuncture was given once a day,6 times a week for 2 weeks.The clinical efficacy was recorded before and after treatment,PSQI and SRSS scale were used to evaluate the sleep quality of patients,NIHSS and BI scale were used to evaluate the nerve and activities of daily living.SPSS 23.0 software package was used to deal with the data.It was considered that P < 0.05 had statistical difference.Results:1.Before treatment,the gender,age,stroke type and course of disease of the two groups were consistent(P > 0.05),but there was no significant difference in PSQI,SRSS,NIHSS and BI scores(P > 0.05).2.After treatment,the total effective rate of the observation group was 93.33%,and that of the control group was 80.00%,both groups had effect;there was difference in the effect between the two groups(P < 0.05),and the effect of Ziyin Qianyang acupuncture was better.3.After treatment,PSQI,SRSS and NIHSS scores of the two groups were significantly decreased,and BI scores were increased(P < 0.05),which could improve sleep condition,improve activities of daily living,and help to restore neurological function;the observation group had a greater range of changes(P < 0.05),which could better promote the rehabilitation of the disease,better than the control group.Conclusion:1.Ziyin Qianyang acupuncture and conventional acupuncture can increase sleep quality,reduce the frequency of insomnia,reduce brain damage,promote the improvement and rehabilitation of neurological function,and improve the quality of daily life.2.Ziyin Qianyang acupuncture has definite curative effect.It has better therapeutic effect on insomnia after stroke.It can reduce the discomfort of patients and reduce the dependence on hypnotic drugs,which is better than conventional acupuncture. |