| Objective:To observe the clinical efficacy of awakening acupuncture combined with auricular acupuncture in the treatment of insomnia after stroke,and to explore the feasibility of awakening acupuncture combined with auricular acupuncture as non-pharmacological treatment or drug replacement therapy.Methods:Sixty patients with post-stroke insomnia who met the diagnostic criteria were divided into 30 patients in the treatment group and 30 in the control group according to the randomized numerical table method.Both groups were treated according to the stroke expert consensus guidelines and the basic treatment of stroke neurology with the basic treatment of acupuncture,based on which the treatment plan of the treatment group was awakening acupuncture + auricular acupuncture,awakening acupuncture was treated once a day in the morning,6 times a week,with rest on Sunday,1 week as a course of treatment,a total of 4courses of treatment;auricular acupuncture was unilateral auricular acupuncture buried acupuncture,2 times a week,each time to stay acupuncture After the auricular acupuncture needles were buried,the patients had one buried acupuncture point pressed after three meals and at 9:00 pm every night.In the control group,the treatment regimen was zopiclone capsules 7.5 MG QN,administered at night before bedtime,and the medication was taken from Monday to Saturday and stopped on Sunday,and the patients’ sleep quality was assessed after 4 courses of treatment.The Pittsburgh Sleep Quality Inventory(PSQI)and polysomnography(PSG)were used to score the two groups of patients before enrollment and after 4 weeks of treatment for intra-group and inter-group controls,respectively,and the Clinical Research Guidelines for the Treatment of Insomnia with New Chinese Medicines were used as the overall efficacy evaluation index.Results:A total of 60 patients were included in this experiment,and finally 60 patients completed the clinical trial observation,and there were no shedding cases in the 2 groups,and their results were as follows.1.The PSQI scores of the two groups were compared,and the scores of both groups were significantly lower after treatment than before treatment(P < 0.01),and the efficacy of the treatment group was better than that of the control group,and the difference was statistically significant(P < 0.05).2.The total clinical efficacy was 93.33%(28/30)in the treatment group and 90.00%(27/30)in the control group.The difference between the two groups was not statistically significant(P > 0.05),but there was a statistically significant increase in the treatment group compared to the control group(P < 0.05).3.Total sleep time,sleep efficiency,fast-acting eye sleep and N3+N4 were significantly higher in the treatment group than in the control group [(400.33±47.21)min vs.(372.90±52.01)min,P=0.037;(76.7±9.4)% vs.(70.7±10.1)%,P=0.041;(24.19±4.24)vs.(21.35±3.84),P=0.009;(24.91±3.81)vs.(22.28±3.36),P=0.006] sleep latency,number of awakenings and time to awakening were significantly lower than in the control group[(34.45±6.72)min vs.(39.09±10.37)min,P=0.045;(3.6± 2.078)vs.(5.4±2.0),P=0.001;(84.23±45.19)min vs.(108.53±47.39)min,P=0.047].Conclusion:1.Both groups can effectively improve the sleep structure and quality of insomnia patients after ischemic stroke,among which waking up the brain combined with auricular acupuncture is more effective.2.Both treatment groups improved the neurological function of insomnia patients after ischemic stroke to some extent,and the efficacy of both groups was comparable.3.The overall efficacy of the two groups was evaluated as comparable,but the healing rate of the awakening acupuncture combined with auricular acupuncture was better than that of the control group,indicating that it can be an effective therapeutic reference program for the treatment of post-stroke insomnia as an economical and safe treatment method without toxic side effects,and should be further promoted. |
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