Clinical Study Of Acupuncture Combined With Massage Regulates The Mind In The Treatment Of Insomnia After Ischemic Stroke

Objective: By observing the indicators of insomnia after ischemic stroke(heart and spleen deficiency type)treated with the " acupuncture combined with massage regulate the mind " and the oral Chinese medicine Ren Can Gui Pi Wan,we explored the exact efficacy and advantages of the "acupuncture and massage method" in treating this disease,and provided a reference for the clinical application of Chinese medicine.This study was conducted to explore the efficacy and advantages of the "acupuncture and massage combined with the method of toning the mind" in the treatment of this disease,and to provide a reference for the clinical application of Chinese medicine.Methods: 72 patients who met the inclusion criteria were numbered according to the order of consultation and divided into treatment and control groups by the random number method,with 36 cases in each group.Both groups received conventional treatment for stroke.The treatment group also received "acupuncture combined with massage regulate the mind",while the control group received the oral Chinese medicine Ren Can Gui Pi Wan(Tong Ren Tang,Sinopharm quasi-word:Z11020104).After 4 weeks of treatment,the scores of Pittsburgh Sleep Quality Index(PSQI),Insomnia Severity Index(ISI)and TCM symptoms and signs before and after treatment were compared between the two groups,and the clinical efficacy of the two groups was analyzed.Results.1.There was no significant difference in basic information between the two groups(P > 0.05).There was no significant difference in PSQI score,ISI score and TCM symptom and sign score between the two groups before treatment(P > 0.05),indicating that they were comparable.2.In the two groups,there were significant differences in PSQI score,ISI score and TCM symptom and sign score before and after treatment(P < 0.05),and the scores after treatment were lower than those before treatment.3.Significant differences were found in the scores of PSQI,ISI and TCM symptoms and signs between the two groups after treatment(P < 0.05),and the scores in the treatment group were lower than those in the control group after treatment.4.After the treatment,the total effective rate in the treatment group was 88.57%.The total effective rate of the control group was 76.47%.There was a significant difference in curative effect evaluation between the two groups(P < 0.05).Conclusion.1.Both treatment modalities in the treatment group and the control group could effectively improve the clinical symptoms of insomnia after ischemic stroke(heart and spleen deficiency type),and the overall clinical effect of the treatment group was better than that of the control group.2.The treatment group was more effective in improving three aspects of sleep duration,sleep disturbance and daytime dysfunction,and was significantly better than the control group.