Catgut Implantation At The Treatment Of Insomnia In Patients With Post-stroke Recovery Clinical Observation

Through the acute phase of stroke patients surviving after the regular functions of a variety of obstacles,such as hemiplegia,aphasia,emotional disorders,but insomnia is one of the most common complications.After stroke in patients with insomnia is also a direct impact on motor function recovery rate,the impact of the body to repair and function of the nervous system, affecting the efficacy of rehabilitation.Today's clinical insomnia patients for such type of sleeping pills were given to the stability,efficacy,though good,but has a dependency.And non-drug therapy such as acupuncture and moxibustion treatment of insomnia because of its non-toxic side effects, efficacy significantly in recent years,the rapid progress in clinical research.Therefore,the acupuncture and other non-drug treatment of insomnia in stroke patients to introduce the exact effect of the treatment of insomnia will be the rehabilitation of stroke recovery have important clinical significance.Objective:to observe the subject Catgut Implantation and recovery of stroke patients with acupuncture for treatment of insomnia in patients with clinical efficacy as well as the daily life of the relationship between the capacity to improve.Methods:The clinical observation of 60 cases of Chinese medicine are after stroke in patients with insomnia,the use of randomized controlled method is divided into treatment group and 30 cases of the control group.Insomnia treatment group were given acupuncture group points(Shenmen,with clearance, sedative-hypnotic,Baihui) approach combined with the treatment of acupuncture reinforcing-reducing Syndrome patients,needle to stay 20-30 minutes a day 1;At the same time points in pre-embedding,points election (Zusanli,Sanyinjiao,Blood,Hong Leong) embedding catgut,once a week,around the turn of the election point.Control group given acupuncture insomnia group points(Shenmen,with clearance,sedative-hypnotic,Baihui) approach combined with the treatment of acupuncture reinforcing-reducing Syndrome patients, needle to stay 20-30 minutes a day 1,three weeks for treatment.SPIEGEL Observation Scale before and after treatment of insomnia to improve the situation,as well as the ability of daily living ADL score scale to improve the situation.Results:After one-week course of treatment the treatment group the total effective rate was 13.33%,control group,the total effective rate was 10%, by X~2 analysis,P＞0.05,the difference was not statistically significant. Treatment two weeks after the treatment group the total effective rate was 40.00%,control group,the total effective rate was 40.00%,by X~2 analysis, P＞0.05,there was no significant difference on embedding combined with acupuncture treatment and control groups of insomnia patients no difference in efficacy of the initial two weeks.Three weeks after the treatment the treatment group the total effective rate was 80.00%,control group,the total effective rate was 53.33%,by X~2 analysis,P＜0.05,statistically significant difference on embedding plus acupuncture group treatment of insomnia in patients after three weeks more effective than acupuncture group.After three weeks after treatment shows that combining acupuncture embedding method is superior to simply improve the efficacy of acupuncture insomnia treatment of insomnia.Acupuncture combined with catgut implantation group and control group in the early treatment of insomnia in patients with no difference in effect for two weeks,and the embedding of additional long-term effect of acupuncture group is superior to simple acupuncture group.Treatment group,the control group before and after treatment ADL points of comparison,by t test,P,respectively,＜0.01,statistically significant differences on the treatment group and control group of patients can significantly improve the ability of daily living ADL points.Note the quality of the two groups of patients with insomnia improved the daily lives of the two groups of patients have a positive impact on self-care ability.Before and after the points of difference between the two groups by t test,P＞0.05, two treatments that improve the daily lives of patients with no difference between self-care ability.This shows that the two groups to improve the treatment of insomnia difference between the two groups did not lead to self-care ability of patients to improve the daily lives of the different.Conclusion:Acupuncture treatment of acupoint catgut embedding and recovery post-stroke insomnia can improve the level of the ability to improve the daily lives of patients,it can be used as clinical treatment of post-stroke recovery of the means of insomnia.