The Clinical Research On Acupuncture With Ear-Point Sticking For Post-Stroke Insomnia

Objective:Under the guidance of TCM theory,this study has utilized the treatments of acupuncture with ear-point sticking for post-stroke insomnia, aim to evaluate the clinical curative effect and provide the clinical acupuncture proposal on post-stroke insomnia treatment.Methods:Single-center,randomized controlled trial has been adopted to observe the clinical effects.sixty patients with post-stroke insomnia were randomly divided into curing group and comparing group, curing group has been adopted with acupuncture with ear-point sticking once per day,10 times as one treatment course,2 treatment course in total. Comparing group has been adopted with estazolam per os once before sleeping,1 mg each time for a continuous 20 days.After all the treatments.the curative effect of patients was measured with Pittsburgh Sleep Quality Index (PSQI), the WHO issued Insomnia Clinical Index and Index of TCM symptomatology.Results:1、Insomnia Clinical Effective rate comparison between two groups:30 cases in curing group,12 were cure,9 were markedly effective,7 were effective and 2 were ineffective, the total effective rate was 93.3%.3O cases in comparing group,5 was cure,12 was markedly effective,8 were effective and 5 were ineffective, the total effective rate was 83.4%. Examined by X2,effective rate of the curing group excels the comparing group,with significant difference(P<0.05).2、The Scores of TCM Syndromes between two groups both better than before were statistically significant difference (P<0.05),and the curing group excels the comparing group,with significant difference(P<0.01)..3、PSQI scale assessment between two groups, the two groups’s Pittsburgh sleep quality index after treatment are lower than before, significant differences (P< 0.01), two groups of patients with Pittsburgh sleep quality index difference comparison before and after the treatment, the curative effect of curing group in the total score of sleeping, sleeping time,sleep efficiency and daytime function is superior to the comparing group, with significant difference(P<0.05).4、The comparison of two groups of patients in the treatment of side effects:2 patients in curing had adverse reactions.5、patients in comparing group had adverse reactions, the incidence of adverse reaction in control group is higher than the curing group,the difference statistically significant (P<0.01).Conclusions:1、Acupuncture with ear-point sticking for the treatment of post-stroke insomnia patients has obvious clinical effect,which is significantly better than the comparing group.2、Acupuncture with ear-point sticking for the treatment of post-stroke insomnia patients is better than the control group in improving the TCM syndrome.3、Acupuncture with ear-point sticking for the treatment of post-stroke insomnia patients could shorten the time of falling asleep,improve sleep efficiency and the overall situation of sleep.4、Acupuncture with ear-point sticking for the treatment of post-stroke insomnia patients has the advantages of safety and less side effects.