| Objective:In this study,patients who met the criteria for insomnia after stroke were randomized,investigate the improvement of sleep quality and its clinical efficacy in the patients with insomnia after "frontal-three-needle" treatment and conventional acupuncture treatment.A reference for the treatment of neurological diseases by acupuncture and moxibustion was provided from this study,and new ideas and methods for clinical can also provided.Method:In this study,70 cases of patients with insomnia after stroke were selected in accordance with the inclusion and exclusion criteria in Anhui acupuncture hospital,which were divided into two groups: the “frontal-three-needle” treatment group and the control group,with a total of 35 cases in each group.The patients were randomly divided into the treatment group and the conventional acupuncture control group,with a total of 35 cases in each group,all patients enrolled in the study were given basic treatment of stroke and rehabilitation training after stroke.The treatment group was treated with "frontal-three-needle " treatment,while the control group was treated with conventional acupuncture treatment.The treatment group and the control group were treated 6 times a week,once a day,Sunday rest,each needle lasts for 30 minutes at least,2 weeks for a course of treatment,a total of two courses of treatment.The Pittsburgh Sleep Quality Index(PSQI)was scored on all patients before and after the course of treatment.The daytime function,sleep latency,sleep disturbance,sleep time,sleep efficiency,and sleep quality were counted.Adverse events encountered during treatment were recorded.The results were analyzed by SPSS21.0 software.The measurement data was expressed by the form of mean addition or subtraction standard deviation,test methods were compared by paired samples t test and two independent samples t test,count data usedchi square test to describe.The difference was statistically significant,it was expressed by P<0.05.Result:(1)After analysis,the two groups of patients in gender,age,duration and other aspects were the same that was show that the difference do not have statistically significant,(P>0.05).It is indicatied that the two groups of patients in the gender,age,duration are comparable.(2)Comparison of the total efficacy between the two groups: after treatment,the total effective rate was 94.29% in treatment group which was over exceed conventional acupuncture group,the total effective rate about conventional acupuncture group was74.29%;the treatment group was better than the conventional acupuncture control group(P<0.05).(3)The evaluation of the PSQI rating scale: the two groups were compared within the group,the results of the two groups were significantly different in the Pittsburgh Sleep Quality Rating Scale score before and after treatment(P<0.01),proved that the two treatment options to improve post-stroke insomnia have a good therapeutic effect,the difference was statistically significant.After treatment,the two groups in the sleep latency,sleep disorders,sleep time,sleep quality and PSQI score on the total scored that P<0.05,it is indicatied that the treatment group was better than conventional acupuncture group,the difference was statistically significant.The difference between the two groups of patients with daytime function and sleep efficiency is not significant,the difference was not statistically significant,P>0.05.Conclusion:1." Frontal-three-needle" treatment of stroke after the insomnia is better than conventional acupuncture control group.2."Frontal-three-needle" therapy can improve the sleep quality of patients with insomniaafter stroke,prolong the sleep time of patients,shorten the patient's sleep latency and improve the sleep disorder of patients,and its efficacy is better than conventional acupuncture group.3."Frontal-three-needle" in the treatment of insomnia after stroke is safe and reliable,the curative effect is good,and worthy of further clinical promotion. |
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