The Study Of Clinical Observation On Treatment Of Insomnia After Apoplexia By Quyu Shengxin Acupuncture Manipulation Combined With Sross Moxa Stick Moxibustion

ObjectiveTo observe the clinical efficacy of the treatment by using Quyu Shengxin acupuncture manipulation combined with sross moxa stick moxibustion to treat the patients of Insomnia after Apoplexia.MethodsSixty patients with Insomnia after Apoplexia who met the inclusion criteria were randomly divided into Quyu Shengxin acupuncture manipulation combined with sross moxa stick moxibustion group(hereinafter referred to as the acupuncture and moxibustion group)and eating eurodin group(hereinafter referred to as the control group),30 cases in each group.On the basis of basic treatment,acupuncture and moxibustion group selected acupuncture acupoints,the bilateral acupoints of Quchi acupoints,Hegu acupoints,Fenglong acupoints,Zusanli acupoints,Xuehai acupoints,Sanyinjiao acupoints,Taichong acupoints and Taixi acupoints,and moxibustion acupoints,the bilateral acupoints of Yongquan acupoints,Zusanli acupoints,Guanyuan acupoints and Baihui acupoints,to treat the patients of Insomnia after Apoplexia.Acupuncture and moxibustion therapy required retaining needles for 30 minutes after applying reinforcing and reducing manipulation to get Qi,and then cauterizing each acupoint by big moxa stick for 5 minutes,once a day for 2 weeks.On the basis of basic treatment,the control group was given eurodin once a night,1mg each time for 2 weeks.Pittsburgh Sleep Quality Index(PSQI)was assessed before treatment,2 weeks after treatment and 4 weeks after treatment.Before treatment and 2 weeks after treatment,the patients were assessed with TCM syndrome score,ADL scale(Barthel index)and hemorheological indexes.The patients were assessed by Treatment Emergent Symptom Scale before treatment and 2 weeks after treatment.Finally,the curative effect was evaluated according to the reduction rate of PSQI score.Results1.The total PSQI scores of the acupuncture group and the control group decreased significantly after 2 weeks of treatment and 4 weeks after the end of treatment(P<0.01).Compared with the control group,the total PSQI scores of the acupuncture group decreased slightly after 2 weeks of treatment(P>0.05).The total PSQI scores of the acupuncture group decreased more significantly after 4 weeks of treatment than that of the control group(P<0.01).2.After 2 weeks of treatment,the scores of TCM symptoms in the acupuncture group and the control group were significantly lower than those before treatment(P<0.01),and there was no significant difference between the two groups(P>0.05).3.Compared with before treatment,the indexes of high shear viscosity,low shear viscosity,plasma viscosity and fibrinogen in the acupuncture group decreased significantly after 2 weeks of treatment(P<0.01),while the indexes of high shear viscosity,low shear viscosity,plasma viscosity and fibrinogen in the control group did not change significantly(P>0.05).4.After 2 weeks of treatment,the Barthel index scores of the acupuncture group and the control group were significantly higher than those before treatment(P<0.01);compared with those before treatment,the Barthel index scores of the acupuncture group were significantly higher than those of the control group after 2 weeks of treatment(P<0.01).5.The TESS score in the control group was significantly higher than that before treatment 2 weeks after the end of treatment(P<0.01),while there was no significant change in the TESS score in the acupuncture group 2 weeks after the end of treatment compared with that before treatment(P>0.05).6.After 2 weeks of treatment,the total effective rate of the acupuncture group and the control group were 89.3%(25/28),and the curative effect of the two groups was similar(P>0.05);after 4 weeks of treatment,the total effective rate of the acupuncture group and the control group were 85.7%(24/28)and 46.4%(13/28),respectively.The curative effect of the acupuncture group was significantly better than that of the control group(P<0.01).ConclusionQuyu Shengxin Acupuncture Combined with Moxibustion with Large Moxibustion Strip is safe and effective in the treatment of insomnia after apoplexy,which is similar to the short-term effect of eating eurodin.Its long-term effect is obviously better than eating eurodin.It had the remarkable effect of improving PSQI score,TCM syndrome score,Barthel index score and high shear viscosity,low shear viscosity,plasma viscosity and fibrinogen of insomnia patients after apoplexy.