Clinical Study On The Treatment Of Post-stroke Insomnia With "five-elements Regulating Mental Activities"

Objective:To explore the clinical therapeutic effect of“Five-elements Regulating Mental Activities”on post-stroke insomnia,and to explore the relationship between sleep quality and cerebral nerve function,limb motor function and quality of life.Methods: The patients in the group were randomly divided into two groups according to the random number table method,28 cases in each group.All patients were given routine rehabilitation training and basic medical treatment.The treatment group of “Five-elements Regulating Mental Activities” was treated with listening to five elements of music and acupuncture Baihui,Shenting and Yintang;the alprazolam group was treated with oral-alprazolam tablets before going to bed.Both groups were treated once a day,5 times a week,lasting for 4 weeks.Before and after treatment,PSQI,NDS,SS-QOL and Fugl-Meyer were used for statistical analysis.Results: There was no significant difference(P > 0.05)between the two groups in general information,PSQI,NDS,SS-QOL and Fugl-Meyer scores before treatment.After treatment,there was no significant difference in the effective rate between the two groups(P> 0.05);the incidence of side effects between the two groups was statistically significant(P < 0.05),but the“Five-elements Regulating Mental Activities” group was superior to the alprazolam group;the scores of PSQI,NDS,SS-QOL and Fugl-Meyer in the two groups were significantly improved compared with those before treatment,and the difference was statistically significant(P < 0.05).There was no significant difference in PSQI,NDS,Fugl-Meyer and SS-QOL scores between the two groups before and after treatment(P > 0.05).There was a linear relationship between PSQI scores and NDS,Fugl-Meyer,SS-QOL scores.Conclusion: There was no significant difference in PSQI,NDS,FuglMeyer and SS-QOL scores between the two groups before and after treatment(P > 0.05).1.The method of“Five-elements Regulating Mental Activities”can effectively treat post-stroke insomnia,and can achieve the similar effect with oral alprazolam and there is no side effect.It has the advantages of safety,effectiveness,green and simple.Therefore,the method of“Five-elements Regulating Mental Activities”is worth popularizing in clinical practice.2.The improvement of sleep quality is directly related to the recovery of brain and nerve function defect,the improvement of limb motor ability and the improvement of life quality.The improvement of sleep quality is helpful to the improvement of brain and nerve function,limb motor ability and life quality.