Observation On The Clinical Effect Of Regulating Shen Tong Du Fa-warm Acupuncture And Moxibustion On Insomnia Of Apoplexy

Purpose:This study compared and observed the difference of clinical efficacy between warm acupuncture and simple acupuncture in the treatment of insomnia of apoplexy,in order to explore the advantages of regulating Shentong and warming acupuncture in the treatment of the disease.Hope to provide new ideas and methods for the treatment of the disease.Methods:The 60 cases of insomnia were observed from June 2019 to December 2020.In this study,60 cases of insomnia with stroke were randomly divided into trial group and control group,30 cases each.Both groups were combined with basic treatment of internal diseases and post-stroke limb dysfunction.Experimental group was given acupuncture and moxibustion,main points:Baihui,Shenting,Shuigou,Dazhui,cervical spine C_3-7、Sishencong,Shenmen（bilateral）,Neiguan（bilateral）,Sanyinjiao（bilateral）.And according to insomnia related Chinese medicine dialectical acupuncture points.Operation method:all the above points are acupuncture with milli acupuncture.Baihui,Dazhui into the needle after the application of about two minutes of twisting repair,and then with the suspension moxibustion frame fixed moxa or the operator hand-held fixation method.The fire produced by the burning of moxa must be close to the needle handle.If the acupoint is oblique or flat,the fire must be right to the acupoint.In order to ensure the clinical curative effect,the patient’s consciousness of warm and warm feeling was introduced into the deep layer of acupoints along the needle handle or the transmission of excitation feeling.Each moxibustion for half an hour,and moxibustion process should pay attention to the burning ash,to prevent scalding.The other points after the Qi are used to flat-tonifying and flat-diarrhea method.The control group was treated with simple acupuncture.Main points:Zhaohai（bilateral）,Shenmai（bilateral）,sleep（bilateral）,Sishencong,Shenmen（bilateral）,Sanyinjiao（bilateral）.The points were the same as the treatment group.Operation method:all the above points are acupuncture with milli acupuncture.After piercing into the Qi according to the sea point twisting and tonifying method,Shenmai point twisting and diarrhea method,all the acupuncture 30 seconds,the rest of the points after the Qi line flat tonifying flat diarrhea method,keep the needle for half an hour.The two groups were treated 6 days a week,not on Sunday,2 weeks as a course of treatment,a total of 2 courses of treatment.After treatment,the pittsburgh sleep quality index（PSQI）score,daily living ability（ADL）score,FMA motor function score of the two groups before and after treatment were observed.the correlation between motor function score and PSQI score of the two groups after treatment was analyzed.finally,the clinical efficacy of the two groups was compared.All the data in this study were analyzed by SPSS26.0,the counting data by chi-square test,the rank data by rank sum test,all the statistical tests were bilateral,and the correlation analysis of the two variables was carried out.Results:1.Baseline informationThe two groups were statistically analyzed in terms of sex,age,course of disease,PSQI score before treatment,ADL score and FMA motor function score（P>0.05）,indicating that the baseline data distribution of the two groups was balanced.2.Comparison of PSQI scores between the two groupsAfter treatment,the PSQI scores and total scores of the two groups decreased.Two groups before and after the treatment of PSQI points and total score of the group comparison（P<0.05）,indicating that Tiaoshen Tongdu warm acupuncture and simple acupuncture therapy can improve the symptoms of insomnia after stroke.The comparison between the two groups:after treatment PSQI the scores and total scores of the experimental group decreased significantly（P<0.05）,which showed that in improving insomnia after stroke,regulating the spirit of acupuncture and moxibustion was better than that of simple acupuncture.3.Comparison of ADL scores between the two groupsAfter treatment,the total ADL score of the two groups increased.Two groups before and after the treatment ADL total score in the group comparison（P<0.001）,indicated that Tiao Shen Tong Du method warm acupuncture and simple acupuncture can improve the apoplexy insomnia patients daily life ability.The total score of ADL in the experimental group was significantly higher than that in the control group（P<0.05）,indicating that the acupuncture and moxibustion of regulating the spirit and regulating the method was better than the simple acupuncture method in improving the daily life ability of the patients with apoplexy insomnia.4.Cmparison of FMA motor function scores between the two groups and correlation analysis with PSQI scores（1）The FMA motor function scores of the two groups were compared:after treatment,the FMA motor function scores of the two groups were increased.Two groups before and after the treatment of FMA motor function score within the group comparison（P<0.001）,indicating that Tiao Shen Tong Du method warm acupuncture and simple acupuncture therapy can improve the limb motor function of patients after stroke.The score of FMA motor function in the experimental group was significantly higher than that in the control group（P<0.01）,which indicated that in improving the limb motor function of the patients with apoplexy insomnia,the acupuncture method was better than the simple acupuncture method.（2）The correlation between FMA motor function score and PSQI score was analyzed:after treatment,there was a negative correlation FMA motor function score and PSQI score in the test group（r=-0.942,P<0.001）,and negative correlation between motor function score and PSQI score in the control group（r=-0.971,P<0.001）.It is suggested that there is a positive correlation between the improvement of limb motor function and the improvement of insomnia symptoms in the two groups of stroke patients,that is,the rehabilitation of limb motor dysfunction in stroke patients is beneficial to the improvement of insomnia symptoms.5.Comparison of the effects of insomnia with apoplexy in two groupsAfter treatment,the total effective rate of the test group was 90.0and that of the control group was 73.3.The total effective rate of the two groups was compared（P<0.05）.The results showed that the clinical effect of acupuncture and moxibustion was better than that of acupuncture alone.Conclusions:1.regulating Shentong method and acupuncture alone have good curative effect on insomnia of apoplexy,and the clinical effect of regulating Shentong method is obviously better than that of acupuncture alone.2.regulating the spirit of the governor and warming the body can improve the daily life ability and limb movement function of the patients with apoplexy insomnia,and the acupuncture and moxibustion of regulating the spirit of the governor is superior to the simple acupuncture method.3.the improvement of limb motor function in stroke patients is positively correlated with the improvement of insomnia symptoms,that is,the rehabilitation of limb motor dysfunction in stroke patients is beneficial to the improvement of insomnia symptoms.