| BackgroundPost stroke insomnia refers to post stroke appear not to normal sleep disorders characterized during convalescence stage and sequela; according to the World Health Organization in2011data, every6people in the world will have1people may suffer a stroke. Stroke can be hazardous to humanbings’health. And after a stroke caused sequelae become placed in front of the whole society to solve problems, the thousands of stroke patients families are facing a crisis as"one stroke, family paralysis", while stroke patients due to various factors by disease, social, psychological, environmental effect, often out of sleep disorders in various situations. There is data showed that[1]:about95%of all strokes with sleep disturbance. Insomnia can affect patients physical and psychological recovery, also influence the rehabilitation of the disease. Severe cases may even lead to exacerbations, prolonged hospitalization, aggravate the burden to society and family. Modern treatment of insomnia is the main means of oral sedative hypnotic drugs (such as Benzodiazepine class, barbiturates, antidepressants, antihistamines and others) and Psychological and behavioral therapy. Although there are certain curative effect, but sedative and hypnotic drugs prone to long-term use tolerance, addiction and withdrawal reactions and other side effects; Psychological and behavioral therapy[2] has an unstable effect, many influencing factors. After the stroke, thus explore effective therapies for insomnia clinical problems to be solved. Ear spiked blood therapy in line with our tradition of ancient medicine,"Bloodletting,"is the basic principles. It is based on the classical for some syndromes of blood stasis, pathogen in the blood can be used in some small veins acupuncture points or surface treatment method and release a small amount of blood. A large number of[3] clinical practice shows that ear apex bloodletting has antihypertensive, sedative, analgesic, clear brain functions. Electro acupuncture therapy has the functions of tranquilizing, qingxin chufan effect on insomnia. There is one of the recommended method in many ways to treat insomnia. The ear apex bloodletting therapy and electro-acupuncture therapy have the advantages of simple operation, safety and economy, a significant effect. This paper by using the methods of randomized clinical trials, shows that the ear bloodletting combined with Electro-acupuncture therapy treating post-stroke insomnia, to explore a method of treating post-stroke insomnia is safe, effective, to promote functional recovery of patients, reduce the recurrence rate, worthy of clinical and greatly improve the quality of life.Object iveThe purpose of this paper is mainly on the treatment of post stroke insomnia from wind phlegm, blood stasis, expectorant Tongluo to outline, application of electro acupuncture in the treatment of sequelae of stroke at the same time, syndrome differentiation and treatment using the tip of ear bloodletting in treating post-stroke insomnia. In order to find out the new method for insomnia after stroke patients, so as to provide a new effective method the overall rehabilitation after stroke in clinical treatment.MethodsClinical study by using randomized, collectes qualified cases according to standards. A total of60patients with post stroke insomnia patients were randomly divided into two groups, the treatment group and the control group with30cases in each control study. The treatment group patients will use the treatment of ear apex bloodletting with electro-acupuncture, while the control group patients will use electric acupuncture. Treatment effect was observed between the two groups to compare the efficacy of the two methods. Before and after treatment with the Pittsburgh Sleep Quality Index and Self-Rating Scale of Sleep score, in order to observe whether patients improved sleep.ResultsPSQI score and the Self-Rating Scale of Sleep score to assess the effect of the two groups after treatment. The two groups before and after treatment in patients with itself, by the paired t test, the differences were statistically significant (P<0.05, P<0.05), suggesting that the two methods can improve the PSQI and Self-Rating Scale of Sleep after treatment in two groups, with two independent samples t test, the difference was statistically significant (P<0.05), explaining the treatment group in improving sleep is better than the control group, and two kinds of methods can improve the symptom self evaluation of patients with symptoms, but the treatment group is better than the control group. After treatment, PSQI score of each component by two independent sample t test, sleep efficiency and daytime dysfunction difference was statistically significant. PSQI scores of each component in the two groups after treatment by two independent samples t test. There is significant difference in sleepping efficiency and daytime dysfunction,(P<0.05), indicating that the treatment group improved significantly better than the control group in sleep efficiency and daytime dysfunction, although no other significant statistical significance. Although no other statistically significant, however, from the mean and P values can be seen in the treatment group in sleep quality, sleep latency, sleep time, sleep disorders and others more effective than the control group. Comparison between the two groups’ effective rate after treatment, the treatment group was86.2%, the control group was79.3%, the efficiency of the two groups by chi-square test, although not statistically significant (P>0.05), but the total efficiency of the treatment group is better than the control group. Two occurrences of adverse reactions during treatment by chi-square test, P=0.879, P>0.05, adverse reactions between the two groups was not statistically significant. Ti suggestes that ear apex bloodletting is safe and effective. So, the ear apex bloodletting combined electro-acupuncture treatment of insomnia after stroke is better than the using of electro-acupuncture therapy.ConclusionThe results showed that, by promoting blood circulation to remove blood stasis, expectorant Tongluo reducing sputum as the key link on the treatment of post stroke insomnia from phlegm and blood stasis, the ear apex bloodletting combined with electro-acupuncture, have a certain effect on improving post-stroke insomnia, and the patients’emotion, body function also have different degrees of improvement. So, with insomnia patients sleep improved after a stroke at the same time, the overall recovery of somatic symptoms with improved, but also reflects the characteristics of traditional Chinese medicine from the view of the whole treatment of disease. |
PDF Full Text Request