| Objective: Acupuncture treatment is applied under the guidance of the theory of " Tongren Tiaodu ",and combined with auricular acupressure to further enhance the curative effect.Compared with the conventional acupuncture treatment,the clinical situation of this therapy in the treatment of post-stroke insomnia was observed,and its efficacy and safety were comprehensively evaluated.Methods: Patients with post-stroke insomnia who were treated in the Rehabilitation Medicine Center of Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine from March 2020 to December 2021 were selected.According to the diagnosis and inclusion criteria of traditional Chinese medicine and Western medicine,and informed consent to the trial,74 patients who met the conditions were divided into the treatment group and the control group using SPSS random number table.Among them,there were 38 cases in the treatment group and 36 cases in the control group,and a total of 70 cases in the study finally met the efficacy analysis.The treatment group was given Tongren Tiaodu acupuncture combined with auricular acupressure: Tongren Tiaodu selected Baihui,Houding,Guanyuan,Qihai,Fengfu,Shenmai and Zhaohai.The auricular points were selected for Shenmen,subcortical,sympathetic,heart,and endocrine;the control group adopted conventional acupuncture methods,and the specific points were:Baihui,Sishencong,Anmian,Fengfu,Shenmen,Sanyinjiao,Yintang,Neiguan,Zusanli.The above two groups were treated once a day for5 days a week for 4 consecutive weeks.The Pittsburgh Sleep Quality Index（PSQI）and the National Institutes of Health Stroke Scale（NIHSS）were observed before and after 4 weeks of treatment.SPSS26.1 software was used for statistical analysis of changes in scores and safety evaluation.P<0.05 was considered statistically significant,P<0.01 was considered significant,and P>0.05 was considered insignificant.Result:1.Before treatment,the general data of the two groups of patients were compared.In terms of age,gender,course of disease,etc.Through statistical analysis,there was consistency（P>0.05）,and there were differences in PSQI scale scores and NIHSS scale scores.There was no statistical significance（P>0.05）,and the two groups could be compared.2.After 4 weeks of treatment,the total effective rate in the treatment group was 85.7 %,and in the control group,it was 57.1 %.Both groups of treatment programs were effective,and the treatment group was significantly higher than the control group.The non-parametric test showed that: Z=-2.919,P=0.004,There was a difference in efficacy between the 2 groups（P<0.05）.It is proved that "Tongren Tiaodu" acupuncture combined with auricular acupressure has better curative effect.3.The PSQI score and NIHSS score of 2 groups pre-and posttreatment were compared within the group.Compared with those before treatment,the NIHSS,PSQI scores of the two groups of patients decreased after treatment,and the decrease of the observation group was better than that of the control group（P<0.05）Conclusion:1.Both conventional acupuncture therapy and Tongren Tiaodu acupuncture combined with auricular acupressure can treat post-stroke insomnia,increase sleep quality,improve sleep efficiency,relieve sleep disorders,reduce nervous system damage,promote post-stroke rehabilitation,and improve daily life. Quality,and safe without side effects.2.Tongren Tiaodu acupuncture combined with auricular acupressure is more effective than conventional acupuncture and can significantly reduce the symptoms of post-stroke sleep disorders,especially in terms of sleep quality,sleep onset time,sleep time,and sleep disorders.3.Tongren Tiaodu acupuncture combined with auricular acupressure therapy has a greater improvement in NIHSS score than conventional acupuncture,which is more conducive to the improvement and recovery of nervous system damage. |
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