| Objective:To observe the treatment of insomnia after stroke on "Tong Du Tiao Shen" clinical efficacy and safety, and the results to compare with the western medicine group,to provide the basis for clinical feasibility of this therapy.Methods:From the three brain outpatient and ward income in the 60 patients, then randomly divide them into: Tong Du Tiao Shen acupuncture group(treatment group, 30cases) and Zopiclone drug group(control group, 30 cases). The treatment group,acupuncture once a day, each time a request for 30 minutes in the retention period, 10 minutes, 1 times of needle. So, continuous treatment for 4 weeks. The control group with oral administration of Zopiclone, and the 0.5 h was taken 7.5mg before bedtime for 4 weeks. All patients before and after treatment, the Pittsburgh sleep quality index(PSQI) score and the activity of daily living(ADL) score were evaluated. Time requirement of acupuncture needle for 30 minutes, retention period, every 10 minutes the line 1 times, once a day, for 6 times a week, for 4 weeks. Finally, the results of the two scoring were calculated and compared, and the clinical efficiency of the two groups was compared. And in the whole course of treatment, the patients in the treatment group and the control group were closely observed, and then compared the advantages and disadvantages of the two different treatment methods.Results:(1)The results in group comparison: The Pittsburgh Sleep Quality index(PSQI)compared by statistical analysis. After treatment, the treatment group in each factor and total score than before treatment had significant difference(P < 0.01); in the control group only time to fall asleep, sleep time, sleep efficiency and the total score of the compared with those before treatment had significant difference(P < 0.01), the quality of sleep and sleep disorders have statistical significance(P < 0.05). In the daytime function without statistical significance(P > 0.05). On the whole, both the treatment group and the control group, in the treatment of post stroke insomnia method are effective; activities of daily living(ADL) score, by statistical analysis. After treatment,both in the treatment group and control group score than before treatment had significant difference(P < 0.01). This shows that the two groups of methods for the treatment of insomnia after stroke have significant effect.(2) Comparison between groups after treatment: Pittsburgh Sleep Quality rating table(PSQI) score, the scores of the treatment group than in the control group scores are lower, by statistical analysis, with statistical difference(P<0.05 or P<0.01), indicating that after treatment in treatment group stroke insomnia, the method is better than that of control group); activities of daily living(ADL) score, the scores of the treatment group was significantly higher than that of control group, the statistical analysis, with statistical difference(P < 0.05 or P < 0.01), indicating the effect of the treatment group was higher than that of the control group.(3) Comparison of the sleep efficacy of the two groups after treatment: The treatment group the total efficiency was up to 86.67%, while the control group, the total effective rate was 63.33%. By statistical analysis, the difference was statistically significant(P <0.05). This shows that the efficacy of the treatment group compared with the control group to be better.(4) Comparison of adverse reactions: The treatment group during the entire treatment period did not appear adverse reactions(including its treatment, etc.). While the control group in the course of treatment, the 2 cases of adverse reactions(including dry mouth,mouth pain, dizziness, fatigue etc.).Conclusion:(1) The clinical therapeutic effect of Tong Du Tiao Shen acupuncture on insomnia after stroke is significant.(2)The use of Tong Du Tiao Shen acupuncture method to treat stroke insomnia, both from the Pittsburgh Sleep Quality Scale(PSQI) score and activities of daily living(ADL) score, than control group effect.(3) The use of Tong Du Tiao Shen acupuncture method to treat stroke insomnia, which is superior to the control group in the clinical treatment, safety, side therapy is safe and feasible, worthy of clinical popularization and application. |
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