| Objectives: Through the treatment of "Yiyin Jieyu" acupuncture method and conventional acupuncture method for the patients with insomnia after stroke of Yin deficiency and fire,the differences between the two different methods were discussed.At the same time,explore the mechanism of the "Yiyin Jieyu" acupuncture method,and make objective evaluation to the treatment,so as to find out the more effective treatment for insomnia after stroke of Yin deficiency and fire.Methods: All 72 patients in this study were from the acupuncture department of First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,from July 2019 to December 2020.All patients were complied with the diagnostic and inclusion criteria and signed informed consent.According to the random grouping method,all cases were divided into the treatment group and control group(36 cases in each group),all groups of patients were treated with routine therapy and "Xingnao Kaiqiao" acupuncture of acupuncture department.The treatment group used "Yiyin Jieyu" acupuncture method with Taichong(LR3),Zhongfeng(LR4),Taixi(KI3),Fuliu(KI7),Daling(PC7),Baihui(DU20),Sishencong(EX-HN1).The control group was treated by ordinary acupuncture method with Zhaohai(KI6),Shenmai(BL62),Shenmen(HT7),Anmian.These patients from both groups were treated once a day,6 times a week,rested on Sunday and continued for 14 days.After treatment,the clinical effects of two groups should be observed and compared.The Pittsburgh Sleep Quality Index Scale(PSQI)and Self Rating Scale of Sleep(SRSS)were used for evaluating the observation index of sleep quality,the United States National Institutes of Health Stroke Scale(NIHSS)was used for evaluating the observation index of nerve function defect,the TCM syndrome scale was used as an observation index to evaluate patients’ TCM symptoms,all patients were evaluated before and after treatment respectively.Refer to The Guiding Principle of Clinical Research on New Drugs(1993 edition),the clinical efficacy of the two groups of patients were evaluated respectively after treatment.After the study,SPSS 25.0statistical software was used to analyze all the data,P<0.05 was seen to be statistically significant,P<0.01 was remarkable,P>0.05 was statistical nonsense.Results:1.PSQI scale score comparison:(1)Comparison of Subitem : Before treatment and after treatment in 2 groups were compared,each subitem had statistic difference(P < 0.05);After treatment,the scores of "sleep quality" subitem among the two groups had statistical difference(P < 0.05),but there was no difference in other subitems(P > 0.05).(2)Comparison of total scores: there was a significant statistic difference between the two groups before and after treatment(P < 0.01).But no difference between the two groups after treatment(P>0.05).2.SRSS scale score comparison: There was a significant difference between the two groups before and after treatment(P < 0.01).But no difference between the two groups after treatment(P>0.05).3.NIHSS scale score comparison: There was a significant difference between the two groups before and after treatment(P < 0.01).There was no difference between the two groups after treatment(P>0.05).4.TCM syndrome scale score comparison:(1)Subitem comparison: there were differences in each subitem between the two groups before and after treatment(P < 0.05);After treatment,there were differences in three subitems of "difficulty in sleeping","hot palms and feet" and "dizziness and tinnitus" between the two groups(P< 0.05),while there were no differences in other subitems(P> 0.05).(2)Total scores comparison: there was difference between the two groups before and after treatment(P< 0.05).After treatment,there was a significant difference between the two groups(P < 0.01).5.Evaluation of clinical efficacy:The total effective rate of "Yiyin Jieyu" acupuncture group was 88.24%,and the recovery rate was 17.65%.In the conventional acupuncture group,the total effective rate was 85.29%,and the cure rate was 11.76%.There was no statistic difference in clinical efficacy between the two groups after treatment(P> 0.05).Conclusions:1."Yiyin Jieyu" acupuncture and conventional acupuncture can effectively alleviate sleep problems,and can improve the life quality of patients;"Yiyin Jieyu" acupuncture method is better than conventional acupuncture method in improving patients’ sleep quality.2."Yiyin Jieyu" acupuncture and conventional acupuncture can effectively alleviate symptoms of TCM,and "Yiyin Jieyu" acupuncture has significant advantages in improving patients’ TCM syndrome.3.Two therapeutic methods have the same effect in improving the degree of neurological function deficit.4."Yiyin Jieyu" acupuncture method plays a certain role in alleviating patients’ sleep disorders,which is worthy of further promotion and utilization. |
