针刺配合艾灸百会穴治疗中风后失眠疗效观察

Therapeutic Observation of Acupuncture plus Moxibustion at Baihui(GV 20) for Post-stroke Insomnia

目的观察针刺配合艾灸百会穴治疗中风后失眠的临床疗效。方法将65例中风后失眠患者随机分为治疗组33例和对照组32例。治疗组采用针刺配合艾灸百会穴治疗,对照组采用常规针刺治疗。观察两组治疗前后SPIEGEL量表评分及脑卒中专用生活质量量表(SS-QOL)评分变化情况,并比较两组临床疗效。结果两组治疗后SPIEGEL量表评分和SS-QOL评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后SPIEGEL量表评分和SS-QOL评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为93.9%,对照组为68.8%,两组比较差异具有统计学意义(P<0.05)。结论针刺配合艾灸百会穴是一种治疗中风后失眠的有效方法。

Objective To observe the clinical efficacy of acupuncture plus moxibustion at Baihui（GV 20） in treating post-stroke insomnia. Method Sixty-five patients with post-stroke insomnia were randomized into a treatment group of 33 cases and a control group of 32 cases. The treatment group was intervened by acupuncture plus moxibustion at Baihui（GV 20）, while the control group was by conventional acupuncture. The SPIEGEL scale and Stroke-specific Quality of Life（SS-QOL） were evaluated before and after intervention, and the clinical efficacies were compared between the two groups. Result The SPIEGEL and SS-QOL scores were significantly changed after intervention in both groups（p〈0.05）. After intervention, the SPIEGEL and SS-QOL scores of the treatment group were significantly different from that of the control group（p〈0.05）. The total effective rate was 93.9% in the treatment group, versus 68.8% in the control group, and the difference was statistically significant（p〈0.05）. Conclusion Acupuncture plus moxibustion at Baihui（GV 20） is an effective method in treating post-stroke insomnia.