针刺联合艾灸涌泉穴治疗中风后失眠的临床观察

Clinical Observation of Acupuncture Combined with Moxibustion at Yongquan Point for Insomnia after Stroke

目的:观察针刺联合艾灸涌泉穴治疗脑中风后失眠的临床疗效。方法:将符合标准的92例中风后失眠患者,采用随机数字表法分为A组(针刺联合艾灸涌泉穴组)、B组(针刺组)、C组(西药组)。3组均治疗4周,在治疗前、后及疗程结束2个月后分别进行临床疗效表、PSQI(匹兹堡睡眠质量指数)评分比较。结果:治疗后A组总有效率与B、C组比较有统计学意义(P<0.05);治疗后及2个月后随访A组PSQI评分差异无统计学意义(P>0.05),而B组和C组差异有统计学意义(P<0.05)。结论:针刺联合艾灸涌泉穴治疗中风后失眠临床有效率高、远期疗效好,值得推广。

Objective:To observe the clinical effect of acupuncture combined with moxibustion at Yongquan on insomnia after cerebral stroke.Methods:92 cases of insomnia patients after stroke who met the criteria were divided into group A(acupuncture combined with moxibustion Yongquan point group),group B(acupuncture group),and group C(western medicine group)by random number table method.The three groups were treated for 4 weeks,and the clinical efficacy table and PSQI(Pittsburgh Sleep Quality Index)scores were compared before,after,and 2 months after the end of treatment.Results:The total effective rate of group A after treatment was statistically significant compared with groups B and C(P<0.05);there was no statistically significant difference in PSQI score of group A after treatment and follow-up after 2 months(P>0.05),while B The difference between group and group C was statistically significant(P<0.05).Conclusion:Acupuncture combined with moxibustion at Yongquan point is effective in treating insomnia after stroke,with long-term curative effect,which is worth popularizing.