体针联合耳穴贴压对脑卒中后失眠的影响

Impact of Body Acupuncture Combined with Auricular Point Sticking Therapy for Post-stroke Insomnia

目的:比较体针联合耳穴贴压与西药治疗脑卒中后失眠的临床疗效。方法:将90例脑卒中后失眠的患者随机分为非药物组和药物组,各45例。药物组给予口服艾司唑仑片,每次1mg,睡前口服;非药物组给予体针联合耳穴贴压治疗,体针穴取百会、印堂、神庭、四神聪、安眠、神门、内关、三阴交、足三里,耳穴取神门、心、交感、皮质下、枕、内分泌,每日1次,两组均连续治疗20天。观察两组患者治疗前后疗效和匹兹堡睡眠质量指数(PSQI)评定。结果:治疗后,药物组和非药物组总有效率分别为77.8%和93.3%,非药物组疗效明显优于药物组(P<0.05)。治疗后,两组患者PSQI各项积分较本组治疗前均存在改善(P<0.05),非药物组经治疗后在睡眠时间、睡眠效率、睡眠障碍、催眠药物、PSQI总分较药物组有改善(P<0.05),非药物组经治疗后在睡眠质量、入睡时间、日间功能障碍较药物组无明显差异(P>0.05)。结论:体针联合耳穴贴压治疗脑卒中后失眠安全有效,与艾司唑仑相比无成瘾性和依赖性。

Objective:To compare the effect on post-stroke insomnia between body acupuncture combined with auricular point sticking therapy and the western medication in the patients.Methods:Ninety patients of post-stroke insomnia were randomized into a non-medication group and a medication group,45 cases in each one.Estazolam was prescribed in the medication group before sleep,1mg a day.In the non-medication group,patients were intervened by body acupuncture combined with auricular point sticking therapy.The body acupoints were Baihui(GV 20),Yintang(EX-HN 3),Shenting(DU 24),Sishencong(EX-HN 1),Anmian(Extra),Shenmen(HT7),Neiguan(PC 6),Sanyingjiao(SP 6),Zusanli(ST 36).The auricular points were Shenmen(TF4),Xin(CO15),Jiaogan(AH6a),Pizhixia(AT4),Zhen(AT3),Neifenmi(CO18).The treatment was given once a day.All the treatment was given for continuous 20 days.The effects and PSQI of were compared before and after treatment.Results:The total effective rates in the medication group and the non-medication group were 77.8% and 93.0% repectively after treatment,the non-medication group was better than the medication group(P<0.05).After treatment,the PQSI total scores of both group were lower than before(P<0.05),the non-medication group showed improvement in the scores of sleep time,sleep efficiency,sleep disorder,hypnotic drugs and PQSI total score compared with the drug group.There were no significant difference in the scores of sleep quality,sleep latency,daytime function between the two groups(P>0.05).Conclusion:Body acupuncture combined with auricular point sticking therapy is safe and effective for post-stroke insomnia,which is absence of addiction and dependence.