针刺配合艾灸百会穴治疗中风后失眠疗效观察

摘要

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.%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。