Influencing factors of post-stroke insomnia and the therapeutic effect of Sanjiao regulating Qi acupuncture combined with auricular point sticking
Objective To explore the influencing factors of post-stroke insomnia and the therapeutic effect of Sanjiao regulating Qi acupuncture combined with auricular point sticking.Methods A prospective study was conducted on 120 stroke patients admitted to Department of Encephalopathy,Jianyang Chinese Medicine Hospital from January 2022 to December 2022.The patients were divided into insomnia group(54 cases)and non insomnia group(66 cases)based on whether they had insom-nia.The influencing factors of post-stroke insomnia was analyzed using binary logistic regression.According to a random num-ber table,the patients in the insomnia group were assigned into a study group(27 cases)and a control group(27 cases).The control group was treated with auricular point sticking,and the study group was additionally treated with Sanjiao regulating Qi ac-upuncture.Treated for 4 weeks,the clinical efficacy,Pittsburgh Sleep Quality Index(PSQI)score,Epworth Sleepiness Scale(ESS)score and Insomnia Severity Index(ISI)score before treatment,at weeks 2 and 4 of treatment were compared between the two groups.Results Binary logistic regression analysis showed that stroke site(subcortical),hyperlipidemia,seizure type(comprehensive),number of medications taken(2 or more),higher NIHSS score and mRs score were risk factors for post-stroke insomnia(P＜0.05).The scores of PSQI,ISI and ESS at weeks 2 and 4 in the both groups decreased significantly com-pared to before treatment(P＜0.05),and the scores at 4 weeks of treatment were lower than those at 2 weeks of treatment.(P＜0.05),which were significantly lower in the study group than in the control group(P＜0.05).The total effective rate of the study group was significantly higher than that of the control group(100％[27/27]vs 85.19％[23/27],P＜0.05).Conclusion Stroke site(subcortical),hyperlipidemia,seizure type(comprehensive),number of medications taken(2 or more),higher NIHSS score and mRs score are risk factors for post-stroke insomnia.The combination of Sanjiao regulating Qi acupuncture and auricular point sticking has a good therapeutic effect on post-stroke insomnia,which can effectively improve sleep quality.
StrokeSleep and sleep disordersInfluencing factors analysisAcupuncture therapySanjiaoAuricular point sticking therapy
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维普
