Effect of Sour Jujube Kernel Decoction Combined with Lily Dihuang Decoction Plus Minus Combined with Acupuncture on Sleep Quality and Serum Neurotransmitter Levels in Patients with Yin Deficiency Insomnia after Stroke
Objective:To observe the effect of sour jujube kernel decoction combined with lily dihuang decoction plus minus combined with acupuncture on sleep quality and serum neurotransmitter levels in patients with yin deficiency insomnia after stroke.Methods:The selected cases were all from patients with insomnia after stroke admitted to our hospital during March 2018 to February 2023,a total of 126 cases.According to the random number table method,the patients were divided into control group(conventional Western medicine treatment+acupuncture treatment,63 cases)and observation group(63 cases received plus and minus treatment on the basis of sour jujube kernel soup and lily dihuang decoction,63 cases).The efficacy,TCM syndrome scores,and scale scores[Pitts-burgh Sleep Quality Index Scale(PSQI),Sleep Status Self-rating Scale(SRSS)],and serum neurotransmitters[serotonin(5-HT)and dopamine(DA)were compared between the two groups.Results:The total clinical effective rate of the observation group was higher than that of the control group,which showed statistical difference(P＜0.05).After the treatment,the scores of the two groups were lower than those in the control group,which showed statistical difference(P＜0.05).After treatment,PSQI score and SRSS score decreased in the two groups,and the observation group was lower than that in the control group,which showed statistical difference(P＜0.05).After the treatment of the two groups,DA decreased and 5-HT increased,and the improvement in the observation group was greater than that in the control group,which showed statistical difference(P＜0.05).Conclusion:The combination of sour jujube kernel decoction and lily di-huang decoction plus minus combined with acupuncture in the treatment of yin deficiency and fire type insomnia after stroke can effec-tively improve insomnia symptoms and regulate serum 5-HT and DA levels.
Sour jujube kernel soup and lily dihuang soupAcupunctureStrokeYin deficiency and fire type insomniaSleep qualityNeurotransmitter
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