Clinical Study on Paired Needling for Insomnia with Depression After Cerebral Stroke
10.13460/j.issn.1005-0957.2016.10.1184
- VernacularTitle:偶刺治疗脑卒中后失眠伴抑郁临床观察
- Author:
Li FU
;
Zhaoyang MA
;
Lei TANG
;
Ying WANG
- Publication Type:Journal Article
- Keywords:
Acupuncture;
Stroke;
Insomnia;
Depression;
Coupled needling;
PSQI;
HAMD
- From:
Shanghai Journal of Acupuncture and Moxibustion
2016;35(10):1184-1186
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic efficacy of paired needling in treating insomnia with depression after cerebral stroke. Method Eighty patients with insomnia plus depression after cerebral stroke were randomized into a treatment group and a control group, 40 cases in each group. The treatment group was intervened by paired needling at Xinshu (BL15), Juque (CV14), Ganshu (BL18), and Qimen (LR14), once a day, 20 min each session;the control group was by oral administration of Paroxetine hydrochloride tablet 20 mg, 1 tablet each time prior to sleep at night. Two treatment courses were observed in the two groups (successive 2-week treatment as a course). The Pittsburgh Sleep Quality Index (PSQI) was adopted to observe the two groups before treatment, after 2-week treatment, and after 4-week treatment, and the clinical efficacy was also evaluated. Result Respectively after 2-week and 4-week treatment, the PSQI scores and Hamilton Depression Scale (HAMD) scores dropped significantly in the two groups compared to that before the intervention (P<0.05);the improvements of the PSQI and HAMD scores in the treatment group were more significant than that in the control group;the scores were markedly improved in the 2nd week in the treatment group and were significantly different from that in the control group (P<0.05);the significant differences were maintained in the following 2 weeks;the total effective rate was respectively 90.0%(36/40) in the treatment group and 15.0%(6/40) in the control group, and the therapeutic efficacy of the treatment group was markedly superior to that of the control group (P<0.05). Conclusion The results show that paired needling is safe and effective in treating insomnia with depression after cerebral stroke, and its therapeutic efficacy is superior to that of Paroxetine hydrochloride tablets.
