Clinical observation of acupuncture plus repetitive transcranial magnetic stimulation in thetreatment of post-stroke insomnia
https://doi.org/10.1007/s11726-020-1166-z
- VernacularTitle:针刺加重复经颅磁刺激治疗脑卒中后失眠的临床观察
- Author:
Wei ZHANG
;
Kun-Qin MA
;
Hong-Bo XIAO
;
Pei-Fang LI
;
Mei-Lin GUI
;
Yin-Feng LU
;
Rui-Quan CHEN
;
Zong-Jun ZHU
;
Jiang-Yun WU
- Keywords:
Acupuncture Therapy;
Governor Vessel;
Insomnia;
Depression;
Anxiety;
Stroke;
Complications;
Transcranial Magnetic Stimulation
- From:
Journal of Acupuncture and Tuina Science
2020;18(2):122-128
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the clinical efficacy of the Governor Vessel-unblocking and mind-regulating acupuncture method plus repetitive transcranial magnetic stimulation (rTMS) in the treatment of post-stroke insomnia. Methods: A total of 72 patients with post-stroke insomnia were randomly divided into 2 groups, with 36 cases in each group. The control group received rTMS treatment with a frequency of 1 Hz and a motion threshold value of 90％. The observation group received acupuncture with Governor Vessel-unblocking and mind-regulating method based on the rTMS treatment of the control group. The points were Baihui (GV 20), Shenting (GV 24), Yintang (GV 29), Fengfu (GV 16), Sishencong (EX-HN 1), Shenmen (HT 7), Sanyinjiao (SP 6), Shenmai (BL 62) and Zhaohai (KI 6). The treatment was performed once a day for 5 d a week followed by 2 d of rest for 4 weeks. The improvements of Pittsburgh sleep quality index (PSQI), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores were observed after treatment, and the clinical efficacy was compared between the two groups. Results: After 4 weeks of treatment, the PSQI, SAS, and SDS scores of the two groups were all reduced, and the intra-group differences were statistically significant (all P<0.001). After treatment, the three scores in the observation group were all lower than those in the control group, and the differences between the two groups were statistically significant (P<0.05, P<0.05, P<0.001). There was a statistically significant difference between the observation group and the control group comparing the clinical efficacy (P<0.05). Conclusion: The therapeutic effect of the Governor Vessel-unblocking and mind-regulating acupuncture method plus rTMS in treating post-stroke insomnia is better than rTMS alone, and it can better improve the anxiety and depression of patients.
