上海针灸杂志2025，Vol.44Issue(3)：317-321,5.DOI:10.13460/j.issn.1005-0957.2025.03.0317
浅针治疗卒中后失眠的疗效观察及脑血流动力学的影响
Therapeutic observation of shallow needling for post-stroke insomnia and its effects on cerebral hemodynamics
摘要
Abstract
Objective To observe the clinical efficacy of shallow needling in treating post-stroke insomnia and its effects on cerebral hemodynamics.Method Ninety patients with post-stroke insomnia were randomly divided into a Western medication group and a shallow needle group,with 45 cases in each group.The Western medication group was treated with oral administration of Estazolam,and the shallow needle group was treated with the shallow needle at Baihui(GV 20).The clinical efficacy and adverse reactions were compared between the two groups.The Pittsburgh sleep quality index(PSQI)score,Athens insomnia scale(AIS)score,and the blood flow resistance index of the vertebral artery and basilar artery were compared before and after the treatment.Result After the treatment,the PSQI component and global scores dropped in both groups and were lower in the shallow needle group than in the Western medication group,and the differences were statistically significant(P＜0.05).The AIS score decreased after the intervention in the two groups and was lower in the shallow needle group than in the Western medication group,and the differences were statistically significant(P＜0.05).After the treatment,the blood flow resistance index of the vertebral artery and basilar artery dropped in both groups and were lower in the shallow needle group than in the Western medication group,all showing statistical significance(P＜0.05).There was no statistical significance in comparing the clinical efficacy between the two groups(P＞0.05).The shallow needle group had a lower adverse reaction rate compared to the Western medication group(P＜0.05).Conclusion Shallow needling produces equivalent efficacy in treating post-stroke insomnia compared to oral administration of Astazolam and shows advantages in improving sleep quality and cerebral perfusion without causing notable adverse reactions.This method is safe and reliable.关键词
针刺疗法/浅针/穴,百会/失眠/卒中/血流动力学Key words
Acupuncture therapy/Shallow needle/Point,Baihui(GV20)/Insomnia/Stroke/Hemodynamics分类
医药卫生引用本文复制引用
向祥清,廖家权,郑国尧..浅针治疗卒中后失眠的疗效观察及脑血流动力学的影响[J].上海针灸杂志,2025,44(3):317-321,5.基金项目
湖北省中医药管理局中医药科研项目(ZY2023F123) （ZY2023F123）
