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1、调任通督针法治疗卒中后失眠的临床效果［摘要］目的探讨调任通督法治疗卒中后失眠的临床效果。方法研究对象来源于2014年7月〜2015年10月深圳市中医院住院部符合纳入标准和排除标准的卒中后失眠患者，共120例。采用随机数字表法将患者分为调任通督针刺组（治疗组）、常规针刺组（对照组A）和西药组（对照组B）,每组各40例。在常规基础治疗的基础上，治疗组以百会、神庭、关元、气海、神门、三阴交为主穴进行针刺，对照组A予以常规神门、三阴交、四神聪针刺治疗，两组均每天治疗1次，每次留针30min；对照组B每晚口服艾司呼仑1mg,总疗程为4周。比较治疗前后、疗程结束后1、
2、3个月患者睡眠质量、负性情绪、不良反应情况及治疗效果。结果治疗后，三组匹兹堡睡眠质量指数问卷（PSQI）、激惹、抑郁和焦虑自评量表（IDA）评分均较治疗前降低，差异有高度统计学意义（P0.05）。结论通任调督针法作为一种不良反应少、效优的中医特色治疗，能够更大程度地改善脑卒中失眠患者睡眠质量、抑郁、焦虑、激惹状态，提升生存质量,促进病情恢复。［关键词］调任通督针法；针灸；脑卒中；失眠.Abstract］ObjectiveToinvestigatetheclinicaleffectsoftechniquesofneedlinginRenandDumeridi
3、ansforadjustmentandsmoothingforinsomnia,afterstroke・MethodsTotal120patientswithinsomniaafterstrokeinaccordancewithincludeandexclude,hospitalizedinShenzhenTraditionalChineseMedicalHospitalfromJuly2014toOctober2015wererandomizedintotheregulatingandunblockingacupuncturegroup(treatmen
4、tgroup,n二40),thetraditionalacupuncturegroup(controlgroupA,n=40)andthewesternmedicinegroup(controlgroupB,n=40).Basedontheconventionaltreatment,40casesoftreatmentgroupweretreatedwithtechniquesofneedlinginRenandDumeridiansforadjustmentandsmoothing・Baihui,Shenting,Guanyuan,Qihai,Shenm
5、en,Sanyinjiaowereselectedasthemajorpoints・ThecontrolgroupAwastreatedwithacupuncture・Shenmen,Sanyinjiao,Sishencongwereselectedasthemajorpoints.Bothgroupstreatedonceadayfor30min.ThecontrolgroupBweretreatedwithEstazolamonceaday.Thecourseswere4weeks・ThescoresofPSQI,IDAwereevaluatedbef
6、oreandafter4weeksofthetherapy,duringfollow-upat1and3monthsaftertherapy,theTESSandtherapeuticeffectwerecompared.ResuItsAftereachgroupcomparedwithbeforetreatment,withstatisticallysignificantdifferences(P0.05)・ConclusionTechniquesofneedlinginRenandDumeridiansforadjustmentandsmoothing
7、isacharacteristictreatmentwhichhasgoodtherapeuticeffect,lesssideeffects,andit'susefulinimprovementforpatients'prognosisandqualityoflife,whichwasobviouseffectsonrelievingdepression,anxiety,introversiononinsomniaafterstroke・[Keywords]TechniquesofneedlinginRenandDumeridiansforadjustm
8、entandsmoothing；Acupuncture；Strok
