Liu Lu-Yang, Wang Peng-Qin
Postgraduate Student School, Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China.
The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032.
Zhen Ci Yan Jiu. 2017 Feb 25;42(1):67-71.
To observe the therapeutic effect of eye-acupuncture therapy for post-stroke insomnia.
Sixty patients (45-70 years in age) with post-stroke insomnia were randomized into eye-acupuncture group and routine acupuncture (body acupuncture) group (30 cases in each). Patients of the eye-acupuncture group were treated by acupuncture stimulation of bilateral Shangjiao (Upper-energizer) and Xin (Heart) regions and those of the routine acupuncture group treated by acupuncture stimulation of Baihui (GV 20), Sishencong (EX-HN 1), Anmian (EX-HN 16), etc. After , the filiform needles were retained for 20 min, and the treatment in both groups was conducted once a day, with 15 days being one therapeutic course and 2 courses altogether. The Pittsburgh Sleep Quality Index (PSQI) including the subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, daytime dysfunction, and total PSQI score was used to evaluate the overall sleep quality. The clinical efficacy was assessed according to the "Guiding Principles of Clinical Trials for New Drugs of Traditional Chinese Medicine" formulated by Chinese Ministry of Health.
Following the treatment, of the two 30 cases in the eye-and routine acupuncture groups, 21 and 9 experienced a marked improvement in their symptoms, 8 and 17 were effective, and 1 and 4 invalid, with the effective rate being 96.7% and 86.7%, respectively. The PSQI scores of the subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, daytime dysfunction, and the total PSQI score were all significantly decreased in comparison with pre-treatment in each group (<0.01). The therapeutic effect of the eye-acupuncture was markedly superior to those of routine acupuncture in reducing sleep latency, sleep disturbances and daytime dysfunction (<0.05), but without significant differences between the two groups in the effective rate, sleep quality, sleep duration, sleep efficiency and total PSQI score (>0.05).
Both eye-acupuncture and routine acupunture are effective in the treatment of post-stroke insomnia, and the eye-acupuncture is better than routine acupuncture in reducing sleep latency, improving sleep disturbances and daytime dysfunction.
观察眼针疗法治疗脑卒中后失眠的疗效。
将60例年龄在45 - 70岁的脑卒中后失眠患者随机分为眼针组和常规针刺（体针）组，每组30例。眼针组针刺双侧上焦区和心区，常规针刺组针刺百会（GV 20）、四神聪（EX - HN 1）、安眠（EX - HN 16）等穴位。留针20分钟，两组均每日治疗1次，15天为1个疗程，共治疗2个疗程。采用匹兹堡睡眠质量指数（PSQI），包括主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍及PSQI总分，评估整体睡眠质量。依据卫生部制定的《中药新药临床试验指导原则》评定临床疗效。
治疗后，眼针组30例中症状显著改善者21例，有效者8例，无效者1例，有效率为96.7%；常规针刺组30例中症状显著改善者9例，有效者17例，无效者4例，有效率为86.7%。两组治疗后主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍及PSQI总分与治疗前比较均显著降低（<0.01）。眼针疗法在缩短入睡时间、改善睡眠障碍及日间功能障碍方面明显优于常规针刺（<0.05），但两组有效率、睡眠质量、睡眠时间、睡眠效率及PSQI总分比较差异无统计学意义（>0.05）。
眼针疗法和常规针刺疗法治疗脑卒中后失眠均有效，眼针疗法在缩短入睡时间、改善睡眠障碍及日间功能障碍方面优于常规针刺疗法。
