基于子午流注理论的埋针疗法治疗脑卒中后心肾不交型失眠的临床疗效观察

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AbstractObjective：Toobservetheclinicaleficacyofintradermalneedletherapybasedonthe meridiantheoryintreating poststrokeisomnia（PSI）oftheheart-kidneyimbalancetype.Methods：Atotalof 6O patients withheart-kidneyimbalance typePSI admitedtotheNeurorehabilitationDepamentofFujianUniversityofTraditionalChineseMedicineAfliatedRehabilitationHos pital fromJanuary 2O23 to December 2O23 were divided into two groups using arandom numbertable：control groupand observationgroup，with3patientsineach group.Thecontrolgroupreceivedconventional Westernmedicine treatment，whiletheobservationgroupreceivedadditional intradermalneedletherapybasedonthe theoryof meridianflow injectin.Thetherapeuticeffects wereanalyzedandcomparedbetwenhetwogroupsintersofTCMsyndromescores，serumneurotransmiterlevels，ndoveal effectivenessrates.Results：Compared with thecontrolgroup，theobservation grouphadlowerscores for primaryandsecondary symptoms，norepinephrine（NE），and dopamine（DA）after intervention（ P<0.05 ）；The observation group had a higher effective rate of treatment （ P<0.05 ）. Conclusion：Intradermal needle therapy based on meridian theory significantly improves TCM syndromescores，egulatessrumeurotransmiterlevels，andehances treatmentfectivenessinpatientswithheart-idneyibalance type PSI.

KeywordsStroke;Insomnia;；Heart-kidneyimbalance type;The theoryofmeridianflowinjection;Intradermal needetherapy; Serum neurotransmitters

中图分类号：R338.63;R246.6 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.05.031

脑卒中（CerebralIschemicStroke，CIS）是一种因脑组织局部供血突然减少或者中断，导致局部缺血或缺氧的急性脑血管疾病，卒中后失眠是临床发生率较高的脑血管并发症之一，易使患者产生焦虑、抑郁等负面情绪，降低生命质量[1]。（剩余4719字）