RESUMEN
[Objective]To observe the clinical efficacy of auricular press-needle combined western medicine in treating post-stroke insomnia and explore the mechanism. [Methods] Total 72 patients with post-stroke insomnia were randomized to the treatment group and control group, 36 patients in each group. The two groups were treated with post-stroke insomnia and other basic diseases. The treatment group received auricular press-needle and western medicine, while the control group were only given western medicine. The changes of Pittsburgh Sleep Quality Index(PSQI) scores and National Institute of Health Stroke Scale(NIHSS) scores of the two groups before and after treatment, 1 month after the treatment, were observed to compare the clinical curative effects of the two groups. [Results] The total effective rate of the treatment group was 94.44% better than 75.00% in the control group, the difference was statistically significant(P<0.01). The NIHSS scores of treatment group were less than the scores in the control group after treatment. Follow-up after 1 month, the PSQI scores of treatment group were not statistically significant( P>0.05), the long-term effect remained significant. But the control group was statistically significant(P<0.01), the long-term effect was not significant. [Conclusion] Auricular press-needle combined western medicine treating post-stroke insomnia had better clinical efficacy than only western medicine, promoting the recovery of nerve function. Meanwhile it had excellent long-term effect, thus deserving popularization.