Ischemic stroke
Conditions
Interventions
Midafternoon stream low frequency electrotherapy group :Meridian stream low-frequency electrotherapy group: Patients received meridian stream low-frequency electrotherapy (instrument used by Beijing J
Treatment points: the point opened at that time (2-4) + Baihui, Shenmen, four Shencong, Neiguan, three Yin Jiao, Yintang, sleeping, God ting, wind pool, sun, foot three Li, Shanzhong (through dialecti
Treatment frequency: 9 (composite waveform)
Treatment intensity: 0-99mA (mainly tolerated by patients), routine 30 mA, 30 min each treatment, once a day,5d/w, a total of 4 weeks
The transcranial magnetic stimulation group was repeated:Patients receiving rTMS treatment rTMS treatment protocol:
Treatment position: lying position
Treatment frequency: 1HZ
Treatment targets: right dorsolateral frontal region
Treatment intensity: 80%-120% threshold, stimulation 8S, intermittent 3S, once a day, 5 times a week, 15 minutes each time
Treatment group of midafternoon flow low frequency electric combined with repetitive transcranial magnetic stimulation:Meridian flow low frequency electrotherapy combined with repetitive transcranial
Drug treatment group:Routine oral medication (dexzopiclone) was given before going to bed according to the doctor's advice. Treatment plan:
Dexzopiclone was taken orally 2mg/ time, once/day, before g
Sponsors
Zhongnan Hospital of Wuhan University
Eligibility
Sex/Gender
All
Age
19 Years to 80 Years
Inclusion criteria
Inclusion criteria: (1)Patients who meet the diagnostic criteria of ischemic stroke in the "Diagnostic Points of Various Cerebrovascular Diseases" of the Fourth Conference on Cerebrovascular Diseases of the Chinese Medical Association and are confirmed by brain CT or magnetic resonance and other related imaging examinations with a course of disease of 2 weeks to 6 months. (2) Meet the diagnostic criteria for insomnia in the International Classification of Sleep Disorders - 3rd Edition (ISCD?3). (3) Insomnia degree in the Pittsburgh Sleep Quality Index (PSQI) score > 7 points. (4) Those who have no comprehension disorder and no cognitive dysfunction, and can fully understand the scale and cooperate with treatment. (5) Patients and their families should understand the purpose of the study and sign written informed consent.
Exclusion criteria
Exclusion criteria: (1) accompanied by failure of important organs (heart, lung, liver, kidney, etc.), malignant tumors, and unstable conditions. (2) deterioration of the condition, new cerebral infarction or secondary cerebral hemorrhage. (3) People with severe cognitive and communication disabilities. (4) There are treatment contraindications such as hearing AIDS in the ear and metal foreign bodies in the body. (5) Combined with decompensated respiratory insufficiency and severe sleep apnea syndrome. (6) Patients with a history of insomnia before ischemic stroke. (7) Taking strong tea, coffee and other food or drugs that affect sleep.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pittsburgh Sleep Quality Indexs; | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-Rating Anxiety Scale ; | — |
Countries
China
Contacts
Public ContactJun Tian
Zhongnan Hospital of Wuhan University
Outcome results
None listed