观察醒脑开窍针法联合针刺心包经穴治疗脑卒中后睡眠倒错的临床疗效。【方法】将60例脑卒中后睡眠倒错患 者随机分为观察组和对照组，每组各30例，2组均给予常规治疗，对照组给予阿普唑仑口服，观察组给予醒脑开窍针法联合 针刺心包经穴治疗。治疗10 d为1个疗程。治疗10 d后，评价2组临床疗效。观察2组患者治疗前后匹兹堡睡眠质量指数 （PSQI）和阿森斯失眠量表（AIS）评分的变化情况，以及汉密尔顿抑郁量表（HAMD）评分的情况。比较2组患者治疗前后0、 8、16点皮质醇水平的变化情况。【结果】（1）治疗后，2组患者的PSQI评分明显改善（P＜0.05），且观察组在改善PSQI评分方 面明显优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2组患者的AIS、HAMD评分均明显改善（P＜0.05），且观察组 在改善AIS、HAMD评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗后，2组患者的0、8、16点皮质醇水平 明显改善（P＜0.05），且观察组在改善0、8、16点皮质醇水平方面明显优于对照组，差异有统计学意义（P＜0.05）。（4）观察 组总有效率为86.67%（26/30），对照组为80.00%（24/30）。观察组疗效稍优于对照组，但差异无统计学意义（P＞0.05）。【结论】 醒脑开窍针法联合针刺心包经穴治疗脑卒中后睡眠倒错，能明显改善患者的临床症状，从而提高患者生活质量，疗效显著。

To observe the clinical efficacy of Xingnao Kaiqiao Acupuncture（with the functions of awakening the brain and opening the orifices）combined with acupuncture at pericardium meridian points in the treatment of post-stroke sleep reversal（PSSR）. Methods Sixty patients with PSSR were randomly divided into observation group and control group，30 patients in each group. Both groups were given conventional treatment， the control group was given oral use of Alprazolam， and the observation group was given the combination of acupuncture a at pericardial meridian points，and 10 days of treatment was one course of treatment. After 10 days of treatment， the clinical efficacy of the two groups was evaluated. The changes in the Pittsburgh Sleep Quality Index（PSQI）and Ascens Insomnia Scale（AIS）scores， as well as the Hamilton Depression Scale（HAMD） scores were observed before and after treatment in the two groups. The changes in cortisol levels at 0， 8， and 16 o’clock were compared before and after treatment between the two groups. Results（1）After treatment，the PSQI scores of patients in the two groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving PSQI scores，and the difference was statistically significant （P＜0.05）.（2）After treatment， the AIS and HAMD scores of patients in the two groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving the AIS and HAMD scores， and the difference was statistically significant（P＜0.05）.（3）After treatment， the cortisol level of patients in the two groups at 0，8，and 16 o’clock was significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving the cortisol level at 0，8，and 16 o’ clock was significantly superior to the control group， and the difference was statistically significant（P＜0.05）. （4）The total effective rate was 86.67%（26/30）in the observation group and 80.00%（24/30）in the control group. The efficacy of the observation group was slightly superior to that of the control group，but the difference was not statistically significant （P＞0.05）. Conclusion Xingnao Kaiqiao Acupuncture combined with acupuncture at pericardium meridian points for the treatment of PSSR can significantly improve the clinical symptoms of the patients，so as to improve the quality of life of the patients，and the therapeutic efficacy is remarkable

R246.9

广东省中医药局科研资助项目（编号：20231352）；惠州市医疗卫生领域科技计划资助项目（编号：2022CZ010162）