Clinical Research Of Acupressure In Essential Hypertension Patients With Insomnia Of Internal Disturbance Of Phlegm-heat Type

ObjectiveTo probe the effect of acupressureon sleep quality,TCM symptoms and blood pressure in essential hypertension patients with insomnia of internal disturbance of phlegm-heat type,so as to provide a simple method of treatment for these patients, to reduce the burden on the patient’s medication.Methods80 objects were recruited according to the diagnosis and reception criterion,and they were randomly divided into test group(40 cases)and control group(40 cases).All objects received routine treatment and health education.while objects in experimental group receive acupressure ofShenmen,Fenglong and Zusanli for 4 weeks.twice per day and 30 minutes everytime.We observed and recorded the blood pressure of all objects during the trail.The scores of Pittsburgh Sleep Quality Index(PSQI)and TCM symptoms were monitored before and after acupressure treatment.Results1.Baseline comparisonThere was no significant difference in general condition(age,sex and height.etc),basic clinical data (medical history.medication and complication.etc) and the major effect factors of sleep quality(siesta.drinking and anxiety.etc),the blood pressure.the scores of PSQI and TCM symproms between the two groups before intervention (P>0.05).There were also no significant difference in the kinds of antihypertensive agent,diuretics and hypnotic between the two groups during the trial (T>0.05).It showed that the two groups were comparable.2.Pittsburgh Sleep Quality Index(PSQI)(1)Comparisons within group:after the experiment,the sumscore of PSQI were both lower than before with a significant difference in two groups(T<0.05).The sleep quality.time of falling asleep,sleeping time.sleep efficiency, sleep disorders and daytime dysfunctionwere all statistically significant (P＜0.05) in both two groups.(2)Comparisons between groups:There was significant difference inthe sumscore of PSQI between the two groups (P<0.05).and the score of the experimental group is lower than the control group(.P<0.01).The time of falling asleep, sleeping time, sleep efficiency and sleep disorders were statistically significant between the two groups (P＜0.05).3.TCM symptoms(1)Comparisons within group:after the experiment.the sumscore ofTCM symptom were both lower than before with a significant difference in two groups(P<0.01).Scores of poor sleep,dizziness,upset,phlegm,chesttightness and bitter taste in the experimental group and poor sleep,dizziness,upset,phlegm in the control group werestatistically significant (P<0.05).(2)Comparisons between groups:There was significant difference inthe sumscore of TCM symptom between the two groups (P<0.01),and the score of the experimental group is lower than the control group(P<0.01).The poor sleep, upset,phlegm,chesttightness and bitter taste were statistically significant between the two groups(P<0.05).4.The curative effect of insomniaAfter experiment, the curative effect rate of experimental group and control group were 82.05% and 60.5% with statistical significance difference(P<0.05).The curative effect rate of experimental group is higher than the control group.5.Blood glucoseIn the main effect of time factor.There was significant difference in SBP inboth two groups(P<0.05),and the grouping and time effect were interacted(.P<0.01).It showed that the SBP was decreased as time went by and the extent was different between the two groups. In the main effect of time factor. There was significant difference in DBP inboth two groups(P<0.01),but there were no significant differences in the main effect of grouping and grouping-time effect(P＞0.05).It showed that the DBP was decreased as time went by but it was uncertain that if there was difference between the two groups.Conclusions1.Acupressure of Shenmen.Fenglong and Zusanli could improve the sleep quality of essential hypertension patients with insomnia of internal disturbance of phlegm-heat type.It had obvious effect in time of falling asleep.sleeping time, sleep efficiency and sleep disorders.2.Acupressureof Shenmen.Fenglong and Zusanli could improve the optimize TCM syndrome of essential hypertension patients with insomnia of internal disturbance of phlegm-heat type. It had obvious effect in the poor sleep, upset,phlegm,chesttightness and bitter taste.3. Acupressureof Shenmen,Fenglong and Zusanli could decrease the SBP of essential hypertension patients with insomnia of internal disturbance of phlegm-heat type.The blood pressrue could be controlled by improving sleep quality.