| Objective:Perimenopausal insomnia refers to the transition from middle age to old age of women.Due to the decline of ovarian function,the estrogen level has decreased andendocrine disorders have occurred.Insomnia often affects thephysiological and psychological health of the perimenopausal patients,and even brings serious adverse effects on their life and work.The purpose of this study is to use the acupuncture and moxibustion treatment of climacteric heart kidney incoordination insomnia,compared with routine acupuncture treatment,to observe the therapeutic effectsand the improvement of perimenopausal symptoms,in order to evaluate the clinical effect of warm acupuncture treatment of perimenopausal insomnia of heart kidney disharmony,hoping to find a safe,targeted and effective treatment method.Methods:In June 2016 to November 2017 in accordance with the inclusion criteria of 60 cases of perimenopausal heart kidney incoordination insomnia patients,according to the collected cases sequentially numbered 1~60,then 60 cases corresponding to the 60 number of patients were divided into treatment group and control group randomly,30 cases in each group.The treatment group was given acupuncture treatment,the treatment of acupoint selecting Baihui,Sishencong,bilateral Xinshu,Shenshu,Shenmen,Neiguan,Sanyinjiao,Shen Mai,Zhao Hai,with warm acupuncture in bilateral Xinshu,Neiguan,Shenshu,Sanyinjiao acupoint and routine acupuncture method with other acupoints;acupoint treatment group with the control group selected all,with routine acupuncture.Before and after treatment,respectively,in Pittsburgh on two groups of patients(PSQI)sleep quality index scale,the domestic modified Kupperman index scale score,and then establish a database,all clinical data collectedwere analyzed using statistical software SPSS22.0,evaluationof patients before and after treatment of the condition changes according to the results of data analysis.Results: 1.Before treatment,theage distribution in the two groups was analyzed:the average ageof the treatment group was 49.60±3.31(years),and the average age of the control group was 50.13±3.00(years).The analysis of the distribution of the two groups: the average course of treatment in the treatment group was 5.33±2.998(months),and theaverage age of the control group was 5.27±3.107(months).The tota lscore of the two groups of PSQI was analyzed: The treatment group was 14.13±1.655 and the control group was 14.67±1.493.The two groups of domestic improved Kupperman scale total score analysis: The treatment group was 40.33 ±7.53,the control group was 42.87±7.60.There was no significant difference between the two groups in age distribution,course distribution,PSQI score and Kupperman score in the domestic improvement(P>0.05),indicating that there was no significant difference between the two groups.2.After treatment,thetotal score of PSQI in the two groups was analyzed: the treatment groupwas 5.00±1.655,and the control Groupwas 8.43 ± 2.885.The rewere significant differences between the two groups before treatment,and the difference between the treatment group and the control group was significant,both of which were statistically significant(P< 0.05).The total effective rate of the treatment group was 96.67%,and the total effective rate of the control group was 70.00%,and the difference between the two groups was statistically significant(P<0.05).Two groups of total domestic improved Kupperman scale integral situation analysis:the treatment group was 11.97±6.846,the control group was 24.20±11.364,significant difference compared with before this treatment the two groups.Treatment group has significant difference compared with the contrast between the way,are statistically significant(P<0.05);The total effective rate of the treatment group was 93.33%,and the total effective rate of the control group was 70.00%,and the difference between the two groups was statistically significant(P<0.05).3.Comparison of clinical efficacy analysis: in the treatment group,9 cases were cured,15 were markedly effective,5 were effective,and 1 was ineffective.And the total clinical efficiency was 96.67%;In the control group,30 cases were completed,2 cases were cured,10 cases were markedly effective,13 cases were effective and 5 cases were invalid.And the total effective rate was 83.33%.The differences between the two groups were statistically significant(P<0.05).Conclusion: 1.Warm acupuncture and conventional acupuncture can be used to treat perimenopausal heart and kidney failure insomnia,with simple operation,good safety,no obvious adverse reactions,and easy to be accepted by patients.2.Warm acupuncture and conventional acupuncture could improve the menopausal transition heart kidney is not handed over to the relevant type of patients with insomnia symptoms,improve the quality of sleep,but wen acupuncture and conventional acupuncture therapy to improve patients’ symptoms,improve the quality of sleep is more obvious.3.In the treatment of perimenopausal cardiac and renal disharmony type insomnia,acupuncture is more targeted and effective than conventional acupuncture,which is worthy of further clinical application. |
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