| Objective: In this study,we used randomized controlled trials with Shenqi Wu-weizi cake-separated moxibustion of Back Shu points treating of insomnia due to he-art-spleen deficiency as well as taking the western medicine and bread separated mo xibustion as the control.After 4 weeks of treatment,the quality of sleep,the elderly e-motional,the heart-spleen deficiency syndrome scale to improve the situation to eva-luate,with a view to the elderly heart-spleen deficiency type insomnia to find an effective treatment.Methods: 92 patients were randomly divided into three groups: Shenqi Wu-weizi cake-separated moxibustion group(medicine separated moxibustion group),bread separated moxibustion group(moxibustion group)and western medicine group.Separated medicine moxibustion group and moxibustion group every day afternoon are treated,treating 5 days rest for two days.Western medicine group was treated by oral administration of estazolam,1 ~ 4mg / night.Three groups were treated for 4 we-eks.The therapeutic effect was evaluated by observing changes in PSQI(Pittsburgh Sleep Quality Index),GDS(Geriatric Depression Scale),SAS(Self-Rating Anxiety Sc-ale),Heart-spleen deficiency Syndromes Scale before and after treatment.Results:1.Three groups of subjects were divided into groups with balance and compar a-bility(P> 0.05).2.The total score of PSQI in the three groups was lower than that before treatm-ent,there was statistical significance(P < 0.05),among which the medicine separat-ed moxibustion group is better than the other two groups(P < 0.05),but there is no statistical difference between the two groups(P > 0.05).The scores of the factors in the three groups of PSQI scale(excluding the use of drug factors)were statistically significant compared with those before treatment(P < 0.05).There was no statisti-cally significant in sleep time,sleep efficiency and sleep disturbance between the three groups(P> 0.05).In the sleep quality and sleep time,the effect of the medicine separated moxibustion group was better than that of the other two groups(P <0.05).There was no significant difference between the two groups(P> 0.05).In the daytime function,the medicine separated moxibustion group and the moxibustion group were better than the control group(P <0.05).There was no significant difference between the two groups(P> 0.05).3.The GDS and SAS scores of the three groups were lower than that before tre-atment,there was statistical significance(P < 0.05).The medicine separated moxi-bustion group was better than western medicine group on the effect of improving GDS and SAS scores(P < 0.05),but was no significant difference with moxibustion group(P> 0.05).There was no significant difference in the improvement of GDS score between moxibustion group and western medicine group(P> 0.05),and the effect of moxibustion group was better on the improvement of SAS score(P <0.05).4.Three groups of the heart-spleen deficiency syndrome score were decreased compared with before treatment(P < 0.05).The separated medicine moxibustion group in improvement of total score of the heart-spleen deficiency syndrome score was better than that of western medicine group(P<0.05).There was no significant difference between the separated medicine moxibustion group and moxibustion group(P> 0.05).Conclusions:1.Medicine separated moxibustion group on the elderly heart-spleen deficiency type of insomnia symptoms improved better than Western medicine group,and the effect is quite with moxibustion group,and moxibustion group and Western medicine group effect is quite.Medicine separated moxibustion group in sleep quality,sleep time is better than the other two groups,and the effect of moxibustion group and western medicine group is no difference.Medicine separated moxibustion group and moxibustion group on daytime function improved better than western medicine group,no difference between the moxibustion group and western medicine group.the three group in improving sleep time,sleep efficiency,sleep disorder is no difference.2.Three kinds of intervention methods can improve the patient's depression,anxiety and heart-spleen deficiency type symptoms.The group of medicine separated moxibustion group has more advantages than the western medicine group,but quitewith moxibustion group.Compared with the western medicine group,the moxibustion group had no difference in improving the depression of the elderly,but in improving the symptoms of anxiety and the heart-spleen deficiency type symptoms of the eld-erly were better.3.Sum up the three groups of different treatment methods of safety,compliance and the overall clinical efficacy,medicine separated moxibustion group is more suita-ble for the treatment of senile heart-spleen deficiency type insomnia. |
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