The Clinical Control Study Of The Treatment Of Senile Insomnia With Single Point And Combinative Points

Purpose:With the elderly insomnia as the research object,the clinical senile insomnia patients are standardized into and out.With acupuncture on insomnia in elderly patients using single point and sancai combinative points,and electric stimulation,international more accurate and universal application of the Athens Insomnia Scale(AIS)and the Encephaloflugram Technology(ET)numerical changes were evaluated,to study the clinical efficacy of the single point and sancai combinative points in the treatment of senile insomnia.Then evaluating the clinical curative effect for treating senile insomnia by electroacupuncturing single point or compatibility acupoints.And then providing a scientific basis the application of acupuncture for the treatment of senile insomnia in clinical prescription selection and acupoint compatibility theoryMethod:In this study,the senile insomnia patients as the research object,using of randomized controlled trial as the design method.According to the visiting order,72 patients were randomly divided into two groups : the single point group and the sancai combinative points group,36 cases in each group.Using single blind method to study evaluation.The object of blinding.Treatment methods: The treatment group of single acupoint use Shenmen(single),the treatment group of compatibility acupoints use Sishengcongi,Shenmen(double)and Sanyinjiao(double).Patients were maintained at supine position,Patients were maintained at supine position,after acupuncture,using electroacupuncture stimulate the acupoints.The electroacupuncture is set to continuous wave 60 Hz,30min,continuous treatment of 5 courses,5 days for 1 courses,and 2 days interval,follow and record the therapeutic effects after 4 weeks of treatment.In Athens Insomnia Scale(AIS)is a subjective indicators,Encephaloflugram Technology(ET)as the objective indexes,through the collection before and after treatment and follow-up of three point related curative effect index data,select the Excel to preliminary statistics,the data using SPSS19.0 statistical analysis software to the statistical data,summarizes the clinical curative effects.Result:1.Athens Insomnia Scale result:(1)During the treatment of single point group,there were changes in sleep duration,nocturnal awakenings,total sleep quality and other factors(P < 0.05).(2)During the treatment of the sancai combinative points group,the sleeptime,waking up at night,wake up,always insomnia,sleep quality and physical function during the day time had extremely significant difference(P < 0.001),in daytime sleep had a significant difference(P<0.01),and there were differences in mood during the day(P < 0.05).(3)Comparison between groups: two groups of patients after treatment,the sleep time,earlier than expected,total sleep time,total sleep quality,daytime emotions have extremely significant difference(P < 0.001),awaken in the night,the day the body function has significant difference(P < 0.01),in such aspects as daytime sleep have difference(P < 0.05).2.ET detection result:(1)The single point group was differences in GABA and DA(P <0.05),and there was a significant difference between 5-HT(P < 0.001).(2)The sancai combinative points group was differences between the NE compared with before treatment(P< 0.05),the Ach there was a significant difference compared with before treatment(P < 0.01),GABA,Glu,5-HT,DA are extremely significant difference compared with before treatment(P < 0.001).(3)Comparison between groups: after treatment,there were significant differences in GABA and Glu(P<0.01),indicating significant differences between the two groups in the adjustment of GABA and Glu content.The contents of 5-ht,NE,Ach and DA in the two groups were also different(P < 0.05).3.The overall clinical efficacy: The total number of clinical cases of senile in this study was 72,including 36 cases of single point group,1 case were cured,5 cases were obviously effective,16 cases were effective,8 cases were ineffective,and 6 cases of falling off,with a total effective rate of 73.33%.There were 36 cases in the sancai combinative points group,2cases were cured,20 cases were obviously effectiv,8 cases were effective,4 cases were ineffective,and 6 cases of falling off,with a total effective rate was 88.24%.Conclusion: Single point acupuncture and sancai combinative points of acupoints for treating senile insomnia are both effective,but the effect of sancai combinative points group is better than the single point.The efficiency of the two groups are different(P=0.004 < 0.05).