Study On Mechanism Of The Liver Depression And Qi Stagnation Insomnia And The Changes In The Parameters Of The PSG

Objective: To observe and summarize the characteristics of PSG of liver-qi stagnation type insomnia;To observe and summarize the changes of TCM syndrome score,PSQI score and PSG after the treatment of insomnia with liver stagnation and qi stagnation.Methods: All cases are derived from Changchun University of Chinese medicine Affiliated Hospital encephalopathy in hospital and clinic of liver depression and qi stagnation type insomnia patients 120 cases,adopt table randomly divided control 40 cases in group1(given liver resolve depression,tranquilize the Chinese herbal medicine treatment);40 cases in group2(given the Chinese herbal medicine treatment),40 cases in treatment group(given Eszopiclone Tablets),one month.PSG was used to detect the characteristics of PSG in patients with insomnia due to liver depression and qi stagnation.Results: The total score of Pittsburgh sleep quality index(PSQI)in the three groups decreased after treatment,and the difference was statistically significant(P < 0.05).PSQI decreased in the treatment group compared with the control group,and the difference was statistically significant(P < 0.05).After treatment,the total quantitative points of TCM syndromes in the three groups decreased compared with the previous group,and the difference was statistically significant(P < 0.01).Compared with the control group,the total quantitative score of TCM syndromes in the treatment group decreased after treatment,and the difference was not statistically significant(P > 0.05).Both treatment group and control group can effectively increase the total sleep time of insomnia patients,shorten the sleep latency,improve sleep efficiency,reduce the number of awakening,increase NREM time and REM time,improve the sleep cycle,and adjust the proportion of NREM stages.However,in terms of total sleep time,sleep efficiency,number of awakenings,NREM time,REM time,stage S1 and its percentage,stage S3 and its percentage,the improvement of the treatment group was significantly better than that of the control group(P < 0.05).The total effective rate of the treatment group was 90.00%,which was better than that of the control group(77.50%)(P < 0.05).Conclusion: Insomnia patients with liver depression and qi stagnation have the characteristics of long latency,low sleep efficiency,less total sleep time,less sleep cycle and more times of awakening.It is safe and effective to treat insomnia of liver stagnation and qi stagnation with Chinese herbal medicine combined with point sticking.It can improve the TCM syndrome score of liver depression and qi stagnation type insomnia,adjust the sleep structure,improve the sleep quality,increase the time of NREM and REM phase,and reduce the sleep quality index score of Pittsburgh.The characteristics and parameters of PSG can be used as the quantitative index and diagnostic criteria for insomnia with liver depression and qi stagnation.