| Research purpose:By observing the effect of Chinese medicine separated moxibustion on umbilicus combined with acupoint massage along meridians on insomnia patients with deficiency of both heart and spleen,this project will open up a new way for the intervention of insomnia with deficiency of both heart and spleen,and improve the quality of life of insomnia patients;Highlight the characteristics of traditional Chinese medicine nursing,promotion of traditional Chinese medicine nursing technology,andcarry forward traditional Chinese Medicine.Research Methods:1.From December 2018 to December 2019,150 insomnia patients with deficiency of heart and spleen were selected to visit the acupuncture and massage department,treatment center and affiliated outpatient clinic of a third level hospital of traditional Chinese medicine in Shandong Province,and they met the research standard and informed consent.The patients were randomly divided into three groups: A,B and C according to the order of treatment and the ratio of 1:1:1.Group A was treated with moxibustion and acupoint massage along meridians.Group B was treated with moxibustion and navel massage alone.Group C was treated with acupoint massage alone along meridians.All the above three groups were intervened for 4 weeks.2.Study evaluation index: before and after treatment,the three groups were evaluated by Pittsburgh sleep quality index(PSQI)and traditional Chinese medicine symptom scale of deficiency of heart and spleen.Research Results:1.There was no significant difference(P > 0.05)between the three groups in gender,education,occupation,marital status,age,course of disease and other baseline data.2.Finally,142 patients participated in the study,and 3 patients in the combined group were interrupted.In the moxibustion group,1 case was treated with western medicine diazepam,2 cases were interrupted,1 case was treated with acupoint massage,and 1 case was treated with western medicine diazepam.3.After treatment,the total score of PSQI and the scores of all dimensions in the three groups were lower than those before treatment,and the differences between the three groups before and after treatment were statistically significant(P<0.05).4.After treatment,there were significant differences in sleep quality,sleep time,sleep efficiency,daytime dysfunction and total score of PSQI between the combined group and the moxibustion group and the acupoint massage group(P<0.05),there was no significant difference in sleep disorders(P>0.05).5.The scores of TCM symptoms in the three groups were lower than those before treatment,and the differences between the three groups before and after treatment were statistically significant(P<0.05),among them,the difference of the combined group was the biggest,which was significantly higher than that of the drug separated moxibustion group and the acupoint massage group.6.After the treatment course,there was significant statistical difference in the clinical efficacy of the three groups(P=0.035<0.05),the total effective rate of combined therapy group(93.6%)was significantly higher than that of moxibustion group(76.6%)and acupoint massage group(75.0%),however,there was no significant difference in the total effective rate between the two groups.Research Conclusion:1.Combined with sleep health education,the three treatment methods can effectively improve the sleep quality of patients with deficiency of heart and spleen,but the effect is more significant;the therapeutic effect of moxibustion on umbilicus group is slightly better than that of acupoint massage group.2.Three groups of intervention methods can reduce the syndrome symptoms of insomnia patients with deficiency of heart and spleen,and the effect of combined group is better than simple moxibustion on navel and acupoint massage along meridians,but the effect of moxibustion on umbilicus and acupoint massage along meridians is similar.3.The therapeutic effect of moxibustion on navel combined with acupoint massage along meridians is better than that of moxibustion on navel alone and acupoint massage along meridians in improving sleep time,sleep quality,sleep time,sleep efficiency,daytime dysfunction,PSQI score and clinical effect of insomnia patients with deficiency of heart and spleen;However,Chinese medicine separated moxibustion on navel is slightly better than acupoint massage in reducing PSQI score.4.Moxibustion combined with acupoint massage along meridians is more effective in improving the sleep quality of patients with deficiency of heart and spleen,without obvious side effects and adverse reactions.It is easy to operate,safe and effective,and has good clinical application value. |
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