Observation On The Clinical Efficacy Of Abdominal Acupuncture Combined With Body Acupuncture In The Treatment Of Primary Insomnia (heart And Spleen Deficiency Type)

Purpose: Under the guidance of TCM theory,The study takes the insomnia patients with heart and spleen deficiency as the research object and by abdominal acupuncture combined with body acupuncture treatments,To observe the clinical effect of abdominal acupuncture combined with body acupuncture on insomnia with heart and spleen deficiency and provide a more optimized treatment plan for the treatment of insomnia patients with heart and spleen deficiency.Clinical data and methods:A total of 56 patients were collected from the second hospital of Liaoning university of traditional Chinese medicine and the Guoyitang clinic of Liaoning university of traditional Chinese medicine in August 1,2016 to August 31,2017.All of them meet the Chinese and Western diagnostic criteria for the disease,are included in the standard,and are screened by exclusion criteria.patients were randomly divided into treatment group(abdominal needle combined with body acupuncture group)and control group(simple body acupuncture group).Each group had 28 patients.The treatment group was treated with abdominal acupuncture and body acupuncture,and the control group was treated with acupuncture alone.All of the above treatments were three times a week,four weeks for one course of treatment,and two courses of treatment,and the Pittsburgh sleep quality index(PSQI)was used for evaluation.The two groups of patients were observed and recorded for 2 weeks,4 weeks,8 weeks after treatment and 1 month follow-up after treatment,and statistical analysis was performed on the above data.Results: 1.Pittsburgh Sleep Quality Index(PSQI)scale was used to rate patients(sleep quality,sleep disturbance,daytime dysfunction,sleep time,sleep efficiency,sleep time)before treatment,and calculate PSQI scores,while using traditional Chinese medicine symptoms Rating criteria for scoring.The duration,age,gender,PSQI main factors(sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbances,daytime dysfunction)scores,PSQI total scores,and TCM symptom scores were compared between the two groups,P >0.05,no statistical significance,no difference between the two groups.2.After 2 weeks of treatment,patients(sleep quality,sleep disturbance,daytime dysfunction,sleep time,sleep efficiency,sleep time)were scored using the PSQI scale,and the total score of PSQI was calculated.At the same time,scores were scored using TCM syndrome scoring standards.The PSQI main factors(sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbances,daytime dysfunction)scores,PSQI total score,and TCM symptom scores were compared between the two groups,P>0.05.There was no significant difference between the two groups.3.After 4 weeks of treatment,patients(sleep quality,sleep disturbance,daytime dysfunction,sleep time,sleep efficiency,sleep time)were scored using the PSQI scale,and the total score of PSQI was calculated.At the same time,scores were scored using TCM syndrome scoring standards.The PSQI total scores of the two groups were compared between groups,P<0.05.There was a significant difference between the two groups.The overall improvement in insomnia was significantly better in the treatment group than in the control group.The PSQI main factor scores and TCM symptom scores of the two groups were compared between the two groups.The two treatments scored on the main factors such as sleep quality,sleep disturbance,daytime dysfunction,sleep time,sleep efficiency,sleep time,and scores after TCM symptoms.There was no significant difference in effect(P>0.05).4.After 8 weeks of treatment,patients(sleep quality,sleep disturbance,daytime dysfunction,sleep time,sleep efficiency,sleep time)were scored using the PSQI scale,and the PSQI score was calculated.The PSQI main factor scores and PSQI total scores were compared between the two groups.The effect of the two therapies on PSQI major factor scores and PSQI total scores was significantly different(P<0.05).Compared with the control group,the treatment group improved Sleep quality is better for the patient.5.After 8 weeks of treatment,there were 28 patients in the treatment group,2 ineffective,8 effective,11 markedly effective,7 recovered,and the total effective rate of treatment was 92.86%;28 patients in the control group,5 of whom were invalid,effective 13 cases,7 cases markedly effective,3 cases recovered,The efficacy of the two groups was tested by rank sum test and there was a significant difference(P<0.05).The treatment group was better than the control group.6.After 8 weeks of treatment,scores were scored using TCM symptom scores,and the TCM syndrome scores of the two groups were compared between groups.The difference was statistically significant(P<0.05).The improvement of TCM symptoms in patients with insomnia in the treatment group was significantly better than that in the control group.7.One month after treatment,two groups of patients were followed up,and the PSQI scale was used again to rate patients(sleep quality,sleep disturbance,daytime dysfunction,sleep time,sleep efficiency,sleep time)and calculate PSQI scores.At the same time,scores were scored using TCM syndrome scoring standards.After t-test,the PSQI main factor score and PSQI total score before and after treatment in the two groups of patients as well as TCM symptom scores were significantly different(P<0.05).Compared with the control group,the long-term efficacy of the treatment group was better.8.Follow-up after 2,4,and 8 weeks of treatment and 1 month after the end of treatment.The PSQI scale was used to score patients(sleep quality,sleep disturbance,daytime dysfunction,sleep time,sleep efficiency,sleep time),and Calculate the total score of PSQI and apply the score of TCM syndrome scoring.The total PSQI scores and TCM symptom scores for the two groups were compared with those before treatment,P<0.01,and the difference was statistically significant.9.No adverse events occurred in both groups of patients during the study.Conclusion:All the use of abdominal acupuncture combined with body acupuncture treatment and body acupuncture can improve the quality of sleep and TCM symptoms of patients,all have a certain long-term efficacy.However,abdominal acupuncture combined with body acupuncture treatment group has better effect on improving sleep quality and improving insomnia of heart and spleen deficiency type.Clinical efficacy and long-term curative effect are better,and it is worthy of clinical promotion.