Clinical Study Of Jiao Tai Wu You San Combined With Cranial Electrotherapy Stimulation In The Treatment Of Elderly Insomnia (Heart-Kidney Disharmony Type)

Objectives: To study the clinical efficacy of Jiao Tai Wu You San combined with Cranial electrotherapy stimulation in the treatment of elderly insomnia(of a heart-kidney disharmony type).Methods: 108 patients meeting the inclusion criteria were selected and randomly divided into a traditional Chinese medicine control group(simply a Jiao Tai Wu You San treatment),an equipment control group(simply a cranial electrotherapy stimulation therapy),and a treatment group(the cranial electrotherapy stimulation therapy combined with Jiao Tai Wu You San),36 cases each.The study period was 6 weeks.Pittsburgh sleep quality index(PSQI)score,TCM syndrome score,self-rating Anxiety Scale(SAS)score and short version of Geriatric Depression Scale(GDS-15)score were evaluated before and after treatment in the three groups of patients as the evaluation criteria of sleep status,clinical efficacy and emotional state.Results:1.Overall sleep curative effect results : three groups after treatment curative effect comparison,equipment control group,Chinese medicine control group,treatment group total effective rate were : 60.00 %,78.78 %,91.17 %,by statistical analysis,three groups of total effective rate has difference(P<0.05);2.PSQI evaluation results : In terms of the comparison between the three groups after treatment,statistical analysis shows differences of the scores(P<0.05).The treatment group was better than those in the two control groups(P<0.05).There was no significant difference between the two control groups(P>0.05).Compared with before and after treatment,the sleep efficiency of the two control groups was not significantly improved(P>0.05).Hypnotic drugs were not used in this study,so there was no statistical significance in the hypnotic drug group(P>0.05).Compared with the scores of the other groups before and after treatment,the PSQI scores of the elderly patients with insomnia were significantly reduced by the three treatment schemes(P<0.05);3.Results of TCM syndromes : After treatment,there were significant differences in the scores of each factor and total score among the three groups(P<0.05).In pairwise comparison,the treatment group and the traditional Chinese medicine control group was better than that in the equipment group(P<0.05),and the difference between the treatment group and the TCM control group was not significant(P>0.05).Compared with before and after treatment,the three treatment schemes were significantly improved after treatment(P<0.05);4.Results of SAS and GDS-15 : After statistical analysis,the improvement of anxiety symptoms and depression symptoms of the three treatment schemes were not identical(P<0.05),and the treatment group was better than the two control groups(P<0.05),and there was no significant difference between the two control groups(P>0.05).Compared with before and after treatment,the three treatment schemes were significantly improved after treatment(P<0.05).Conclusions:1.The overall effect of traditional Chinese medicine combined with transcranial microcurrent stimulation therapy in the treatment of senile insomnia is better than that of traditional Chinese medicine alone and transcranial microcurrent stimulation alone.2.Traditional Chinese medicine combined with cranial electrotherapy stimulation can significantly improve the sleep quality of elderly patients with insomnia,effectively reduce anxiety and depression,and improve the quality of life.