Clinical Study On The Treatment Of Insomnia With Traditional Chinese Medicine Characteristic Holistic Therapy

Objective:To observe the changes of scores of Pittsburgh Sleep Quality Index scale,Spiegel scale and clinical evaluation scale of Traditional Chinese Medicine after treatment,and further evaluate the clinical efficacy of TCM characteristic holistic therapy in the treatment of insomnia.Methods:Total 60 patients who conformed to the conditions are randomly divided into 2 groups for treatment.The observation group of 30 patients are treated by characteristic holistic therapy of Traditional Chinese Medicine.Another half of patients are treated by "insomnia diagnosis and treatment scheme",issuing by the State Administration of Traditional Chinese Medicine in 2010(11th five-year plan key specialties collaboration groups:insomnia diagnosis and treatment scheme).The treatment cycle is a month.Both groups receive health education and psychological counseling in the baseline period.Statistically analyze the scores of Pittsburgh Sleep Quality Index(PSQI),Spiegel scale and TCM clinical evaluation scale before and after treatment of each group to evaluate the clinical efficacy.Results:1、A total of 60 patients were enrolled in this study,with 30 patients in each group.The rate of shedding,elimination and discontinuation of the trial was 0.00% in both two groups,and no adverse events occurred during the study.2、There was no statistical difference in the general data and scores in each scale(Pittsburgh Sleep Quality Index score,Spiegel score,TCM clinical evaluation scale score)between the observation group and the control group at baseline period(P > 0.05).3、Clinical efficacy: After treatment,the observation group has93.33% clinical effective rate,and the overall effective percentage of another group was 80.00%.The difference has statistical significance(P<0.05).4、Pittsburgh Sleep Quality Index(PSQI):1)Intragroup comparison: scores of Pittsburgh Sleep Quality Index in both two groups shows a decline after treatment(P<0.05).2)Comparison between groups: compared to the control group,the observation group had better efficacy in improving sleep quality and efficiency,extending sleep time,reducing hypnagogue(P<0.05);The improvement of sleep time,dyssomnia and daytime dysfunction between the control group and the observation group shows no statistical difference after treatment(P > 0.05).5、SPIEGEL scale:1)Intragroup comparison: scores of Spiegel scale in the control group and the observation group both shows a decline after treatment(P<0.05).2)Comparison between groups: in terms of the improvement of night total sleep time and sleep depth,the curative effect of the observation group is superior to the control group(P < 0.05);After treatment,there was no statistical difference in the improvement of time to fall sleep,waking times at night,night dreams and feelings after waking between 2 groups(P >0.05).6、TCM clinical evaluation scale:1)Intra-group comparison: scores of TCM clinical evaluation scale in the control group and the observation group both shows a decline after treatment(P<0.05).2)Comparison between groups: in terms of the improvement of sleep quality,psychological changes,physiological changes and social behaviors,the curative effect of the observation group is superior to the control group(P<0.05).7、hypnagogue reduction/hypnagogue withdrawal:1)Intra-group comparison: the effect of hypnagogue reduction/hypnagogue withdrawal was achieved in both groups after treatment(P < 0.05).2)Comparison between groups: the observation group is superior to the control group(P < 0.05).Conclusions:Comprehensive analysis the results of Pittsburgh sleep quality index scale(PSQI),SPIGELE scale and TCM clinical evaluation scale,TCM characteristic holistic therapy has better clinical popularization value for which can effectively cure insomnia by traditional Chinese medicine treatments,helping patients away from hypnagogue.