Clinical Observation On Treatment Of Chronic Insomnia By Removing Blood Stasis And Tranquilizing Mind Acupuncture Method

Objective: By observing the clinical efficacy of the acupuncture method of removing blood stasis and tranquilizing mind in the treatment of chronic insomnia,in order to provide a more effective and feasible treatment option for patients with chronic insomnia.Methods: 60 patients with chronic insomnia who accorded with the inclusion criteria were randomly divided into two groups: the treatment group(n = 30)and the control one(n = 30).The acupuncture method of removing blood stasis and tranquilizing mind and routine acupuncture method were used to treat the two groups of patients on the basis of the treatment of related underlying diseases.The needle was incessantly retained for 30 minutes after bringing about the desired sensation in acupuncture treatment.A course of treatment was lasted for 7 days,acupuncturing one time a day and taking one day off per week among the continuous treatment which was lasted for 3 courses.By observing the two groups of patients before and after treatment of the total scores of PSQI and the scores of various components,HAMA scores,HAMD scores,TCM blood stasis symptoms and grading of symptoms,and then analyze the clinical efficacy of the two groups after the end of the course of treatment.Results:1.There was no significant difference in the comparison of the basic data(gender,age,course of disease)between the two groups of patients(P>0.05),which were comparable.2.The total scores of PSQI and the scores of various indicators,HAMA scores,HAMD scores and TCM blood stasis symptoms scores of the two groups of patients after three courses of the treatment were lower than those before treatment(P 0.05).After treatment,the total PSQI scores,HAMA scores,HAMD scores and TCM blood stasis symptoms scores of the treatment group were lower than those of the control group(P 0.05).However,it was found that the two groups were equally effective in shortening the time of falling asleep when comparing the indexes of PSQI(P>0.05),while the scores of the treatment group decreased more significantly in the remaining five indexes(sleep efficiency,sleep time,sleep quality,sleep disorder and daytime dysfunction)than those of the control group.3.In the treatment group,the symptoms of blood stasis were divided into three grades according to mild,moderate and severe,the number of cases was 9,13 and 8 respectively before treatment,and it became 18,9 and 3 after treatment.In the control group,the number of mild,moderate and severe symptoms of blood stasis was 8,12 and10 respectively before treatment,while after treatment it became 10,13 and 7 cases.According to the analysis of the above data,the treatment group was superior to the control group in reducing the symptoms of blood stasis(P 0.05).4.The total clinical effective rate of the treatment group was86.67% while 70% in the control group,the difference was statistically significant(P 0.05).Conclusion:1.Both the routine acupuncture method and the acupuncture method of removing blood stasis and tranquilizing mind in the total scores of PSQI and the scores of each index,HAMA,HAMD,the scores of TCM blood stasis symptoms are all improved compared with the previous ones.2.The acupuncture method of removing blood stasis and tranquilizing mind is better than the routine acupuncture group in improving somnipathy,sleep efficiency,sleep time,sleep quality and daytime dysfunction.3.The acupuncture method of removing blood stasis and tranquilizing mind is superior to the routine acupuncture group in improving the anxiety and depression of patients.4.The acupuncture method of removing blood stasis and tranquilizing mind is better than the routine acupuncture group in the improvement degree of blood stasis symptoms and symptoms grading scores.5.The acupuncture method of removing blood stasis and tranquilizing mind is superior to the routine acupuncture group in improving the overall clinical efficacy.