| Objective:By observing the clinical efficacy on the routine acupuncture combined with acupuncture from Shangxing through Baihui on obstinate insomnia,in order to improve and optimize the treatment method of obstinate insomnia,and provide a more effective and feasible treatment option for patients with obstinate insomnia.Method:Selecting sixty cases out-patients with obstinate insomnia,which were randomly divided into treatment group and control group,30 cases in each group.The control group choose the routine acupuncture,and the treatment group choose the routine acupuncture combined with acupuncture from Shangxing through Baihui.6 days a week and then taking one day off,one course of the treatment was 7 days,there were 4 courses of the total treatment.The Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were compared between the two groups before and after treatment.And the changes in scores were analyzed by SPSS25.0.At last,we evaluate the improvement of patients symptoms in two groups and the clinical efficacy.Result:1.Before treatment,the basic information(gender,age,course of disease)and PSQI,HAMA,HAMD scores of the two groups were statistically analyzed,and there was no significant difference between the two groups(P>0.05),which show that the two groups were comparable.2.After treatment,the data in the two groups(that is,before and after treatment in the same group)were statistically analyzed.Compared with the prior treatment,the total scores of PSQI and the scores of various indicators,HAMA scores and HAMD scores in the two groups were significantly decreased(P<0.01),which means both acupuncture methods are effective in treating obstinate insomnia.3.After treatment,the data in the two groups(that is,between the treatment group and the control group after treatment)were statistically analyzed.The total scores of PSQI and the scores of various indicators,HAMA scores and HAMD scores were significantly different between the two groups(P<0.01),which means the scores of the treatment group were better than those of the control group.4.After all courses,it showed that the total clinical effective rate of the treatment group was 83.33%,while 73.33% in the control group.There was a significantly different between the two groups(P<0.05).The treatment group has better efficacy for obstinate insomnia.Conclusion:1.The method of routine acupuncture combined with acupuncture from Shangxing through Baihui can improve the symptoms of obstinate insomnia,and the effect is better than the method of the routine acupuncture.2.The method of the routine acupuncture combined with acupuncture from Shangxing through Baihui can relieve the anxiety and depression of patients,and the effect is better than the method of the routine acupuncture.3.The method of the routine acupuncture combined with acupuncture from Shangxing through Baihui is superior to the method of simple routine acupuncture in improving the overall clinical efficacy. |