Observation On The Clinical Efficacy Of "Zishen Yisui Ningxin Anshen" Acupuncture In The Treatment Of Senile Insomnia(Heart-kidney Disharmony Type)

Objective:By observing the clinical efficacy of " Zishen Yisui Ningxin Anshen"acupuncture in the treatment of senile insomnia(heart-kidney disharmony type),comparing the changes before and after treatment,and providing new acupuncture treatment ideas for the clinical treatment of senile insomnia.Methods:1.Sixty-six patients who met the diagnostic criteria of Chinese and Western medicine were randomly divided into observation group(33 cases)and control group(33 cases).2.The treatment group was given " Zishen Yisui Ningxin Anshen"(acupoint selection:Baihui,Shenmen,Zhongwan,Taixi,Xuanzhong)acupuncture,and the control group was given oral alprazolam.The changes of Pittsburgh Sleep Quality Index(PSQI)score and TCM syndrome score before and after treatment were observed,and statistical analysis was performed using SPSS25.0 software.Results:1.After 4 weeks of treatment,the PSQI scores of the treatment group and the control group were significantly lower than those before treatment,and the comparison between groups and within groups(P<0.05)was statistically significant.PSQI single factor comparison between groups,sleep disorders,daytime dysfunction two factors(P<0.05),the difference is obvious.PSQI single factor was compared within the group(P<0.05),and the difference before and after treatment was significant.2.After treatment,the total scores of TCM symptom scores in both groups decreased,and the scores of TCM symptom scores between the two groups and within the treatment group were statistically significant(P<0.05).The scores of TCM symptoms in the control group were compared within the group.There was a difference in difficulty falling asleep(P<0.05)before and after treatment,and there was no difference in other symptoms(P>0.05)before and after treatment.3.After 4 weeks of treatment,the total effective rate was 93.55%in the treatment group and 80.00%in the control group.Conclusion:Both groups can improve sleep,but the treatment group has more advantages in improving sleep disorders,daytime dysfunction and TCM symptoms.