Clinical Study On The Modified Painless Purulent Wheat-grain Moxibustion Combined With Acupuncture In The Treatment Of Perimenopausal Insomnia With Kidney Deficiency And Liver Depression

Objective:To observe the clinical efficacy of Modified Painless Purulent Wheat-grain Moxibustion combined with acupuncture in the treatment of perimenopausal insomnia with kidney deficiency and liver depression.Methods:A total of 116 patients with perimenopausal insomnia at Shengli Oilfield Central hospital during the year of 2022 were randomly divided into two groups with 58 cases in each.The observation group were treated with Modified Painless Purulent Wheat-grain Moxibustion combined with acupuncture,while the control group were only treated with acupuncture.Both groups were treated for three times per week for 8 weeks.Adverse reaction of all patients should be observed and recorded.Perimenopausal Insomnia syndrome score,PSQI,parameters of PSG,SAS,SDS of the subjects were adopted and the results were compared before,after 4 weeks and after 8 weeks of the treatment.SPSS 23.0 statistical software was used for data analysis.Results:A total of 110 cases were actually included,with 55 cases in the observation group and 55 cases in the control group.Intra-group comparison showed that the Perimenopausal Insomnia syndrome score,total sleep time and sleep efficiency after 4 weeks and 8 weeks of treatment in both groups were improved than those before treatment(P<0.05);while the difference between two groups in Perimenopausal Insomnia syndrome score,total sleep time and sleep efficiency after 4 weeks and 8 weeks of treatment had no statistical significance(P>0.05).In observation group,sleep latency improvement showed statistical significance after 8 weeks of treatment(P<0.05);Compared with the control group,the shortened sleep latency of observation group showed statistical significance after 8 weeks of treatment(P<0.05).The proportion of REM in the observation group were improved than the control group after 4 weeks and 8 weeks of treatment(P<0.05).The SAS and SDS in the observation group were improved than the control group after 8 weeks of treatment(P<0.05).Conclusion:Both method can improve Perimenopausal Insomnia syndrome score,total sleep time and sleep efficiency with observed clinical efficacy.Modified Painless Purulent Wheat-grain Moxibustion combined with acupuncture.It can effectively improve the sleeping and emotional state of patients suffered from perimenopausal insomnia with kidney deficiency and liver depression and thus is worth clinical application.