| Research backgroundInsomnia is often cannot obtain the normal sleep. The light is difficult to fall asleep, or not to sleep all night, seriously affect the patient’s routine work and physical and mental health. The main ways to eliminate fatigue performance is not satisfied in the sleep time, depth and, it is a continuous physiological disorder, a serious impact on people’s quality of life. The proportion of patients with sleep disorder who announced in2006each year, China has about300000000adults suffer from insomnia and hypersomnia sleep disorder, insomnia has become the second major diseases in the wake of headache in neurological clinic. Insomnia patients often have emotional disorders, especially anxiety, depression, nervous and excitable. Severe insomnia directly affect the immunity of the human body, to bring it down, whether the disease-resistant ability, or rehabilitation ability will with low, not only susceptible, and cause other disease, also make the disease induced by the original. Sleep quality and our quality of life is directly linked, inextricably linked. Now, people’s living standard improves, the quality of life requirements are also an unprecedented increase, so sleep quality has become one of the focus of attention.With the increased prevalence of insomnia, sleep problems aroused widespread concern in the international community. WHO convened a nearly2/3of sleep medicine and epidemiology expert meeting to discuss health problems with sleep disorder and the formation of the guidelines for the treatment of this aspect.[1] but the Western ideal is the comprehensive treatment involving education, behavioral therapy and drug treatment. In recent years, many reports about acupuncture treatment of insomnia. Not only the symptoms and treatment efficacy of diversity, different, is not the same."Bai Yin Regulate N Recipe" as the main treatment, long-term experience of Professor Lai Xinsheng in the treatment of medical summary, simple insomnia has better clinical effect. Randomized controlled clinical study by therapeutic effect on simple insomnia, for a correct understanding of its clinical efficacy and mechanism of action have a greater clinical value.Research objectiveThe therapeutic effect of acupuncture method through clinical research evaluation of randomized to " Bai Yin Regulate N Recipe " based on simple insomnia, in order to provide reference for the clinical treatment of. Research methodsA randomized control clinical study, with simple insomnia patients included60patients as the research object in the ratio of1:1were randomly divided into two groups, two groups are using "Bai Yin Regulate N Recipe" acupuncture, electroacupuncture stimulation frequency divided into100HZ group (treatment group) and frequency of electroacupuncture stimulation group (group10HZ), each group of30cases.Treatment:" Bai Yin Regulate N Recipe " Acupuncture of Baihui, Yintang main points, and according to the dialectical combination of acupoints, plus Shenmen, Neiguan, Zusanli, Sanyinjiao, Taixi, taichong. The disposable acupuncture needle, the conventional75%alcohol local disinfection, with single hand fast needling, decide according to patient body habitus, flat spines0.5-0.8inch needle, to get gas, and Han’s acupuncture instrument, continuous wave, the frequency of100HZ, strength in patients with tolerance, power20min, the needle for30minutes, the rest of the acupoint in the needle after the gas with the reinforcing-reducing method, stimulating amount appropriate medium. Acupuncture treatment5times a week,1weeks for a course of treatment, observation of therapeutic effect after2courses of treatment.Treatment of control group and treatment group with the same:dialectical point, just change the electric machine frequency is10HZ. Acupuncture Baihui, Yintang mainly points, plus Shenmen, Neiguan, Zusanli, Sanyinjiao, Taixi, taichong. The disposable acupuncture needle, the conventional75%alcohol local disinfection, with single hand fast needling, decide according to patient size,0.5-0.8inch flat thorn, needle to get gas, and Han’s acupuncture instrument, continuous wave, the frequency of10HZ, strength in patients with tolerance, power20min, the needle for30minutes, the rest each point in the needle after the·gas with the reinforcing-reducing method, stimulating amount appropriate medium. Acupuncture treatment5times a week,1weeks for a course of treatment, observation of therapeutic effect after2courses of treatment.Before and after treatment, including the Pittsburgh sleep quality index (PSQI) were observed in scale, Self-rating Anxiety Scale (SAS) and self-rating depression scale (SDS) score, and to keep a record of adverse reactions in the course of treatment and side effects. After finishing all data entry SPSS11.0, establish the database, analysis and processing. Equilibrium analysis of basic data, on a comparable basis the results are intuitive analysis. All measurement data are used x±S (mean±standard deviation) said, the measurement data with the normality and homoscedasticity using t test, does not conform to the rank sum test; classification data according to the data using2χ test, rank sum test. P is a two-sided test, P<0.05was significantly, P<0.01there was a significant difference, P>0.05as no significant difference.The research resultsThe general situation of two groups of patients before treatment including age, course of disease, sleep rate, Pittsburgh sleep quality index, Self-rating Anxiety Scale (SAS) score and self-rating depression scale (SDS) scores were comparable (P>0.05).The end of the treatment period1, sleep rate (%):the treatment group before and after treatment of sleep rate, with statistical significance (P<0.01); the control group before and after the treatment of sleep rate, also has statistical significance (P<0.01). Between two groups after treatment compared sleep rate, P>0.05, was not statistically significant.2, the Pittsburgh sleep quality index (PSQI) score:comparison of therapeutic group before and after treatment, the difference was statistically significant (P<0.01). Comparison between the groups before and after treatment, the difference had statistical significance (P<0.01). And between the two groups after treatment of difference, the difference was not statistically significant (P>0.05). The quality of sleep, sleep time, sleep time, sleep efficiency, sleep disorders and daytime function evaluation, group differences were statistically significant (P<0.01), the difference between groups was not statistically significant (P>0.05).3, in the Self-rating Anxiety Scale (SAS) score:comparison of therapeutic group before and after treatment, the difference was statistically significant (P<0.01). Comparison between the groups before and after treatment, the difference had statistical significance (P<0.01). And between the two groups after treatment of difference, the difference was not statistically significant (P>0.05).4, in the Self-rating Depression Scale (SDS) score:comparison of therapeutic group before and after treatment, the difference was statistically significant (P<0.01). Comparison between the groups before and after treatment, the difference had statistical significance (P<0.01). And. between the two groups after treatment of difference, the difference was not statistically significant (P>0.05).ConclusionThe results of this study showed that, the treatment group and the control group in improving both data after treatment had no significant difference in degree; in the sleep rate data, both had a good therapeutic effect on simple insomnia. Sleep rate than before treatment, after treatment with Pittsburgh sleep quality index (PSQI) score, Self-rating Anxiety Scale (SAS) score and self-rating depression scale (SDS) score had improved greatly.The results suggest that, according to Professor Lai Xinsheng for many years of clinical experience and the " Bai Yin Regulate N Recipe " in which frequency electroacupuncture stimulation, has a better therapeutic effect on simple insomnia. Its efficacy, not because of EA frequency effect on treatment. It not only clinical sleep quality on simple insomnia patients have better curative effect on insomnia, and associated symptoms of depression and anxiety, and have good effect, worthy of extensive promotion and application. |
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