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Research On The Intervention Effect Of Insomnia Treated With Acupuncture Combined With Tai Chi

Posted on:2015-03-29Degree:DoctorType:Dissertation
Country:ChinaCandidate:G S WangFull Text:PDF
GTID:1264330431979569Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
ObjectiveThe aim of the study was to observe and study the the intervention effect of insomnia treated with acupuncture combined with Tai Chi. It has two goals, one is to test and verify the effect of insomnia treated by Tai Chi, the other is to explore new ways to treat insomnia.Methods90insomnia patients were randomly divided into the test group, acupuncture group and Tai Chi group,30cases in each group. The test group was treated by acupuncture combined with Tai Chi, using Professor Lai Xinsheng’s experience in treatment of insomnia.(Professor Lai is a domestic famous acupuncturist.) Tai Chi exercise used the24Style. The Acupuncture group only received acupuncture treatment as same to test group. Tai Chi group only received only24Style Tai Chi exercise as same to test group. Monday to Friday for the test of time, Saturday, Sunday rest, a total of4weeks. After the end of treating, it had8week follow-up. Patients’s sleep quality, depression, anxiety and quality of life were observed by PSQI, SDS, SAS and WHOQOL-BREF in6time points (before treating, after2weeks of treating, after4weeks of treating, and2weeks,4weeks and8weeks after the end of treating). In the end, we took SPSS17.0software for statistical analysis of data.Results1. The total efficiency comparison among groupsAfter4weeks of treating, the test group haved8cured cases,17obvious effective cases,5effective cases and0invalid cases, the total effective rate was100%. The acupuncture group haved2cured cases,11obvious effective cases,16effective cases and1invalid cases, the total effective rate was96.7%. Tai Chi group haved0cured cases,2obvious effective cases,23 effective cases, and5invalid cases, the total effective rate was83.3%. Three groups all have the effect for insomnia treatment. By comparison, the test group’s curative effect for insomnia was better than the acupuncture group and the Tai Chi Group (P<0.017), the acupuncture group was better than Tai Chi group (P<0.017).2. Comparison of scale score difference after treating among groupsBy the Comparison of scale score difference after treating, three groups can all shorten insomnia patients’sleep latency with no obvious difference (P>0.05). By the comparison between the test group and acupuncture group, there was no significant difference in improving sleep quality and efficiency (P>0.017), but test group was better than the acupuncture group in other ways (P<0.017). Compared with the Tai Chi Group, the test group was better in all ways (P<0.017). Compared with the Tai Chi group, the acupuncture group was better in improving the quality of life (P<0.017), but they had no significant difference in sleep quality, sleep time, sleep efficiency, sleep disorders, daytime function, PSQI score, depression and anxiety (P>0.017).3. Comparison of each score among groupsIn the comparison of the PSQI score, after2weeks of treating, the test group and the acupuncture group had no significant difference for the effect on the treatment of insomnia (P>0.017), but they were all better than Tai Chi group(P<0.017). After4weeks of treating, the test group for insomnia therapy was better than acupuncture group and Taijiquan group (P<0.017), and there was no significant difference between acupuncture group and Taijiquan group (P>0.017).In the depression score comparison, there was no significant difference among the three groups after2weeks of treating (P>0.017). After4weeks of treating, The test group for depression was better than the acupuncture group and Tai Chi group (P<0.017), the acupuncture group and Tai Chi group had no significant difference for the improvement of depression (P>0.017).In the anxiety score comparison, there was no significant difference among the three groups after2weeks of treating (P>0.017). After4weeks of treating, the test group for anxiety was better than the acupuncture group and Tai Chi group (P<0.017), the acupuncture group and Tai Chi group had no significant difference for the improvement of anxiety (P>0.017).In the life quality score comparison, there was no significant difference among the three groups after2weeks of treating (P>0.017). After4weeks of treating, the test group for life quality was better than the acupuncture group and Tai Chi group (P<0.017), the acupuncture group was better than Tai Chi group in improving the quality of life (P<0.017).4. Self comparison of scores in each group after treatingBy the self comparison of scores in each group after treating, they all had P<0.05. It can be said three groups all had therapeutic effect on insomnia.5. Long term effectBy the comparison between scores after treating and scores after following up, three groups all had P<0.05, it can be said, they all had Long term effect for insomnia treatment.By the comparison among three groups with the scores after following up, the test group was better than the acupuncture group in all ways (P<0.017), and better than Tai Chi group in PSQI score (P<0.017), but there was no significant difference in improving depression, anxiety and quality of life between the test group and Tai Chi group (P>0.017). The Tai Chi group was better than the acupuncture group in improving depression, anxiety and quality of life (P<0.017), and there was no significant difference in PSQI score between them (P>0.017).GonelusionAcupuncture combined with Tai Chi has clinical curative effect and long-term effect of treating for insomnia, better than simple acupuncture and simple Tai Chi exercise. Tai Chi exercise has a certain improving effect for insomnia. It can improve insomnia patients’s depression, anxiety and quality of life, and strengthen clinical therapeutic effect of acupuncture.
Keywords/Search Tags:insomnia, acupuncture combined with Tai Chi, acupuncture, Tai Chi, long term effect
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