Clinical Research On Depression-related Insomnia Treating With "Sleep 3-needle Points"

Insomnia is often triggered by the depression or anxiety after the irritable events,often accompanied with varying degrees of depression. Dys-thymia insomnia(depression or dys-thymia insomnia,DDI)is a sleep disorder with insomnia as cardinal symptom,accompanied by depression or bad mood.It is the main symptom to wake up easily in early morning,accompanied by headache,dizziness,depressed,palpitations,forgettery and more dreams etc.Polysomnogram(polysomnogram,PSG)has the most obvious characteristics of rapid eye movement active sleep,including shortening of the incubation period for rapid eye movement,increase of the proportion in strength and density for rapid eye movement sleep.It is usually considered shortening of the incubation period for rapid eye movement as psychobiological index of depression.Although the mechanism of insomnia is not clear yet,modern medicine has a more comprehensive understanding to insomnia from name, epidemiology,pathophysiology and pathogenesis.The cognition to insomnia of Traditional Chinese Medicine(TCM)can be tracked back to "Huangdi's Classic of Internal Medicine",which named insomnia as "Bumei"(sleepless).TCM has a lot of discussions and researches to insomnia from name,etiology,pathogenesis,treatment,etc.The clinical treatments of insomnia,mainly in Western medicine,supplemented by Chinese medicine,include Non-drugtreatment,psychological treatment,drug treatment,acupuncture treatment.However,although the effects of western medicine in treatment of insomnia are fast,there are tolerance,dependence and more side effects of most hypnotic drugs.There are many acupuncture treatment ways to this disease with significantly reliable effect.It not only can help patients break away from problems of insomnia,but also can help patients avoid toxic reactions bring by drugs use.So it is a clinical study on patients into line with standards suffering from depression-related insomnia who are divided into treatment group treated with "Sleep 3-needle Points" and control group treated with simple drug.Through the evaluation,before and after treatment, of their sleep quality,Zung's depression index,the quality of life,the recent effect and long-term effect,estimate the clinical effect of treatment group.Method:This study divide the patients in hospital of Guangzhou Baiyun Psychology Hospital during 2007.3 to 2008.3,who accord with the acceptable standards,in accordance with the principle of randomized controlled, into"sleep 3-needle points' treatment group with 30 and drug control group with 30.The treatment group therapy:treating with acupuncture the points of "sleep 3-needle points"(main points:4-spirit points,Neiguan,Sanyinjiao, supplementary points:the stabilizing shen points,shenmen,zhaohai)to puncture slowly,needling for reinforcing and reducing,once a day,30 minutes keeping every time,six times per course,one day rest between two courses,a total of three courses:the randomized controlled group therapy:oral clonazepam tablets 1 mg,Qn,according to the severity of the patient's insomnia,taking 2-4 times a week,every week as a course,three weeks in all,as a total of three courses.After the end of the therapy for two groups,patients were followed up for 3 months.After the end of the three courses,using the Pittsburgh Sleep Quality Index,the self-rating depression scale,the Chinese quality of life to evaluate,using SPSS13.0 of statistical software for statistical analysis,the results were done the comparison between two groups and the comparison between the same group before and after therapy,observe the improvement of sleep,depression and quality of life.Results:1,Compared the clinical effects two groups(P＜0.05),show the effect of treatment group is beter than that of the control group;2,Compared the PSQI of two groups,the treatment group(P＜0.01)and the control group (P＜0.05)both show significant difference in improving patients' insomnia,and the method of treatment group is better than that of the control group(P＜0.01);3,Compared the self-rating depression scale results of two groups,two kinds of intervention methods,the treatment group(P＜0.01)and the control group(p＜0.01)both show significant difference in improving patients' depression,and the effect of treatment group is beter than that of the control group(P＜0.05);4,Compared the results of Chinese quality of life of two groups(compared before and after therapy of each group,both groups P＜0.01;P＜0.01 by comparing between two groups),show significant difference in improving patients' quality of life,and the effect of treatment group is beter than that of the control group(P＜0.05):5,Compared the results followed up for the first month,the third month for two groups(both P＞0.05),there was no significant difference.Conclusion:The treatment method of "sleep 3-needle points" has significant effect in improving the symptoms of insomnia,depression,quality of life of the patients.And it's a reliable way with not relapse easily, less side effects,it is worth to generalize and apply as clinical treatment method.