Clinical Observation Of Therapeutic Effect On Chronic Insomnia With Acupuncture Plus Ear Pressure With Different Materials

Objective:To study the effects of ear pressure method on chronic insomnia,through the Clinical observation of ear-pressure method with different materials on the patients with insomnia on the basis of general acupuncture,provide clinical evidences for the optimization of ear pressure treatment programs.Methods:The 57 standard patients were grouped randomly,the group of acupuncture plus ear pressure with Vaccaria seeds(29 cases) and the group of acupuncture plus ear pressure with beads(28 cases) were set,the points of Baihui,Shenting,Benshen,Shenmen,Zusanli and Sanyinjiao were chose for 30 minutes acupuncture and modified follow the situation.Detect the ear with the ear probe after acupuncturing and Paste the Vaccaria seeds and beads on the points of Shenmen,Sub cortical and Heart separately and modified follow the situation.Ask the patients to press the points timely and alternate ears,once every two days in 1 month.Evaluate the total points of PSQI,points of PSQI factors (time of go to bed,Sleep duration,Sleep efficiency,Sleep quality,Sleep disturbance,daytime function,Sleep medication),change of SDS points before and after being treated,Reference to the Ministry of Health in 2002, "Drug treatment of insomnia in clinical medicine research guiding principles" for effective assessment,data processing and statistical software used SPSS16.0.Results:(1) Acupuncture plus ear pressure with two materials can reduce the total points of PSQI significantly and there was a significant difference before and after being treated (p<0.01),the beads group was better than the Vaccaria seeds group on the degree of improvement of PSQI points (p<0.05)(2) Through the observation of each indicator of PSQI points before and after being treated, acupuncture plus ear pressure with two materials can improve the symptoms of depression in patients of chronic insomnia (p<0.01),the beads group worked well on shorting the sleep time and improving functional during the daytime (p<0.05)(3) There was a significant difference on the change of SDS points before and after being treated (p<0.01), the beads group worked better in this aspect (p<0.05)(4) The total effective rate of the Vaccaria seeds group was 79.3% and the beads group was 89.1%;The excellence rate of the Vaccaria seeds group was 27.6% and the beads group was53.4%.The beads groupis better than the Vaccaria seeds group on the excellence rate.Conclusion:Ear-blinding is an effective method of treatment for chronic insomnia,can improve the situation of the chronic insomnia patients and the symptoms of depression associated.On the overall efficacy, acupuncture plus ear pressure with Vaccaria seeds.