Clinical Operation Standardization Research Of Pestle Needle For Gerontal Insomnia

[Objectives]1.To research the curative effect of pestle needle treating gerontal insomnia thorough, and bring its simple, economical and practical advantages into full play.2.To regulate the clinical operation of pestle needle and improve its disadvantages, in order to enrich the content of TCM.3.To strengthen the application of pestle needle therapy, and the value and advantages of pestle needle will be applied better.4.To construct standard operation process:through the experimental research,to formulate relatively standard clinical operation of pestle needle for gerontal insomnia with four different TCM syndrome types:hyperactivity of fire due to yin deficiency,liver fire disturbance,heart and lienal deficiency,disorder of the stomach.[Methods]Under the random and control design,40cases of elderly patients with insomnia were randomly divided into experimental group and control group.There are20cases in each group.According to the four different syndromes:hyperactivity of fire due to yin deficiency,liver fire disturbance,heart and lienal deficiency,disorder of the stomach to take the corresponding pestle needle acupoints cooperating scheme.The experimental group was taken the relatively standard pestle needle operation process,and The control group was taken conventional pestle needle operation process.The Pittsburgh sleep quality index(PSQI) scale, Athens insomnia scale(AIS), visual analogue scale (VAS) as the main assessment scales to collect data and the data was analysed by the statistical software SPSS17.0.[Results]1.Baseline information:Gender,age,marital status,education,occupation,income, insomnia course, insomnia type, TCM syndrome types of insomnia and so on were no significant difference between the two groups (P>0.05).Before the two groups were implemented different pestle needle operation processes,PSQI total scores and each component scores, AIS scores,VAS were no statistical significance(P>0.05),so they were comparable.2.Two groups comparison after intervention:After the experimental group and the control group were taken different pestle needle operation processes,there was statistical significance of PSQI total scores and each component scores,AIS scores, VAS(P<0.05).Those differences suggest that the curative effect is different between relatively standard pestle needle operation process and conventional pestle needle operation process taken in four different TCM syndrome types of gerontal insomnia.3.Within group comparison before and after intervention:Before and after experimental group was taken relatively standard pestle needle operation process and before and after control group was taken conventional pestle needle operation process,there was statistical significance in PSQI scores,AIS scores,VAS(P<0.05).[Conclusions]1.After the two groups were respectively implemented different pestle needle operation processes and comparison of PSQI scores,AIS scores,VAS,the experimental group decreased relatively more scores than those of control group,it suggests that experimental group is better than control group in gerontal insomnia effect, so the relative standard pestle needle clinical operation process can improve curative effect of gerontal insomnia patients.2.Pestle needle can improve curative effect of gerontal insomnia patients’sleep. PSQI scores, AIS scores, VAS of experimental group and control group after intervention was fewer than before intervention, it illustrates that differert pestle needle operation processes both have curative effect for gerontal insomnia.3.According to each component of PSQI scale, the sleep quality, time of going to sleep, sleep time scores of experimental group reduced more than those of control group, it illustrates that relatively standard pestle needle operation process improve the gerontal insomnia patients’sleep better than conventional pestle needle operation process in three aspects:quality of sleep, time of going to sleep,sleep time.4.Through the application of pestle needle in gerontal insomnia, it has effectively improved the life quality and health level of the elderly and also promoted the development of nursing career.