Auricular Point Sticking Therapy For Perimenopausal Insomnia

Objective:Observed clinical efficacy of auricular point sticking therapy for perimenopausal insomnia.Method:In this self-control study,40patients who met the inclusion criteria of perimenopausal insomnia were treated by auricular point sticking therapy. Auricular acupoints:heart, Shenmen, consensus, endocrine, kidney, subcortex, spleen, liver. The patient’s auricle was routine disinfected, then pressed the selected department and adjacent parts of the auricle with the same intensity by the detection pen.Observed the patient’s response to pain.When the sensitive point was probed,marked it, put sterile vaccaria-seed stick in the center of desensitized adhesive plaster (0.5cm×0.5cm), then clipped the sticking with sterile tweezers and stuck on the selected auricular point.Patient was asked to press it5times a day, each30-60seconds. Multiple presses before going to bed would be better.Instead of intense pain, the feeling of slight soreness, numbness, heaviness or distension was to be expected. Alternate treatment from each auricula to another was implemented every three days.15days as a course of treatment, patient could take a rest of two days between two courses and three treatment courses were needed. Assessed efficacy after three treatment courses,by comparing the score changes those came from SPIEGEL scale and TCM clinical symptoms scale.Results:1.The efficacy of auricular point sticking therapy for perimenopausal insomnia:Among the40cases,8cases(20%) were cured,11cases(27.5%) had obvious effect,16cases(40%) had effect,5cases(12.5%) had no effect, the total effective rate reached87.5%.2. Relation between treatment effect of perimenopausal insomnia and course of the disease:The effective rate of the two groups which course of the disease less than3months and between3-10months were100%and90.48%, no significant difference was found between the two groups (P>0.05),but the two groups compared with the more than10months group respectively, the results showed statistically significant difference.According to these results, we hold the opinion that the longer course of the perimenopausal insomnia, the poorer treatment effect.3.SPIEGEL scale:Patients after treatment, total score and the single score of SPIEGEL scale were lower than those before therapy and the difference was statistically significant (P<0.05). It indicates that auricular point sticking therapy can treat perimenopausal insomnia effectively.4.Efficacy analysis of TCM symptoms: Compared with the TCM symptoms before and after treatment. It showed that the TCM scores had reduced obviously. The difference was statistically significant (P<0.05). It indicates that auricular point sticking therapy has good efficacy in improving TCM symptoms of insomnia in perimenopausal period.Consolution:1.Auricular point sticking therapy can treat perimenopausal insomnia effectively.2.The results of the study show that auricular point sticking therapy can improve the TCM symptoms in perimenopausal period.3.Auricular point sticking has the advantages of simple operation, easy to adhere to, low treatment cost. It is a safe,effective treatment,and is worthy of popularization.