| ObjectiveThe objective of this research is to examine the clinical efficacy and the mechanism of qi movement acupuncture-based treatment created by Changbo Zuo of insomnia clinical study of stagnation of liver qi stagnation syndrome through random sampling, which provided a new treatment for the patients with insomnia.Methods66 cases of liver-Qi insomniac were chosen based on the selection criteria.They were divided into the treatment group (main selection of qi movement acupuncture-based treatment) and the control group (conventional acupuncture)by choosing an opaque envelopes with random number. The random number (see Appendix 1) was obtained by inputting the samples’information into the SPSS analysis softwareThe treatment group received acupuncture men jin(right)、shuiqu (right)、muliu(left)、huozhu(left)、dacha (both left and right) in order, and treatment was required in every two to three days to insure two treatments per week. Ten acupuncture treatments isl course and total of one course. The control group received acupuncture shenmen、neiguan、 baihui、anmian、xingjian、taichong、fengchi(prescription by The Chinese Traditional Chinese Medicine publisher, "Acupuncture And Moxibustion Theraphy" edited by Qicai Shi) as the conventional dialectical acupoints treatment. The course is the same as the treatment group. The Global Pittsburgh Sleep Quality Index (PSQI) and the scale about liver qi stagnation symptom (People’s Medical Publishing House, " The Modern Research And Clinical Situation About Chinese Medical Liver") were filled out for pretreatment, after 5 treatments, end of treatment, and two week after the end of treatment. Observe the PSQI scores, liver qi stagnation symptom score and analyze the total efficiency were made for pretreatment, after 5 treatments, end of treatment, and two week after the end of treatment.ResultsThere were 66 patients involved with 9 shedding cases. The factual cases included 29 patients of treatment group, while patients of control group were 28.1. Baseline comparison of gender, age and disease course (1) Gender comparison:There were 4 male and 25 female in the treatment group, while there were 5 male and 23 female in the control group. By Chi-square test, Chi-square was 0.117, P was 0.674(P>0.05), which indicated that there was no obvious difference. That means they were comparable.(2) Age comparison:The age of the treatment group was 37.9±9.294, while that of the control group was 34.21±10.908. By t test, t was 1.374, P was 0.175 (P>0.05), which indicated that there was no obvious difference, that means they were comparable.(3) Disease course:The disease course of the treatment group was 7.97±3.995, while that of the control group was 7.82±3.323. By t test, t was 0.148, P was 0.883(P>0.05), which indicated that there was no obvious difference.that means they were comparable.2. Observation indexes comparison:(1) PSQI score comparison:The PSQI score of the treatment group before treatment was 14.38± 2.456, while after two weeks was 10.79±2.583 and after the treatment was 7.59 ±3.053. The score of the control group before treatment was 14.04± 2.252, while after two weeks was 10.11±2.572 and after the treatment was 7.54 ±2.701. By t test:①Before the treatment, contrasting to the treatment group and the comparative group, t was 0.550, P was 0.580(P>0.05), which was no statistical significance;②After two weeks treatment,for the treatment group comparing with the score before treatment, t was 23.423, P was 0.000(P<0.05);and for the comparative group, t was 16.696, P was 0.000(P<0.05),which was both significant difference.By comparison between groups, t was 1.004, P was 0.320(P>0.05), which was no statistical significance;③At the end of treatment, for the treatment group comparing with the score after two week, t was 11.020, P was 0.000(P<0.05);and for the comparative group, t was 8.172, P was 0.000(P<0.05),which was both significant difference. By comparison between groups, t was 0.066, P was 0.948(P>0.05), which was no statistical significance.(2) The liver qi stagnation symptom score comparison:The liver qi stagnation symptom score of the treatment group before treatment was 22.69±3.577, while after two weeks was 15.93+2.915 and after the treatment was 9.93±3.035. The score of the control group before treatment was 22.71±3.558, while after two weeks was 18.46+3.316 and after the treatment was 12.29±3.017. By t test: ①Before the treatment, contrasting to the treatment group and the comparative group, t was-0.026, P was 0.979 (P>0.05), which was no statistical significance; ②After two weeks treatment, for the treatment group comparing with the score before treatment, t was 18.093, P was 0.000(P<0.05);and for the comparative group, t was 19.672, P was 0.000(P<0.05), which was both significant difference. By comparison between groups, t was -3.066, P was 0.003(P<0.05), which was statistical significance;③At the end of treatment, for the treatment group comparing with the score after two week, t was 29.322, P was 0.000(P<0.05);and for the comparative group, t was 24.493, P was 0.000(P<0.05),which was both significant difference. By comparison between groups, t was -2.937, P was 0.005(P<0.05), which was statistical significance.(3) Total effect rate comparison:Among 29 cases in the treatment group,2 cases(6.9%) were cured,15 cases(51.7%) had marked effect,8 cases(17.6%) were mend, and 4 cases(13.8%) without effect,the total cure rate was 86.20%. Among 28 cases in the comparative group,1 cases(3.6%) were cured,14 cases(50.5%) had marked effect,8 cases(28.6%) were mend, and 5 cases(17.9%) without effect, the total cure rate was82.14%. By rank sum test, Z was -0.539, P was 0.590(P>0.05), There is no obvious difference of total effective rate between this two groups.ConclusionThe two captured methods were concluded to have comparative clinical efficacy. However, comparing with the conventional dialectical acupoints treatment, the qi movement acupuncture-based treatment have an advantage over in symptom improvement aspect of liver qi stagnation. |
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