Evaluation And Analysis Of Implementation Effect Of Clinical Pathwag On The Treatment Of Insomnia With Acupuncture

Objective:Through the study of this subject, reveals the advantage of traditional Chinese medicine of clinical pathway of acupuncture treatment of insomnia in clinical efficacy and medical expenses and hospitalization time etc; observing the relationship between the commonness and individuality of clinical pathway in clinical application, to promote the application of the better.Methods: According to the order of visit, 60 cases of insomnia patients who meet the inclusion criteria of were randomly divided into two groups according to the random number look-up table method, 60 cases are respectively divided into the acupuncture clinical pathway group(referred to as the pathway group) and Estazolam Tablets drug group(referred to as the western medicine group), 30 cases for each group. The patients of treatment group are treated according to the clinical pathway, the patients of contrast group are treated according to conventional therapy. All acupuncture points are leaved 40 min after getting the gas in the pathway group and during hand-manipulating of needle, it makes the patients to produce a kind of feeling with acid、 hemp、 heavy and distend. One treatment a day, six times a week, resting on Sunday and four weeks as a course of treatment. The patients of the western medicine group oral 1mg of Estazolam Tablets before sleeping at nigh, oral continuously four weeks. All of the patients are accepted the Pittsburgh sleep quality index(PSQI)、SPIEGEL scale、 and Assens sleep rating scale(AIS) to evaluate respectively the curative effect of each before and after treatment, and make the statistics of clinical efficiency, to evaluate the sleep quality improvement with two kinds of treatment methods. On the premise of ensuring the good curative effect, we should make the corresponding comparison of safety. At the same time, it also makes clinical statistics about the object study of 60 cases of hospitalization time and cost、satisfaction and the variability, We expect to evaluate an implementation effect that the acupuncture point cures the traditional Chinese pathway of insomnia with more comprehensive aspects.Results:1. General information: there is no significant deviation between data of two groups(p>0.05), two groups are comparable.2. Evaluation of curative effect:(1) Comparing treatment before and after in two groups: the two groups after treatment PSQI scores were lower than that before treatment, with significant difference(p=0.000, <0.01); the two group after treatment SPIEGEL scores were lower than those before treatment, with significant difference(p=0.000, <0.01); the two group after treatment AIS scores were lower than those before therapy, with very significant differences(p=0.000, <0.01).(2) To compare the clinical effect between the two groups after treatment:①PSQI: Compared with significant difference between the two groups after treatment(p=0.044, <0.05); ②SPIEGEL: Compared with a very significant difference between the two groups after treatment(p=0.001, <0.01); ③ AIS: Compared with significant difference between the two groups after treatment(p=0.027, <0.05).3. Security evaluation: there is significant deviation to compare between two groups(p=0.038, <0.05).4. Time of hospitalization evaluation: there is very significant deviation to compare between two groups(p=0.000, <0.01).5. Evaluation of hospitalization expenses: there is very significant deviation to compare between two groups(p=0.001, <0.01).6. Satisfaction evaluation: there is significant deviation about the comparison of two group(p=0.037, <0.05).7. Variability evaluation: there is no significant deviation about the comparison of two(p=0.704, >0.05).Conclusion:1. The compared of pathway group and western medicine group, two kinds of methods of treatment can effectively improve the quality of sleep, and the path group is betterthan western medicine group.2. Security evaluation: The pathway group is safer than the western medicine group and with feasibility. 3. The evaluation hospitalization time: the pathway group a shorter hospital time that can increase bed turnover rate. 4. Assessment of hospitalization cost: The cost hospitalization of the pathway group is higher than the western medicine group. 5. Satisfaction evaluation: The patients’ satisfaction of pathway group is higher than the western medicine group. 6. The pathway group compared with the western medicine group, there is no significant difference in variation of two groups.