Clinical Efficacy Observation On The Treatment Of Cervial Insomnia Based On The Heart And Gallbladder Dual Treatment Of Acupuncture Combined With Bleeding Therapy

Objective:To observe the clinical efficacy on the treatment of cervial insomnia based on the heart and gallbladder dual treatment of acupuncture combined with bleeding therapy.Methods:Choose into accord with standard of 60 cases of cervial insomnia patients were randomly divided into observation group and the control group by the statistical software PEMS3.1 and each group of 30 cases,the observation group was treatmented of acupuncture combined with bleeding therapy and control group was treatmented of conventional acupuncture.1.The observation group:(1)Acupuncture points: Jingjiaji,Fengchi,Shenmen,Lieque,Zhaohai,Baihui.(2)Acupuncture manipulation: The patients supine position,the points were straight piercing about 10-30 mm,and than do small lifting insertion and twisting to bring about the desired sensation and retaining needle for 30 minutes,and manipulatingthe needle every 10 minutes.(3)Bleeding therapy points and manipulation: Xinshu,Danshu,Jingbailao,Dazhui.Exposed to patients' nape and do some massage manipulations such as pushing manipulation,pressure manipulation,massaging and twisting manipulation,twisting to order manipulation and so on before the operation to make the local hyperemia,after groovy disinfection,the doctor's left thumb and index finger fixed points surrounding skin and the right hand hold three-edged needle quick prick 2-3 needle,triangular needle pierce about 0.5-0.8 cm after that selecting the appropriate size of cupping quickly knocking on the bleeding points,using the blood natural stop bleeding as close of blood letting amount,retaining cup about 10-15 minutes and then pick up the cupping clean with sterility dry cotton swabs and disinfection again.2.The control group:(1)Acupuncture points with reference to the new century(second edition)the higher colleges and universities of Chinese medicine for teaching?acupuncture and moxibustion therapy?: Shenmen,Neiguan,Baihui,Anmian,Jingjiaji,Dazhui.(2)Acupuncture needle,matching acupoint and acupuncture manipulation were same with the observation group.3.Course of treatment and evaluation methods: Each group treatment for 2 times one week,on every Tuesday and Friday 1 times,treatment for 10 consecutive.Before and after 10 treatments using Pittsburgh Sleep Quality Index(PSQI)and SF-36 the quality of life questionnaire to evaluation the curative effect.The date were statistical analyzed by the statistical software PEMS3.1.Results:1.Two groups of patients with General information such as gender,age,course of disease had no statistically significant difference(P > 0.05).2.After the treatment,the observation group in improving the overall clinical efficacy is better than that in control group(P < 0.05).3.After the treatment,comparison with score of PSQI,the observation group in the aspect of sleep quality,the time to fall asleep,sleep time,sleep efficiency and sleep disorders and total score of PSQI have significant differences(P < 0.01),and in the aspect of hypnotic,daytime dysfunction have significant difference(P < 0.05);The control group in sleep quality,the time to fall asleep,sleep time,sleep efficiency,sleep disorders,hypnotic,daytime dysfunction have significant difference(P < 0.01),in the aspect of total score of PSQI has significant difference(P < 0.05).After treatment In two of groups cervial insomnia patients' sleep quality were improved than befroe the treatment.4.After the treatment,comparison with each factor score of SF-36 quality of life questionnaire,the observation group in the Physiological Function,Physical Role,Bodily Pain,Energy,and Mental Health have significant difference(P < 0.01),in the aspect of General Health,Society Function have significant difference(P < 0.05);The control group in in the aspect of Energy has a significant difference(P < 0.01),and in the aspect of Physiological Function,Mental Health have significant difference(P < 0.05).After treatment in the two of groups cervial insomnia patients' quality of life is improved than befroe the treatment.5.After the treatment,comparison with two groups score of PSQI,in the aspect of sleep quality,the time to fall asleep,sleep efficiency,sleep disorders,hypnotic,daytime dysfunction and total score of PSQI have significant difference(P < 0.05),The observation group in improving cervial insomnia patients' sleep quality is better than that in control group.6.After the treatment,comparison with two groups of each factor score of SF-36 quality of life questionnaire,in the aspect of Physiological Function,Physical Role,Energy have significant difference(P < 0.01),and in the aspect of General Health,Society Function,Role Emotional,Mental Health have significant difference(P < 0.05).The observation group in improving quality of life for cervial insomnia patients is better than that in control group.Conclusion:The observation group adopt based on the heart and gallbladder stagnation of acupuncture combined with bleeding therapy and control group adopt conventional acupuncture both can be effectively treated cervial insomnia,but the observation group in improving the cervial insomnia patients' sleep quality and life quality were better than that in control group.