Effect Of Chiropractic Therapy On Insomnia Patients With First-episode Depression

Objective To investigate and analyze the clinical efficacy of chiropractic therapy in the treatment of insomnia patients with first-episode depression,providing treatment methods and basis for depressive patients with insomnia symptoms.Methods Ninety-six patients with first-episode depression and insomnia were selected from the psychosomatic ward of Huzhou third people's hospital from February 2017 to January 2018,according to the random number table method,they were divided into two groups.Fifteen patients were removed during treatment and follow-up,forty patients in the final treatment group and forty-one patients in the control group.The treatment group received chiropractic 3 times a week,with an average of chiropractic every other day for 8 consecutive weeks,totaling 24 times.At the same time,on the basis of chiropractic,the treatment group took escitalopram oxalate tablets and oxazepam tablets for 8 consecutive weeks.The control group took escitalopram oxalate tablets and oxazepam tablets for 8 weeks.The Hamilton Depression Scale(HAMD-17)score and the Pittsburgh Sleep Quality index(PSQI)score were observed and compared between the two groups before treatment,2 weeks after,4 weeks after and 8 weeks after treatment.Results ?The total effective rate of clinical antidepressant in the treatment group was 95%,the total effective rate of clinical anti-insomnia is 95%.The total effective rate of the control group was 80.49%,the total effective rate of clinical anti-insomnia is 80.49%.The total effective rates of antidepressant and insomnia in the treatment group were significantly higher than those in the control group(p<0.05).?There was no significant difference between Hamilton Depression Scale(HAMD-17)and Pittsburgh Sleep Quality index(PSQI)before treatment(p>0.05).The total scores of HAMD-17 and PSQI in the treatment group and the control group were significantly lower than those before 2 weeks and 4 weeks after treatment(p<0.05),and the degree of decrease in the treatment group was significantly better than that in the control group(p<0.05).?After 8 weeks of treatment,the scores of HAMD-17 and PSQI in the treatment group were lower than those in 2 weeks of treatment and 4 weeks of treatment(p<0.05).The scores of HAMD-17 and PSQI in the control group were lower than those in 2 weeks of treatment(p<0.05),higher than those in 4 weeks of treatment(p>0.05).The timeliness and persistence of antidepressant and insomnia in the treatment group were significantly higher than those in the control group(p<0.05).Conclusion ?The chiropractic method combined with drugs can significantly improve the depression and sleep disorder of insomnia patients with first-episode depression.?The chiropractic method combined with drugs in treating insomnia symptoms of patients with first-episode depression has a significant efficacy,simple and safe operation,with good timeliness,durability and safety.?The chiropractic method combined with drugs has good feasibility and effectiveness in treating insomnia in patients with first-episode depression,which provides scientific basis for traditional Chinese medicine massage to treat insomnia in depression,broadens clinical thinking,and is worthy of clinical popularization and application.