Analysis Of The Clinical Efficacy Of Insomnia In The Treatment Of Prospective Cohort Study Of Primary Insomnia

Objective:The study is based on the prospective cohort study on insomnia stick therapy for primary insomnia,by means of evaluation of Pittsburgh Sleep Quality Index(PSQI)and Epworth Sleepiness Scale(ESS)scores in insomniacs,observing and assessing the clinical curative effect of insomnia stick in the treatment of primary insomnia,to provide clues and basis for the external treatment of primary insomnia in clinical optimization.Methods1 GroupingThe 145 cases of primary insomnia in the Department of acupuncture and moxibustion at the Third Affiliated Hospital of Beijing University of Chinese Medicine from December 2016 to January 2018,according to the exposure factors,which is whether to use insomnia stick therapy,are divided into exposure group(93 cases)and control group(52 cases).2 Therapeutic regimenExposure group:The main treatment methods are to use insomnia stick therapy.Patients in every night before going to bed half an hour in the Yintang,Taiyang(double),Yongquan(double)or Zhaohai(double)stuck insomnia stick,taking it off the next morning,once a day,5 posts each time,12 times for a course of treatment,a total of three courses.In addition,there may be traditional acupuncture treatment based on syndrome differentiation,acupuncture combined with auricular point pressure pill treatment and drug therapy,etc.Control group:The treatment methods are traditional acupuncture treatment,the frontal three needle therapy,acupuncture combined with auricular point pressing pill,magnetic circular acupuncture point therapy and drug therapy,once a day,12 times for a course of treatment,a total of three courses.3 Observation index and timeThe observation index included the main complaint of the disease,the change of the tongue image and the pulse condition of the Chinese Medicine;PSQI;,filling in the Epworth somnolence scale in the case of daytime sleepiness.Pre treatment visits are performed at the first outpatient clinic;posttreatment patients are conducted after three courses of treatment.4 Evaluation of curative effectChanges of PSQI scale and ESS scale before and after treatment,especially concerning the three important indicators of sleep time,quality of sleep and daytime dysfunction,determination of security at the same time.Statistical result1 The comparison Of gender,age,course of disease,PSQI scale and ESS scale before treatment in two groups is meaningless by statistical treatment(P>0.05),showing that the two groups are comparable.2 PSQI scale and ESS scale:?Intra group comparison of two groups:after three courses of treatment,comparison with before treatment,total score of PSQI scale,PSQI scores and total score of ESS scale in the two groups are statistical significance(P<0.05),showing that the two groups of treatment methods can improve primary insomnia.? Comparison between the two groups:after three courses of treatment,total score of PSQI scale,PSQI scores(except quality of sleep)and total score of ESS scale in the two groups are not statistical significance(P>0.05),but the effect of exposure group is better than that of the control group in improving the quality of sleep,showing that the comparison difference is statistical significance(P<0.05).3 After three courses of treatment,evaluation of curative effect according to the reduction rate of PSQI score,the total efficiency and recovery rate of two groups are not statistical significance(P>0.05),showing that the two groups have good curative effect in the treatment of primary insomnia.4 No adverse reactions are found in both the exposure group and the control group,showing that the treatment of non organic is safe and reliable by using insomnia,acupuncture,auricular point pressure pills and magnetic circular needle.ConclusionI The clinical efficacy of both the exposure group and the control group in the treatment of primary insomnia is equivalent,that is to say,insomnia stick as a traditional Chinese medicine treatment of insomnia has better clinical curative effect;2 The combined use of acupoint application,acupuncture and auricular point pressing can enhance the clinical effect;3 Insomnia stick is do well in the treatment of primary insomnia,especially in improving of sleep;4 Insomnia stick is do well in the treatment of primary insomnia,especially in syndrome of deficiency of both heart and spleen or Syndrome of yin-deficiency and fire-hyperactivity;5 Insomnia stick in the treatment of primary insomnia is safe and reliable.