The Clinical Observation Of Modified Combined Needling Therapy In The Treatment Of Insomnia Of Deficiency Of Both Heart And Spleen

1 PurposesTo observe and analyse the clinical curative effect and safety of insomnia of both heart and spleen deficiency type treated with modified combined needling therapy compared with the routine needling group,to provide a new way for clinical treatment.2 MethodsAll patients who met the inclusion criteria of insomnia of both heart and spleen deficiency type are brought into this study.All of them are from outpatients of Traditional Chinese Medicine Wangjing Hospital from June 2017 to December 2017,a total of 66 patients.According to admission order,66 cases are numbered and randomly divided to two groups according to random number table,a modified combined needling group,33 cases in each one.The modified combined needling group are acupunctured at points:Baihui,Shenmen,Yinlingquan,Zusanli;operation:four needles were inserted in a rapid speed at Baihui in a row and tip to four different directions:in the front,the back,the left and the right,the depth of acupuncture is about 1.0 inches,and the needle is kept in a position after getting Qi.Another needle were inserted slightly into Shenmen,the depth of acupuncture is about 0.3 inches,the needle is kept in a position after getting Qi.Another needle were inserted slightly into Yinlingquan and Zusanli and the depth of acupuncture is about 1.0-2.0 inchs,the needle is kept in a position after routine manipulation.In the routine needling group:Shenmen,Sishencong,Sanyinjiao,Fengchi,Taiyang,Benshen,Heart shu,Spleen shu are inserted.respectively.a needle were inserted horizontally into Sishencong and tip to Baihui,a needle were inserted horizontally into Benshen and tip to the back,Heart shu,Spleen shu are tonifyed with another needle,the rest of the acupoints received routinely acupuncture.The needles remained in place for 30 minutes in each treatment after a one-minute manipulation with lifting and thrusting technique in routine stimulus way,acupuncture was given 1 time a day,and 3 times a week,for a total of 4 weeks.The score of sales are adapted to evaluate the curative effect of insomnia of both heart and spleen deficiency type,PSQI(Pittsburgh Sleep Quality Index),the main curative criteria,was adapted to evaluate the quality of sleep for the last month.TCM syndrome scale of deficiency of heart and spleen,As secondary index was adapted to curative the the symptoms of TCM.All above indexes were evaluated before treatment and 4 weeks after treatment.All the data and material was analyzed using statistical software SPSS 17.0.3 Results3.1 Comparison of baseline dataThe general data of the two groups of patients were compared.The modified combined needling group included 11 male patients and 22 female patients.The routine needling group included 13 male patients and 20 female patients,sex difference was analysed by chi square test,X2 = 0.26,p = 0.60>0.05.The age range of the modified combined needling group is from 19 to 59 years old,the age range of the routine needling group is from 18 to 58 years old.Two independent samples t test was adapted to analyze age difference,t = 0.-36,p = 0.72>0.05,the range of duration of disease in the modified combined needling group is.from 2 to 22 months,the range of duration of disease in the routine needling group is from3 to 24 months,two independent samples t test was adapted to analyze the range of duration of disease difference,t = 0.46,p = 0.74>0.05,there was no significant difference in gender,age and the range of duration of disease between the two groups(all p>0.05).It is comparable.3.2 Comparison of curative effectIn the assessment process of sleep quality,The sleep quality,hours of fall asleep,hours of slee,sleep efficiency,sleep disordre and daytime dysfunction in the two groups are analyzed before treatment,there was no significant difference in the scores of all above symptoms(all p>0.05).After treatment,the scores of hours of fall asleep,hours of slee,sleep efficiency,sleep disordre and daytime dysfunction in the two groups are analyzed,the difference was significant(all P<0.05),but there was no significant difference in sleep quality between two groups(p>0.05),The difference of total score of PSQI between two groups was significant(p<0.05),the curative effect of the modified combined needling group was better than that of the routine needling group.Compared with the group before treatment,there were significantly different in PSQI in both groups(p<0.05).The statistical results show that there were significantly different in TCM syndrome scales between two groups after treatmen,the difference was significant(p<0.05).the curative effect of the modified combined needling group was better than that in the routine needling group.(p<0.05).The statistical results of effective ratet in two groups of patients showed that the curative effect in the modified combined needling group was better than that in the needling group,Indicating that the modified combined needling therapy can effectively improve the insomnia symptoms of the patients.3.3 SafetyNo adverse events occurred during acupuncture and moxibustion treatment.4 FindingsThe modified combined needling therapy with less acupoints and simple operation can effectively relieve the insomnia symptoms and is safety and reliable,which is worth popularizing in clinic.