| ObjectiveA randomized controlled clinical trial was used to investigate the clinical effect of dong's acupuncture point in treatment of perimenopausal insomnia caused by incoordination between heart and kidney.MethodsIn this study,60 patients were randomly assigned to the A group(acupuncture with dong's acupuncture point)and B group(ordinary acupuncture)by 1:1 ratio.Group A was treated with routine acupuncture combined with the xiasanhuang acupoint of Dong's point,choosing Baihui,Guanyuan,Taixi,Shenmen,Neiguan and Dong's extraordinary three points named Xiasanhuang.Group B used only routine acupuncture.Each of the two groups was given a daily dose of acupuncture for 3 weeks,with a day off on Sunday.In this research,Pittsburgh sleep quality index(PSQI)scale,polysomnography(PSG),modified Kupperman scale and diagnostic criteria of TCM symptoms were used as the main observation indexes.Before and after treatment,the subjects filled out the questionnaires.Finally,the data was statistically processed and analyzed and evaluated.ResultsBefore the treatment,there was no significant difference between the two groups of basic data,PSQI score,PSG indexes score,Modified Kupperman score and diagnostic criteria of TCM symptoms scale score(P>0.05),indicating that the baseline data of the two groups were comparable.PSQI scores in the two groups were compared before and after treatment,with statistical significance(P<0.05).It is indicated that the two groups of treatment have good effect on perimenopausal insomnia caused by incoordination between heart and kidney.On the comparison between the two groups,acupuncture combined with Dong's acupoint of PSQI score after treatment compared with ordinary acupuncture was statistically significant(P>0.05),suggesting that the effect of the combined acupuncture group on improving the quality of insomnia is more obvious than that of the ordinary acupuncture group.In each subproject,the score of sleep efficiency and daytime function was significant(P < 0.01),indicating that acupuncture combined with dong's acupoint therapy had significant effect on sleep efficiency and day function improvement.PSG indexes score: In the ordinary acupuncture group,after treatment in patients with SE compared with before treatment have obvious rise,SL decreased significantly(P<0.01),the AT significantly reduced(P<0.05),there was no statistically significant difference between the TST change(P>0.05).In the combined acupuncture group,TST and SE were significantly increased after treatment(P<0.01),and SL and AT were significantly decreased(P<0.05).After treatment,the ordinary and combined acupuncture groups by independent samples T test,TST have significant differences(all P<0.05),but there was no significant difference between SE,SL and AT(P>0.05).It is shown that the ordinary and the combined acupuncture group have obvious curative effect on the improvement of the sleep process of the patients,and the acupuncture combined with Dong's acupuncture point therapy has obvious effect on the improvement of TST.Modified Kupperman score: Before and after treatment,the modified Kupperman score comparison showed significant difference between the two groups(P < 0.05),indicating that both groups could reduce the score of modified Kupperman.After treatment,there was a significant difference between the two groups(P<0.05),suggesting that the combined acupuncture group was superior to the routine acupuncture group in reducing the modified Kupperman score effect.Insomnia score of“syndrome of disharmony between heart and kidney”: Before and after treatment,the comparison of two groups' score showed that there was significant difference(P<0.05),suggesting that the two groups both can reduce the score.After treatment,comparing the score between two groups,the statistical difference is significant(P < 0.05),indicating that the combined acupuncture group is better than the routine acupuncture group in reducing the score of “syndrome of disharmony between heart and kidney”.Conclusion 1.Acupuncture combined with Dong's acupuncture point and routine acupuncture are effective in the treatment of perimenopausal insomnia caused by incoordination between heart and kidney and in improving clinical efficacy,reducing PSQI score,modified Kupperman score,Insomnia score of“syndrome of disharmony between heart and kidney” and improving PSG index.2.The acupuncture combined with Dong's acupuncture point was superior to the routine acupuncture group in improving clinical efficacy,reducing PSQI score,modified Kupperman score,Insomnia score of “ syndrome of disharmony between heart and kidney” and improving PSG index.The improvement of sleep efficiency,daytime function and total sleep time was particularly evident in The combined treatment group.3.In treatment of perimenopausal insomnia caused by incoordination between heart and kidney,Acupuncture combined with Dong's acupuncture point has strong operability and remarkable clinical efficacy,which is worth popularizing. |
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