| ObjectiveIn this study,the patients with insomnia were treated by means of electroacupuncture therapy,which was based on the modern anatomical orientation,combined with the TCM theory of acupuncture and "regulating Du and tranquilization the nerves function",in order to observe its clinical effect.It can provide a new idea and direction for clinical treatment of insomnia.Methods1?To collect to conform to the group of 60 cases of traditional Chinese medicine for 15 cases liver depression fire,9 cases phlegm heat interference,18 cases heart-spleen deficiency,9 cases heart-gallbladder imbalance,and 9 cases Yin fire patients with insomnia.The patient was divided into the "regulating Du and tranquilization the nerves function acupuncture" group and the routine acupuncture control group by random number method.2?To use the Du Meridian and the acupoint of the mind,to improve the mind and to adjust the nerves function,and to select the fengfu,the naohu,and the shenmen;The control group used the traditional tranquilize mind method to obtain the acupoints.The two groups all compounded with points-xing,and shu-back points etc.These two groups were all treated with the combination of manipulation and electroacupuncture,each treatment for 30 minutes,30 minutes,3 times a week,once every other day,rest 4 weeks as a course of treatment,observe and evaluate the curative effect after one course of treatment.3?Respectively before and after therapy with PSQI,self-evaluation of anxiety scale(SAS),TCM symptom integral evaluation,and the PSQI and TCM symptom score in each component are compared,and between groups and between different syndrome types were observed before and after treatment of two groups of PSQI,TCM symptoms integral,SAS score difference,compare the curative effect of two kinds of stitch.Results1?On analysis of the general data and baseline data,two groups of patients in gender,age,course of the disease,medication history,occupation,PSQI scale before treatment and the composition of integral,treatment of TCM symptom score,SAS scale score was no statistical difference pretherapy and post-treatment,explain the comparability between the two groups.2?Comparison of clinical efficacy: after treatment,the clinical efficacy was higher than that in the control group(P<0.01),and the clinical efficacy was better than that of the control group.The clinical efficiency of the five TCM syndromes in the treatment group reached more than 85%,which were less than 85% in the control group.There was no difference in the efficacy between TCM syndromes in each group(P>0.05).It is indicated that the two types of acupuncture treatment of the five syndromes of insomnia,the five syndromes of the same effect.3?Comparison in the group: the total score of PSQI after treatment,the total score of TCM syndrome and the total score of SAS were lower than before treatment(P<0.01),indicating that both groups can improve the overall sleep quality of patients.The score of 7 sleep factors in the PSQI scale after treatment was significantly lower than that before treatment(P<0.01),suggesting that both groups could improve the symptoms of each component in the PSQI scale.After the treatment,all the scores of TCM syndromes in the treatment group were significantly lower than before treatment(P<0.05).After treatment,there was no statistically significant difference in the three scores of the conventional acupuncture group in forgetfulness,headache and dizziness(P>0.05).It is suggested that the general administration group can improve the sleep situation and symptoms more comprehensively than the conventional acupuncture group.4 ? comparison between groups:(1)after treatment,PSQI score and TCM symptom score,SAS score reduction of treatment group was more than the control group(P < 0.05),shows that the treatment group can improve the patient's overall quality of sleep,eliminate or relieve insomnia caused by all kinds of symptoms,improve the patient's anxiety symptoms.(2)compared with two groups,after treatment in the PSQI sleep efficiency within the individual scores decreased significantly(P < 0.05),the treatment group in improving sleep efficiency significantly better than the control group.Compared with the control group,the single-item score decreased significantly(P<0.05).It is suggested that the treatment group is better than the control group in improving the difficulty of falling asleep.ConclusionCompared with “regulating Du and tranquilization the nerves”method and the traditional tranquilize mind method,the former can improve sleep efficiency more,more fully relieve insomnia caused by all kinds of symptoms,and significantly improve the symptoms of anxiety in the patients with insomnia,thus,improving sleep quality,providing a new way of thinking and direction for acupuncture and moxibustion in treating insomnia. |
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