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Clinical Efficacy Of Shallow Needle Therapy In The Treatment Of Depression Related Insomnia

Posted on:2019-04-26Degree:MasterType:Thesis
Country:ChinaCandidate:Q HeFull Text:PDF
GTID:2404330548987040Subject:Acupuncture and massage to learn
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Objective:By observing and comparing the clinical efficacy of shallow needle therapy and Western medicine Pa Rossi Dean in the treatment of depression related insomnia,the effect of shallow needle therapy on depression related insomnia is discussed,and the safe and reliable acupuncture therapy for the treatment of depression related insomnia is explored to provide effective Chinese medicine for the clinical treatment of depression related insomnia.Plan.Method: A total of 66 patients with depression associated insomnia were selected from February 2017 to December 2017 at the Zhongshan Hospital Affiliated to the Guangzhou University of Chinese Medicine.They were randomly divided into the control group(Pa Rossi Dean hydrochloride group)and the treatment group(33 cases),and the control group was given the western medicine Paroxetine Hydrochloride Tablets(20mg daily,)30 minutes after the morning meal orally and continuously for 6 weeks)treatment,the treatment group was treated with shallow needle therapy.The treatment group selected mountain root,sedative,Baihui,Shimen,Neiguan point,treated 1 times a day for 2 weeks for 1 days,3 courses of treatment,respectively,before treatment,before treatment,After treatment and follow-up period(1 months after the end of the treatment),the Pittsburgh sleep quality index(Pittsburgh sleep quality index,PSQI)score,the self rating Depression Scale(Self-Rating Depression Scale,SDS)score,and the clinical efficacy of the two groups were observed.Result:The age,course of disease,sex,PSQI score before treatment and SDS score in the two groups were compared,the difference was not statistically significant(p>0.05),suggesting that the two groups were comparable.After the whole course of treatment,the PSQI score and SDS score of the two groups were lower than those before the treatment(P < O.O5).The difference between the two groups after the treatment group was not statistically significant(P > O.O5),and the SDS score of the treatment group was better than that of the control group(P < 05),and the difference was statistically significant.There was no significant difference in the follow-up period between the treatment group and the PSQI score group and the SDS score group(P > O.O5),but the difference in the control group was statistically significant(P < O.O5).The scores of PSQI sleep quality,sleep latency,sleep persistence,sleep efficiency,sleep disorder,and daytime dysfunction were statistically significant(P < O.O5)before and after treatment(P > O.O5).There was no statistically significant difference in the score of daytime dysfunction in the control group(P > O.O5).The scores of sleep quality,sleep latency,sleep sustainability,sleep efficiency and sleep disorders were statistically significant(P < O.O5).There were differences in sleep efficiency and sleep disorder scores after treatment and follow-up period.Statistically significant(P < O.O5),there was no significant difference in sleep quality,sleep latency,sleep duration,and daytime dysfunction scores.The total effective rate of the treatment group(90.63%),the total effective rate(87.50%)in the control group(P > O.O5),but the follow-up period treatment group cured 4 cases,14 cases,effective 11 cases,invalid 3 cases,the total effective rate was 90.63%,the control group cured 3 cases,significant effect 8 cases,effective 11 cases,10 cases null and void,total effective rate 68.75%,The difference between the two groups in follow-up period was statistically significant(p<0.05).The overall curative effect of the two groups was comparable.The improvement of sleep in the two groups was equal,but the adjustment of light needle therapy on daytime dysfunction,sleep efficiency and sleep disorder was better than that of the oral Paroxetine Hydrochloride Tablets.The improvement of depressive symptoms in the control group was better than that in the treatment group,but the long-term effect of the treatment group was better.Conclusion:Shallow needle therapy can improve the sleep quality and depressive symptoms of the patients with depression related insomnia,and the long-term effect is stable.At the same time,the adjustment of shallow needle therapy on daytime dysfunction,sleep efficiency,sleep disorder is better than the oral Pa Rossi Dean tablets.The two groups have no adverse reactions and side effects during the treatment,and the patient has a high acceptance.It can be used as a effective Chinese medicine for depression related insomnia in clinical use.
Keywords/Search Tags:shallow needle therapy, Pa Rossi Dean hydrochloride, depression related insomnia, clinical efficacy
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