A Clinical Study About The Liver Treatment Of Insomnia On The Menopausal Transition By Acupuncture

Objective:Under the theory of Liver treatment for insomnia,to observe the clinical effect of acupuncture for treatment of perimenopausal insomnia,and enrich the application foundation of the liver based treatment of insomnia theory.Method:This study selected the menopausal transition patients with insomnia,in Hospital of integrated traditional Chinese and Western medicine in Sichuan Province,department of Insomnia,department of neurology and gynaecology.The 62 eligible subjects equally were randomly divided into two groups,acupuncture group,western medicine group,31 casesin each group,based on their order of recruitment.All the subjects would not receive any treatment before the study for a week.The acupuncture group received therapy of acupuncture under the theory of the Liver treatment of insomnia,five a week,rest for two days,30 minutes,a total of four weeks,the western medicine group took estazolam tablets,1-2mg once-day at half an hour before bedtime,4 weeks as a course of treatment.All the subjects had received efficacy evaluation of improvement situation about sleep quality,emotional disorder and perimenopausal period syndrome,which by PSQI,HAMA scale,HAMD scale and improved Kupperman scale.Result:The baseline analysis: the general information of two groups before treatment,PSQI score,HAMA score,HAMD score and improved Kupperman score,by T test,P>0.05,by two groups were comparable.Aspect of improving the sleep quality of participants: after the treatment of four weeks,effective rate in acupuncture group was 90.32%,and the western medicine group was 86.67%.The total score of PSQI and each various score reduced.But the acupuncture group was better than the western medicine group in terms ofimproving the sleep quality,Sleep efficiency and Daytime function,the differences were statistically significant(P<0.05).The western medicine group was better than the acupuncture group on reducing fall asleep hours.Two groups were equal of each other about increasing sleep time(P >0.05).In the aspect of improving perimenopausal symptoms,the curative effect on acupuncture group was better than western medicine group(P<0.05).In the aspect of improving emotion of the experimenters,the score of HAMA and HAMD all reduced,but the acupuncture group was better than the western medicine group,the difference was significant(P<0.05).Conclusion:Under the theory of Liver treatment for insomnia,acupuncture can improve insomnia symptoms of perimenopausal women,and also improve emotional disorder and related symptoms.The total effective rate of improving the perimenopausal insomnia by acupuncture is better than taking estazolam,which should be related to improving the patients' emotional disorder.