| PURPOSEBy observing the clinical effects of conventional acupuncture and abdominal acupuncture on insomnia of heart and spleen deficiency,the Pittsburgh Sleep Quality Index(PSQI)score and TCM symptom scores were compared between the two groups before and after treatment to verify the abdominal acupuncture.The therapy has more significant curative effect on the treatment of insomnia caused by deficiency of heart and spleen,and provides clinical basis and theoretical basis for the clinical promotion of abdominal acupuncture therapy for insomnia.METHOD In this study,we selected insomnia patients who were admitted to the acupuncture department of a hospital from May 2017 to October 2018,and screened 64 patients with heart and spleen deficiency.According to the principle of randomized control,they were divided into conventional acupuncture group and abdominal needle.Thorn group,32 cases in each group.Abdominal needle acupuncture group outside the tomb,sliding meat door,Guan Yuan,Qihai,Zhongmu,Xia,Shangqu,air points,left upper rheumatism point as the main point,and then with the choice of Zhaohai,Shenmen,Neiguan and other points The conventional acupuncture group used acupoints such as Anshen,Sishencong,Yintang,Shenting,Xinshu,Pishu,Zhaohai,Shenmen and Neiguan.Once every other day,3 times a week,6 times for a course of treatment,a total of 4courses.The Pittsburgh Sleep Quality Index(PSQI)total scores,the individual sleep factor scores,and the TCM symptoms and signs scoreswere recorded and analyzed before and after treatment.The clinical effects of the two treatment methods were compared.RESULT1? Four sleep factor scores such as sleep time,sleep quality,sleep time,and sleep disturbance before and after treatment,the differences were statistically significant(P<0.05),sleep efficiency and daytime dysfunction and other two sleep factor scores,two There was no significant difference in group therapy(P>0.05).It indicated that abdominal acupuncture was better than conventional acupuncture in improving the sleep time,sleep quality,sleep time and sleep disorders of patients with insomnia,and improved the sleep efficiency of patients and daytime.There are no obvious advantages in terms of dysfunction.After the end of treatment,the scores of TCM syndromes in the two groups were statistically analyzed,P<0.05,and the difference was statistically significant,suggesting that abdominal acupuncture is more effective in improving TCM syndromes than conventional acupuncture;2? In terms of clinical efficacy,2 cases of abdominal acupuncture group were cured,15 cases were markedly effective,11 cases were effective,3 cases were ineffective,and the total effective rate was 90.32%;in the conventional acupuncture group,0 cases were cured,8 cases were markedly effective,15 cases were effective,and 7 cases were ineffective.For example,the total effective rate was 76.67%;after chi-square test,P<0.05,the difference was statistically significant.The clinical efficacy of the two groups was significantly different,suggesting that the efficacy of abdominal acupuncture is more significant than conventional acupuncture.conclusionFor the insomnia of heart and spleen deficiency,conventional acupuncture and abdominal acupuncture have good clinical effects,andthe efficacy of abdominal acupuncture is more significant.Abdominal acupuncture can significantly regulate the four sleep factors such as sleep time,sleep quality,sleep time and sleep disturbance in patients with insomnia of heart and spleen deficiency,and is significantly better than conventional acupuncture group in improving PSQI score.In the improvement of TCM syndromes and physical signs,both groups of therapies have an effect,and the effect of the acupuncture group is more significant than the conventional acupuncture group.In addition,abdominal acupuncture therapy has the advantages of wide indications,unique methods,simple and standardized operation,safe and painless,and is worthy of clinical application. |
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