| Object:Observe the difference in efficacy between abdominal acupuncture combined with Baihuitousishencong and conventional acupuncture on perimenopausal heart and kidney insomnia,in order to find a safe,easy,low-cost,simple and effective therapy,to provide ideas for the treatment of perimenopausal insomnia,so that acupuncture can better serve the clinical and clinical guidance,thus better improve sleep quality of insomnia patients and improves the quality of perimenopausal life.Methods:Screening of perimenopausal insomnia from acupuncture clinics and inpatient departments in Guanggu Hospital of Hubei Traditional Chinese Medicine Hospital from March 2017 to December 2018,a total of 68 cases of heart and kidney disharmony.After enrolling patients in the order of follow-up,According to 1:1,34 patients were randomly divided into abdomen needle plus scalp group and conventional acupuncture group.and 33 cases of abdomen needle plus scalp group and 32 cases of conventional acupuncture group were finally completed.The abdomen needle plus scalp group used abdominal acupuncture for Yingqiguiyuan(Zhongwan,Xiawan,Qihai,Guanyuan),abdomen four-segment(Huaroumen,Wailing),Shangqu and Qixue,And combined with Baihuitousishencong treatment;the conventional acupuncture group takes Shenmen,Baihui,Sanyinjiao,Anmian,Taixi,Xinshu,Shenshu.Both groups were treated with acupuncture,Monday,Wednesday,and Friday treatment,3times a week,4weeks of continuous treatment for 1 course of treatment,a total of3 courses of treatment.Before the start of the study and after 3courses of treatment,the PSQI index scores,total scores,and improved KMI scores of the two groups were recorded in detail,and statistical software analysis was used to judge the sleep quality and perimenopausal symptoms of the two groups.Results:1.Baseline data:There were no significant differences in age and duration of disease between the two groups(P>0.05).The data were comparable.2.PSQI index scores and total scores:There was no difference in PSQI index scores and total scores between the two groups before treatment(P>0.05);After the end of the treatment,the two groups of patients were significantly different from those in the group before treatment(P<0.01).after treatment,sleep quality,sleep time,sleep disturbance,and daytime function The obstacles and total scores were statistically significant(P<0.05),and there was no significance in terms of sleep time and sleep efficiency(P>0.05).3.Modified KMI score:There was no difference in the modified KMI score between the two groups before treatment(P>0.05).After the end of the treatment,the two groups were significantly different from those in the group before treatment(P<0.01).The decrease of the score in the abdomen needle plus scalp group after treatment was more significant than that in the conventional acupuncture group(P<0.01).4.Clinical efficacy:The total effective rate of the two groups after treatment was 96.97% and 81.25%,After X2 test,P<0.05,indic ating that the two groups had significant and significant diffe rences in overall clinical efficacy.Conclusion:1.Abdominal acupuncture combined with Baihuitousishencong and c onventional acupuncture have certain curative effect on improvi ng perimenopausal heart and kidney insomnia.However,the former is more effective than the latter in improving sleep quality,sh ortening sleep time,reducing sleep and daily dysfunction.2.Abdominal acupuncture combined with Baihuitousishencong and conventional acupuncture can improve the perimenopausal related symptoms of insomnia patients and improve the quality of life and level,but the former has more obvious effects.3.The clinical effect of abdominal acupuncture combined with Baihuitousishencong in treating perimenopausal heart and kidney non-crossing insomnia is obviously better than conventional acupuncture therapy,and it is more targeted,quick and easy to operate,has no side effects,patients accept High degree,worthy of further clinical application. |
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