Clinical Study Of The Midnight-noon Ebb-flow Najia Method Treatment On Insomnia In Perimenopausal Period With Disharmony Between Heart And Kidney

ObjectiveIn this clinical trial,the treatment is focus on the insomnia in perimenopausal period,to observe and compare the treatment of Midnight-noon ebb-flow Najia method,which choose acupoints according to the time when patient come here,to the conventional acupuncture treatment.Explore a new method which is used for treat women who suffered from insomnia in perimenopausal period.The object of this study is the patients with disharmony between heart and kidney.I hope to offer a more efficient method in treating insomnia in perimenopausal period.MethodsI have selected 66 patients who suffered from insomnia in perimenopausal period with disharmony between heart and kidney.Use the randomized controlled principle,divide those patients into treatment group and control group.The treatment group use Midnight-noon ebb-flow Najia method.The control group use conventional acupuncture treatment.Each group has 33 patients.The two groups are all use acupuncture.After connecting the needle and bring about the desired sensation,the needles need to be retained for 25min.this study have two course of treatments,one course of treatment lasts 4 weeks,we treat each two days and needs 3 times a week.The difference in the two groups is the acupoint.The treatment group use Midnight-noon ebb-flow Najia method,and then,add some points according to differentiation.The control group use conventional acupuncture treatment,and then,add the some points according to differentiation as the treatment group.Use the domestic improved Kupperman index and the Pittsburgh sleep quality index(PSQI)before the treatment,after the first course of treatment and after the second course of treatment.Finally,do some statistical to analyze the clinical efficacy.ResultsBefore the treatment,we have compared that there are no difference between the baseline indicators of the two group,the baseline indicators including age,course of disease,and the grade of the two scales.The two group are comparable.The analysis of the results as follows:1.The evaluation of sleep quality(1)Compared in group:there are obviously differences(p<0.01)between the PSQI grades which evaluated before the treatment and the grades which evaluated after the first treatment course or after the second treatment course,which explained that there are definite curative effect of the two groups.(2)Compared between the groups:there are no statistical significance of the difference(p>0.05)of the PSQI grades between the two groups,which evaluated after the first treatment course or after the second treatment course.The result is that there is no difference of the curative effect of sleep quality between the two groups.2.The evaluation of symptoms about perimenopausal period:(1)Compared in group:There are obviously differences(p<0.01)between the domestic improved Kupperman index grades which evaluated before the treatment and evaluated after the first treatment course.There are obviously differences(p<0.01)between the domestic improved Kupperman index grades which evaluated before the treatment and evaluated after the second treatment course.The result is that there are curative effects both in the two groups.(2)Compared between the groups:After the first treatment course,there are statistical significance of the difference(p<0.05)between the Kupperman index grades of the two groups.After the second treatment course,there are statistical significance of the difference(p<0.05)between the Kupperman index grades of the two groups.The result is that the exact effect of the treatment group is better.3.The comparison of curative effects:(1)Compared the final curative effects of sleep quality between the two groups,the total effective rate of the treatment group is 90.32%,the total effective rate of the control group is 87.10%.There are on obviously differences(p>0.05)between the two groups with the evaluation of sleep quality.(2)Compared the final curative effects of symptoms about perimenopausal period between the two groups,the total effective rate of the treatment group is 93.55%,the total effective rate of the control group is 83.87%.There are obviously differences(p<0.05)between the two groups with the evaluation of symptoms about perimenopausal period.The curative effect of the treatment group is better.Conclusion1.In the treatment of insomnia in perimenopausal period with disharmony between heart and kidney,there are curative effects both in the two groups.2.The curative effects of sleep quality are same.3.The curative effects of the treatment group is better in changing symptoms about perimenopausal period.