| Objective: This study used the conventional acupuncture group as a control group to objectively evaluate the effectiveness and safety of Dong's acupoints in treating heart and kidney incoordination insomnia,comparing Dong's Qi points with conventional acupuncture to improve the difference between sleep quality,TCM syndrome and daytime fatigue status of insomnia patients,in order to provide new ideas for clinical treatment of insomnia.Methods: A randomized,controlled study principles was applied to trials.64 patients of Heart-Kidney disharmony insomnia who met the inclusion criteria were randomized into a treatment group and a control group,with 32 patients in each group.The treatment group was treated with Dong's acupuncture,while the control group was treated with conventional acupuncture,and both treatment group and control group were treated 5 times a week for 4 weeks and were followed up for 1 month after the end of treatment.Then to observe the differences of The Pittsburgh Sleep Quality Scale(PSQI)score,TCM syndrome Scale score,the fatigue scale(FS-14)score and in the before treatment?after treatment and follow-up respectively.Result:(1)Baseline comparison:The gender,age,duration and score of the two groups before treatment were no statistically significant difference between the two groups(P>0.05).The baseline levels of the two groups were comparable.(2)The self-contrast of before and after treatment:There were significant differences in the sleep latency,the sleep duration,the sleep quality,the sleep efficiency and PSQI score by comparing before and after treatment of the two groups.(P<0.05).The post-treatment fatigue scale(FS-14)and TCM syndromes of two matched groups compared with before treatment,the difference was statistically significant.(p<0.05).(3)The contrast between the two groups after treatment: At the end of treatment,there were statistically significant differences between the treatment group and the control group in the sleep latency and the sleep duration(P < 0.05),but no statistically significant differences in the sleep quality,the sleep efficiency and PSQI total score(P>0.05).The difference of TCM syndrome scale score between the two groups was statistically significant(P < 0.05).The total scores of FS-14 of the two groups were compared,the difference was statistically significant(P < 0.05),but there was no significant difference both physical fatigue and mental fatigue in the fatigue scale between the two groups(P > 0.05).(4)Comparison between the two groups after follow-up: A month of follow-up,there were statistically significant differences in the TCM syndrome scale and FS-14 total score between the two groups(P < 0.05).There was no statistically significant difference in the total PSQI score between the treatment group and the control group(P > 0.05).(5)The total effective rate of the two groups was compared: The total effective rate was 86.7% in the treatment group(3 cured,11 excellent,12 effective and 4 ineffective),and 76.7% in the control group(2 cured,8 effective,13 effective and 7 ineffective),and there was no significant difference between the two groups(P > 0.05).(6)There was no significant difference in safety and compliance between the two groups(P > 0.05).Conclusion: 1.Both Dong's acupuncture and conventional acupuncture can improve the sleep quality and symptoms of patients with heart-kidney incoordination insomnia,and relieve the fatigue during the day.2.The overall efficacy of Dong's Qi points on insomnia is similar to that of the conventional acupuncture group,but Dong's Qi points are superior to the control group in improving the sleep latency,the sleep duration and TCM symptoms of insomnia caused by heart and kidney incompatibility. |
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