| Objective: Theaimis to explore and discuss the effectiveness of strengthening vital qi and nourishing kidney and tonifying deficiency in improving the clinical effects of acupuncture of chronic kidney deficiency insomnia by observing the clinical curative effect of Guanyuan moxibustion combined with harmonizing yingwei acupuncture intreating chronic kidney deficiency insomnia.And the aim is to provide better ideas and methods for clinically treating of chronic insomnia,too.Methods: Seventy patients who met the inclusion criteria were randomly divided into treatment group and control group by simple random grouping method.There were thirty-fivecases in each group.The control group was treated by adopting harmonizing yingwei acupuncture only.And the acupuncture points were Baihui,Sishencong,Fengchi,Zusanli and Shenshu.The treatment group was treated by adopting Guanyuan moxibustion combined with harmonizing yingwei acupuncture.On the basis of selecting points in the control group,Thunderfire moxibustion was added to Guanyuan point.The two groups of patients were treated once a day(rest on Sunday),each time for sixty minutes,ten times as a course of treatment.After the end of the first course of treatment,patients took a 3-day break.Then the next course of treatment was continued.There were two courses of treatment.Pittsburgh Sleep Quality Index(PSQI)was selected as subjective evaluation index andTranscranial Color Doppler Vascular Examination(TCD)as objective evaluation index for treatment score and evaluation of the curative effect before and after treatment was conducted.Finally,the collected data were statistically analyzed by spss20.0 software.And the differences of Pittsburgh Sleep Quality Index(PSQI)total score and Transcranial Color Doppler Vascular Examination(TCD)blood flow speed before and after the two methods were compared.Results: Sixty-seven cases were completed in this experiment.Among them,one case was removed from the treatment group and two cases from the control group.Gender,age and the course of disease and other general data for the two groupsof patients were compared.The difference had no statistical significance(P>0.05)and was comparable.Before treatment,the total scores of Pittsburgh Sleep Quality Index of the two groups were compared: the difference was not statistically significant(P>0.05)and was comparable.After treatment,the total score of Pittsburgh Sleep Quality Index and curative effect of the two groups were compared: the difference was statistically significant(P<0.05).And the effective rate of the treatment group was 91.18%.The cure rate was 29.41%.The effective rate of the control group was 84.85%.And the cure rate was 9.09%.The curative effect and cure rate of the treatment group were significantly better than those of the control group.The blood flow speed of vertebrobasilar artery detected by TCD before treatment in the two groups had no significant difference(P>0.05).The difference was comparable.After treatment,TCD analysis showed that the blood flow speed of vertebrobasilar artery in the two groups increased.However,the blood flow speed of vertebrobasilar artery in the treatment group increased more obviously after treatment.Compared with the control group,the difference was statistically significant(P<0.05).Conclusion: Guanyuan moxibustion combined with harmonizing yingwei acupuncture can not only improve the running state of yingwei,but also nourish healthy qi,kidney and deficiency and enhance the body's self-regulation ability.Therefore,it can more effectively improve the sleep quality of patients with chronic kidney deficiency insomnia and improve the clinical curative effect for treating chronic kidney deficiency insomnia. |
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