Clinical Study On Navel Acupuncture Therapy For Insomnia In Perimenopausal Period

Objective This study aims to treat perimenopausal insomnia with navel acupuncture therapy,and through comparing with conventional meridians syndrome differentiation and acupoint selection therapy,its curative effect and rating scale are observed.Then,the advantages of umbilical acupuncture therapy in the treatment of perimenopausal insomnia,so as to provide a simple and efficient treatment method for the promotion of navel acupuncture therapy.Methods A randomized controlled trial was conducted,in which 60 patients who were 45-55 years old and met the diagnostic criteria were randomly divided into the navel acupuncture group(treatment group)and conventional acupuncture group(control group),with 30 patients in each group.The treatment group adopted navel acupuncture therapy,and the following acupoints were selected:Kan,Li,Zhen and Xun.The control group selected the following acupoints:Taixi,Baihui,Sanyinjiao and Shenmen,and the treatment was carried out three times a week,1 week was a course of treatment,and there were a total of four courses of treatment.Before and after treatment,two groups of patients were conducted with the investigation and scoring of Pittsburgh sleep quality index(PSQI)scale,domestic improveed Kupperman index scale and SDS scale,and then a database was established.All data collected from clinic was analyzed by using statistical software SPSS22.0,and the condition of patients before and after treatment was evaluated according to the results of data analysis.Results:1.Before treatment,the age,course of disease,PSQI scores,domestic improved Kupperman scale scores and SDS scale scores of the two groups were comparable(P>0.05).2.PSQI score:the difference between the two groups after treatment and before treatment is statistically significant(P<0.05),indicating that the treatment of both groups can reduce the PSQI score of perimenopausal insomnia patients;compared with the treatment group and the control group after treatment,the value of the treatment group significantly decreased,The difference was significant(P<0.05),suggesting that the effect of the treatment group in reducing the PSQI score of perimenopausal insomnia patients was better than that of the control group.3.Scores of various symptoms:the patients were compared in the groupbefore and after treatment,and it was found that there were significant differences between the treatment group in improving the accompanying symptoms of perimenopausal insomnia patients,such as hectic fever and sweating,anxiety,general lassitude,and cardiopalmus before and after treatment(P<0.05),while there were no significant differences in the other symptoms before and after treatment;The comparison of the clinical symptoms of the control group before and after treatment showed significant difference in improving the concomitant symptoms of insomnia in perimenopausal patients,such as hectic fever and sweating,anxiety,general lassitude,and cardiopalmus(P<0.05).Comparison between groups:compared with the control group,the treatment group showed significant difference in improving hectic fever and sweating,anxiety,general lassitude,and cardiopalmus of insomnia patients during perimenopausal period(P<0.05).However,there was no significant difference in other clinical symptoms between the two groups(P>0.05).4.Kupperman symptom score:compared with the control group after treatment,the MI index of the treatment group significantly decreased,indicating that navel acupuncture therapy could reduce the Kupperman index of perimenopausal insomnia patients,with a statistically significant difference(P<0.05),which indicated that the treatment group had a better clinical effect on improving perimenopausal insomnia patients than the control group.5.There was no significant difference in SDS score between the two groups before treatment(P>0.05),indicating there was a comparability.After treatment,the SDS score of both groups decreased,and the decrease degree of the observation group was better than that of the control group.The difference between the two groups had a statistical significance(t=-2.36,P<0.05).6.Compared with the control group,the overall effective rate of the treatment group was statistically significant(P<0.05),which indicated that the total effective rate of treating perimenopausal insomnia patients in the treatment group was better than that in the control group,suggesting that the overall treatment effect of the treatment group was better.Conclusion Navel acupuncture therapy has positive clinical effect on improving insomnia symptoms of perimenopausal insomnia(Heart-kidney imbalance),and can improve perimenopausal related symptoms,especially in hectic fever and sweating,anxiety,general lassitude,and cardiopalmus.Navel acupuncture therapy has the characteristics of safety and less side effects,which is worthy of clinical application.