Clinical Observation On Treatment Of Primary Insomnia By Tiao Du An Shen Acupuncture Method

Objective:In this study,primary insomnia patients as the study object,Pittsburgh sleep quality index as the main evaluation index,excessive awakening scale,depression self-rating scale,anxiety self-rating scale as the secondary evaluation index,to evaluate the effect of Tiao du Anshen acupuncture on primary insomnia,and compare with the effect of routine acupuncture methods to explore a more effective method for the treatment of primary insomnia.Methods:This study was designed with a randomized,controlled clinical study.60 patients with insomnia who met the inclusion criteria were randomly divided into treatment group and control group according to 1:1 ratio with random software.Acupuncture was used in treatment group(including Baihui,Fengfu,1st thoracic ~12th thoracic spinous process),cervical chiropractic point,stellate ganglion,auricular vagus nerve branch.The two groups were treated with acupuncture once every other day,3 times a week for 4 weeks Twelve times.The two groups were evaluated once before and after treatment with the pittsburgh sleep quality index(PSQI),the excessive arousal scale(HAS),the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS).Whether there were statistical differences in the treatment group and the control group and between groups were analyzed according to the collected data.All the data were statistically analyzed using SPSS 21.0 software,the measurement data were measured by rank sum test or t test,and the counting data were tested by chi-square test.Results:1 The total score of the PSQI scale and the scores of each component,the treatment group and the control group had statistical differences before and after treatment(P<0.05);compared with the control group,the treatment group had significant differences in sleep quality and daytime function(P<0.001),which was significantly better than the control group(P<0.05);But there was no statistical difference in sleep time,sleep time,sleep efficiency,sleep disturbance and hypnotic drug use(P>0.05).2 In the HAS scale,both the treatment group and the control group decreased the scalescore,which could effectively improve the degree of excessive arousal,but the score of the treatment group was significantly lower than that of the control group,and there was a statistical difference(P<0.05),suggesting that the treatment group had a therapeutic advantage over the control group in improving excessive arousal.3 The treatment group and the control group significantly reduced the scale score(P<0.001)in both the SAS and SDS scales,which effectively improved anxiety and depression in patients.The SAS score and SDS score of the treatment group were lower than those of the control group after treatment,and the difference was statistically significant(P<0.05),which suggested that the treatment group was better than the control group in improving emotional disorders.4 Through the correlation analysis of SPSS21.0 software,it is found that there is a significant positive correlation between PSQI total score and HAS total score.5 The difference of total score before and after treatment PSQI insomnia patients with dyspepsia symptoms such as anorexia / abdominal distension was significantly greater than that of insomnia patients without anorexia / abdominal distension,and the difference was statistically significant(P<0.001),suggesting that acupuncture is more effective for insomnia patients with dyspepsia symptoms.Conclusions:The acupuncture method of "regulating governor and tranquilizing the mind" can improve the emotional disorders such as anxiety and depression,and its curative effect is better than that of routine acupuncture.The effect of acupuncture on insomnia patients with anorexia/abdominal distention is better than that of insomnia patients without anorexia/abdominal distention,which may be related to increasing the excitability of parasympathetic nerves to inhibit excessive sympathetic nerve activity.The acupuncture method of "regulating governor and tranquilizing the mind" can effectively improve the sleep of patients and promote the recovery of energy in patients with primary insomnia,especially in improving the sleep quality and daytime function of patients,which is better than that of the control group.