Observation Of Clinical Curative Effect Of Different Acupoints And Acupuncture On Insomnia With Deficiency Of Heart And Spleen In The Elderly

Objective:In this study was for insomnia in elderly caused by deficiency of both the heart and spleen,we use Chuzhen therapy to compare the simple,more effective methods of Baihui bazhen and Shendao bazhen.Methods:(1)Grouping: Choose 68 patients was diagnosed with insomnia in elderly caused by deficiency of both the heart and spleen from June 2015 to October 2016 in Hospital of integrated traditional Chinese and Western medicine of Sichuan Province,which were randomly divided into “baihui bazhen” group and “shendao bazhen”group.(2)Methods:The two groups were given on the basis of sleep guidance and pestle needle treatment,daily treatment once a time about 30 minutes or so,until resulting in local skin flushing degree,a week treatment for 5 times.(3)Obvervational index: collecting the the pittsburgh sleep quality index(PSQI)and Chinese medicine syndrome score scale to evaluate the efficacy before and after the intervention.Obverve the change of scale and before and after the intervention,and evaluate its safety and compliance.Results:(1)Baseline analysis: there was no significant difference between the two groups in age,gender,course of disease and other baseline data(P > 0.05).(2)The effective rate of Chuzhen therapy of Baihui Bazhen for insomnia in elderly caused by deficiency of both the heart and spleen was 81.25%,and the effective rate of Chuzhen therapy of Shendao Bazhen for insomnia in elderly caused by deficiency of both the heart and spleen was 61.29%.(3)To compare the pittsburgh sleep quality index score before and after the intervention of two groups,comparison in the group,the scores of the two groups weredecreased and were statistically significant(P<0.05);compare of the Bauhui bazhen group and the Shendao bazhen group,there was statistical difference(P<0.05),and there was a significant difference in sleep quality,sleep time,sleep disorder and daytime dysfunction(P<0.05).(4)To compare of the TCM Syndrome Scale,before and after the intervention of two groups,comparison in the group,the scores of the two groups were decreased and were statistically significant(P<0.05),compare of the Bauhui bazhen group and the Shendao bazhen group,there was no significant difference(P>0.05).But in insomnia,dreaminess,lassitude and fatigue,amnesia,lusterless complexion,a small difference was statistically significant(P<0.05),the Baihui bazhen group was better than the Shendao bazhen group.Heart palpitations,abdominal distension after eating were statistically different(P<0.05),the Shendao bazhen group was better than the Baihui bazhen group.Conclusion:(1)Baihui Bazhen and Shendao Bazhen groups all can improve the sleep quality of the elderly insomnia,Baihui Bazhen group of the total effective rate is higher than the shendao Bazhen eight group,and the same the security of the Baihui Bazhen.(2)The Baihui Bazhen group was better than the Shendao Bazhen group in improving sleep quality,sleep time,sleep disorders and daytime dysfunction.(3)The Baihui Bazhen group was better than the Shendao Bazhen group in insomnia,dreaminess,lassitude and fatigue,lusterless complexion,amnesia;the Shendao Bazhen group in improving heart palpitations,bloating after eating was better than the Baihui Bazhen group.