Observation On The Clinical Efficacy Of Acupuncture For Regulating Qi And Relieving Depression In The Treatment Of Insomnia Related To Depression Caused By Liver Depression And Fire

Purpose : By comparing the difference of the effects of regulating qi and relieving depression combined with traditional Chinese medicine and single traditional Chinese medicine in the treatment of insomnia related to depression disorders,the clinical efficacy of regulating qi and relieving depression on sleep and depression was observed,the therapeutic mechanism of traditional Chinese and western medicine was analyzed,and the clinical advantages of regulating qi and relieving depression were discussed,which provided theoretical basis and practical basis for the clinical application of regulating qi and relieving depression.Material and method:In this study,62 cases of depression-related insomnia patients with insomnia as the main complaint were selected from outpatient and inpatient of department of neurology,affiliated hospital of liaoning university of traditional Chinese medicine from September 2018 to September 2019,and the selected patients were randomly divided into treatment group and control group with 31 cases each.The control group was treated with traditional Chinese medicine(TCM)based on Longdan Xiegan Decoction.The duration of treatment was 4 weeks.The efficacy was evaluated by the evaluation criteria of insomnia efficacy,Pittsburgh sleep quality index scale PSQI was used to evaluate sleep quality,and Hamilton depression scale HAMD-24 and self-rating depression scale SDS were used to evaluate depressive state.To observe the improvement of the patients' clinical symptoms and other aspects,and routinely monitor whether the patients have any adverse reactions during the treatment,and to explore the efficacy and difference of the two groups in the treatment of insomnia related to depression disorder.The experimental data were analyzed using SPSS 19.0.Results:1.Before treatment,gender and age data of the two groups were compared,and the difference was not statistically significant(P > 0.05).2.Comparison between the two groups before and after treatment: before and after treatment,the total PSQI score and its scores in the treatment group all decreased to different degrees,and the difference was statistically significant(P<0.05).In the control group,there was no statistically significant difference in the score of sleep efficiency and hypnotic drugin PSQI(P>0.05),and the rest of the items and PSQI total score all decreased to different degrees,with statistically significant difference(P<0.05).Before and after treatment,hamd-24 and SDS scores of self-rating depression scale were significantly reduced in the two groups,with statistically significant differences(P< 0.01).3.The comparison between the two groups after treatment group: after treatment,two groups of total integral in the PSQI and sleep quality,sleep time,sleep disorder,daytime dysfunction score difference was statistically significant(P<0.05),the treatment group to improve sleep quality,sleep time,sleep disorder,daytime dysfunction on curative effect is outstanding,the sleep time,sleep efficiency and hypnotic drugs aspects of the integral no statistical difference(P>0.05),prompted two groups of treatment can reduce the hypnotic drug usage,but there was no statistically significant difference.After treatment,there were statistically significant differences in the scores of hamd-24 and SDS of self-rating depression scale between the two groups(P<0.01).4.The effective rate and cure rate of the treatment group were higher than that of the control group,with statistically significant differences(P<0.05).5.Two cases lost during treatment;No adverse drug reactions;No adverse reactions occurred during acupuncture.Conclusion:1.Traditional Chinese medicine therapy based on Longdan Xiegang Decoction can improve the overall sleep quality and depression of patients with insomnia related to depression disorder.2.Acupuncture therapy of regulating qi and relieving depression can effectively improve the overall sleep quality of patients with insomnia related to depression disorders,and has prominent efficacy in improving the sleep quality,prolonging sleep time,and alleviating sleep disorders and daytime dysfunction.3.Acupuncture therapy of regulating qi and relieving depression can effectively reduce the depression evaluation and self-evaluation scores of insomnia patients with depression disorder.4.Acupuncture and drug combination can effectively improve the overall sleep quality and depression of insomnia patients associated with depression disorder,regulate depressive mood,and improve depression and lack of interest.