| ObjectiveTo observe the clinical effect of press needle embedding Wuzangshu and Geshu Acupoints on insomnia.MethodsThe 66 patients with insomnia were randomly divided into the press needle group(33 cases)and the drug group(33 cases).In the press needle group,only the two sides of Wuzangshu and Geshu were buried with the press needle,for 24h each time,three times a week for a total of 4 weeks,interval is 1 to 2 days;The drug group only received lmg of oral estazolam tablets,which were taken every night before bed for a total of 4 weeks.Pittsburgh sleep quality index(PSQI),anxiety self-rating scale(SAS)and depression self-rating scale(SDS)were evaluated before,after and follow-up(at the end of treatment 1 month).To evaluate the clinical effect of press needle embedding Wuzangshu and Geshu on insomnia,that comparisons were made within and between groupsResults1.Intra-group comparison before and after treatmentPress needle group,PSQI total score,sleep quality,sleep time,total sleep time,sleep efficiency,sleep disturbance and daytime function score all decreased,and the differences within the group were statistically significant(P<0.01),the results showed that the total score of PSQI,sleep quality,sleep time,total sleep time,sleep efficiency,sleep disorder and daytime function score could be significantly reduced by the treatment of press needle.The scores of anxiety and depression were all lower than those before treatment,and the differences within the group were statistically significant(P<0.01),indicating that press needle treatment could significantly improve anxiety and depression.In the drug group,the total score of hypnotic drugs increased and the remaining score decreased.Except for the differences in daytime functional scores(P>0.05),the differences in total PSQI score and other scores were statistically significant(P<0.01).This indicated that drug treatment could significantly reduce the total PSQI score,sleep quality,sleep time,total sleep time,sleep efficiency and sleep disorder score.Since the symptoms of hangovers occurred the next day after taking the drug orally,there was no significant decrease in daytime function score of the drug group.Scores of anxiety and depression all decreased.There was no statistically significant difference in the anxiety rating group(P>0.05).There was a significant statistical difference between the depression groups(P<0.01).It indicates that the drug has a significant effect on depression,but there was no significant improvement in anxiety.2.Comparison between groups after treatmentExcept that the hypnotic drug score of the drug group was increased,the other scores of the two groups were decreased.The total PSQI score of the press needle group was lower than that of the drug group,and there was no statistically significant difference between the two groups(P>0.05),indicating that there was no significant difference in the total score of the press needle group and the drug group.Sleep quality,sleep time,total sleep time,sleep efficiency,the press needle group was higher than the drug group;The differences in sleep time and total sleep time were statistically significant(P<0.01),indicating that the score of sleep time and total sleep time in the drug group was significantly better than that in the press needle group.The differences in sleep quality and sleep efficiency between groups were statistically significant(P<0.05),indicating that the drug group was better than the press needle group in improving sleep quality and sleep efficiency.Scores of daytime function and hypnotic drugs were lower in the press needle group than in the drug group,and the differences between groups of daytime function were statistically significant(P<0.05),indicating that the press needle group was superior to the drug group in improving daytime fynction.The difference between the hypnotic drugs group was statistically significant(P<0.01)because the drug group oral hypnotic drugs,so hypnotic drug score,the press needle group was significantly better than the drug group.The scores of anxiety and depression in the two groups were lower than those in the drug group,and the differences between the two groups were not statistically significant(P>0.05).After treatment,there was no significant difference in the improvement of anxiety and depression between the treatment group and the treatment group.3.Comparison during follow-upPSQI total score,score of sleep quality and sleep time were lower in the press needle group than in the drug group,and the difference between the two groups was statistically significant(P<0.01),suggesting that the long-term curative effect of press needle on PSQI total score,sleep quality and sleep time was significantly better than that of the drug group;Total sleep time score,daytime function score and sleep efficiency were significantly lower in the press needle group than in the drug group,and the differences between the two groups were statistically significant(P<0.05),indicating that the long-term curative effect of press needle treatment was better than that of the drug group in terms of total sleep time,daytime function and sleep efficiency.The scores of anxiety and depression in press needle group were lower than those in the drug group,and the differences between the two groups were not statistically significant(P>0.05).The results showed that the long-term efficacy of the press needle group and the drug group in maintaining anxiety and depression was comparable at 1 month after the treatment.4.Total efficiency and apparent efficiencyThe total effective rate was 80%in the press needle group and 72.4%in the drug group,and there was no statistica lly significant difference in the total effective rate between the two groups(P>0.05).The significant efficiency of press needle group was 53.33%,the significant efficiency of the drug group was 27.58%,the difference between the significant efficiency groups was statistically significant(P<0.05),indicating that in terms of the total effective rate,there was no significant difference between the press needle group and the drug group,but the significant efficiency of press needle group was significantly better than that of the drug group,and further indicating that press needle treatment of insomnia still has certain advantages.ConclusionPress the needle buried Wuzangshu and Geshu can effectively improve insomnia,press the needle significant efficiency is superior to drug group,and press the needle forward curative effect is higher than drug group,press the needle treatment can obviously improve the patient's daytime function,and improve the patient's quality of life,at the same time press the needle treatment green,convenient,save time,is worth popularizing widely in clinical. |
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