| ObjectiveTo observe the effect of treating chronic insomnia of deficiency of heart and spleen type with acupuncture and moxibustion for invigorating the spleen and regulating the spirit.Methods60 patients with chronic insomnia of deficiency of heart and spleen type were randomly divided into two groups,30 cases in each group.The patients in experimental group were treated with acupuncture and moxibustion for invigorating the spleen and regulating the spirit.Those in acupuncture control group were treated with routine acupoint selection,wheat moxibustion and embedding.Pittsburgh Sleep Quality Index(PSQI)and TCM Insomnia Syndrome Scale were recorded before treatment,at the end of the course of treatment and 30 days after the end of the course of treatment.ResultsPSQI scaleAfter treatment,the sleep quality,sleep time,sleep efficiency,sleep disorders and daytime dysfunction in the experimental group and the control group were respectively(P=0.053,0.900,0.525,0.129,0.316>0.05),and there were no statistical difference.PSQI was(P=0.035<0.05),and the difference was statistically significant.The time to fall asleep was(P=0.008<0.01),and the difference was statistically significant.Compared with the control group,the sleep efficiency,sleep disorders and daytime dysfunction in the experimental group were(P=0.452,0.120,0.296>0.05),and there were no statistical difference.Sleep quality was(P=0.008.0.040<0.05),and the difference was statistically significant.The time to fall asleep,sleep time and PSQI score were respectively(P=0.004.0.006,0.006<0.01),with statistically significant differences.The scores of sleep quality,the time to fall asleep,sleep time,sleep efficiency,sleep disorder,daytime dysfunction and PSQI in the experimental group were measured repeatedly(P=0.000,0.000.0.000.0.000,0.000,0.000<0.01),and there were significant differences.Compared with before treatment,the scores of each factor and PSQI after treatment were(P=0.000,0.000,0.000,0.000,0.000,0.000<0.01),with statistically significant differences.Compared with before treatment,the scores of each factor and PSQI during follow-up were(P=0.000,0.002,0.000,0.000,0.000,0.000,0.000<0.01).with statistically significant differences.After treatment and follow-up,the time to fall asleep and sleep disorder were respectively(P=0.102.0.180>0.05).but there was no statistical difference in comparison.The comparison of sleep quality,sleep time,sleep efficiency,daytime dysfunction and PSQI score were respectively(P=0.005.0.005,0.001,0.000,0.000<0.01),with statistically significant difference.In the control group,sleep quality.the time to fall asleep,sleep time,sleep efficiency,sleep disorders,daytime dysfunction and PSQI scores were measured repeatedly(P=0.000,0.000,0.000,0.000,0.000,0.000<0.01),and there were significant differences.Compared with before treatment,the scores of each factor and PSQI after treatment were(P=0.000,0.008,0.000.0.000.0.000,0.000,0.000<0.01),with statistically significant differences.Compared with before treatment,the follow-up time to sleep(P=0.317)showed no statistical difference.The scores of sleep quality,sleep time,sleep efficiency.sleep disorder.daytime dysfunction and PSQI were(P=0.000,0.000,0.000,0.007.0.001,0.000<0.01),and there were statistically significant differences.After treatment and follow-up.the time to fall asleep and sleep disorder were respectively(P=0.059,0.1 80>0.05),but there was no statistical difference in comparison.The comparison of sleep quality,sleep time,sleep efficiency,daytime dysfunction and PSQI score were respectively(P=0.002,0.001,0.001,0.000,0.000<0.01),and the comparison showed statistically significant difference.TCM insomnia syndrome scaleThere were significant differences in the scores of TCM Insomnia Syndrome Scale between the two groups at different time points(P=0.000<0.01),and there was a significant interaction effect between the mean difference between the two groups and the measurement times(P=0.001<0.01).Intergroup effect analysis showed that there was no significant statistical difference in the overall mean scores of TCM Insomnia Syndrome Scale between the two groups(P=0.379>0.05)。There was no significant difference in scores of TCM syndrome scale of insomnia between the two groups before treatment(P>0.05).After treatment.there was a significant difference in the TCM syndrome scale of insomnia between the two groups(P<0.05),and there was no statistical difference between the two groups during follow-up(P>0.05).The mean value of the experimental group was lower than that of the control group.In the experimental group.the values recorded before treatment were higher than those recorded after treatment and follow-up,with statistically significant differences(P<0.01).The values recorded after treatment were lower than those recorded after follow-up,and there was a statistically significant difference(P<0.01).In the control group,the values recorded before treatment were higher than after treatment and follow-up,with statistically significant differences(P<0.01).The values recorded after treatment were lower than those recorded after follow-up.and there was a statistically significant difference(P<0.01).ConclusionAcupuncture and moxibustion for invigorating the spleen and regulating the spirit showed obvious short-term curative effect in the treatment of chronic insomnia of deficiency of heart and spleen type,and can maintain a certain curative effect after treatment,which is stable,especially in keeping to improve the patients’ sleep quality,sleep time,sleep efficiency,daytime dysfunction.At the same time.Acupuncture and moxibustion for invigorating the spleen and regulating the spirit can improve the symptoms and signs related to the deficiency of heart and spleen,and it has certain effect of maintaining curative effect.The effect of acupuncture and moxibustion for invigorating the spleen and regulating the spirit in improving the sleep time,sleep quality,sleep disorders,daytime dysfunction,sleep efficiency of patients is similar to that of the acupuncture control group,but in improving the the time to fall asleep of patients and the overall effect of improving the syndrome type of the deficiency of the heart and spleen is better than that of the acupuncture control group.In terms of prognosis,the effect of acupuncture and moxibustion for invigorating the spleen and regulating the spirit on maintaining and improving the sleep quality,reducing the time to fall asleep,increasing the sleep time and improving the overall insomnia symptoms of patients was more stable and lasting than that of the acupuncture control group. |
