Observation On The Curative Effect Of Tiao Shen Chang Zhi Sleep Method On Parkinson’s Disease With Insomni

Objective:Comparing the curative effect of the Tiaoshen Changzhi sleep method and the common acupuncture in this study.Observing the changes of UPDRS-III score,PDSS score,PSQI score and TCM syndrome score before and during the treatment(6 weeks after treatment)and after the treatment(12weeks after treatment)and the effective rate after the treatment were observed.By evaluating the motor symptoms,sleep conditions and clinical efficacy of the two groups of patients,a comprehensive comparison was made in order to find a better therapeutic effect of acupuncture therapy for Parkinson’s disease with insomnia.Method:Sixty patients with Parkinson’s disease with insomnia who met the inclusion criteria were randomly divided into the observation group(common acupuncture group)and the control group(the therapeutic method of Tiaoshen Changzhi Sleep Method).The basic treatment of western medicine is formulated by the 2nd Affiliated Hospital of Harbin Medical University,which is mainly divided into protective treatment and symptomatic treatment.In the common acupuncture group,acupoints were selected: head:chorea tre-mor controlled area,Fengchi,Baihui,Sishencong,and Anmian;abdomen: Juque,Zhongwan,Qihai and Tianshu;limbs: Yanglingquan,Sanyinjiao,Zhaohai,Shenmai and Neiguan.As for the group of the therapeutic method of Tiaoshen Changzhi Sleep Method,the nines of head:Baihui,Yintang,Shangxing,Naokong(double),Luoqu(double)and Anmian(double);the six of abdomen: Juque,Zhongwan,Taiyi(double),and Huaroumen(double);the three of meridian: pericardium meridian:Daling(double);heart meridian: Shenmen(double);bladder meridian:Tonggu(double);insomnia treatment: Zhaohai,Shenmai and Sanyinjiao.Andy brand 0.25x25 mm disposable sterile acupuncture needle was used in the head,and the 0.25x40 mm disposable acupuncture needle was used in the abdomen and limbs.In the common acupuncture group,In the ordinary acupuncture group,dance tremor control area was obliquely punctured under the subcutaneous cap aponeurosis layer from top to bottom along the acupoint area,and quickly twisted,with a frequency of more than 200 turns per minute,lasting for 2 minutes.The rest of the acupoints were treated with mild reinforcing-attenuating.As for the other group,the nines of head with heat-producing needling,the six of abdomen with cool-producing needling,and the three of meridian with mild reinforcing-attenuating.Each treatment lasted for 40 minutes,once every other day,three times a week,for12 weeks.Three assessments were conducted before treatment and at the 6th and12 th week after treatment.The Parkinson’s Disease Uniform Scale-Ⅲ(UPDRS-Ⅲ)was used to understand the motor symptoms of patients.The Parkinson’s Disease Sleep Scale(PDSS)and Pittsburgh Sleep Quality Index(PQI)were used to evaluate the changes in sleep status of patients.Finally,SPSS 23.0 statistical software was used to analyze and process all the data.Result:Before treatment,there was no significant difference in general information,UPDRS-III score,PDSS score,PSQI score and TCM syndrome score between the two groups(P<0.05).After treatment,there was significant difference in the motor symptoms between the two groups(P<0.05),but there was no significant difference between the two groups(P>0.05),indicating that the two groups can improve the motor symptoms of patients with Parkinson’s disease and insomnia,and the curative effect is similar;After treatment,there was significant difference in the PDSS between the two groups(P<0.05),and there was significant difference between the two groups(P<0.01);After treatment,there were significant differences in PSQI between the two groups(P<0.05)and between the two groups(P<0.05),and there were significant differences in sleep time,sleep efficiency and sleep disorder(sleep time:P<0.05,sleep efficiency:P<0.01,sleep disorder:P<0.01),It shows that the two groups of treatment methods have curative effect on Parkinson’s disease patients with insomnia,and the effect of Tiaoshen Changzhi sleeping method is better.Its mode of action may be to increase sleep time and sleep efficiency by improving night sleep disorders and reducing sleep fragments,so as to improve the symptoms of insomnia;After treatment,the total score of TCM Syndromes of the two groups increased with the increase of treatment time,and the difference was statistically significant(P<0.05 in treatment,P<0.01 after treatment),and the treatment effect of frequent wake-up early type,nocturia and dreaminess was more prominent.There were differences in treatment,which indicated that the method of regulating mind,smoothing mind and sleeping could optimize the sleep quality of patients by improving night sleep disorders.Conclusion:1.Both of the therapeutic method of Tiaoshen Changzhi Sleep Method and the common acupuncture can achieve well results in the treatment of Parkinson’s disease with insomnia.2.The one that has a better therapeutic effectiveness is the therapeutic method of Tiaoshen Changzhi Sleep Method,which may improve sleep quality by reduces sleep discorders,increase sleep time and sleep efficiency to relief insomnia symptoms.3.The therapeutic method of Tiaoshen Changzhi Sleep Method provides a foundation and treatment plan for the clinical treatment of Parkinson`s disease with insomni,since it does have a better effect.