The Clinical Study Of Tongdutiaoren Acupuncture For Insomnia On The Menopausal Transition

ObjectiveTo observe and compare the clinical efficacy of insomnia on the menopausal transition and the improvement of other symptoms of menopausal transition syndrome by Tongdutiaoren Acupuncture,and to provide a simple,effective and effective method for clinical treatment of insomnia on the menopausal transition.MethodsFrom December 2019 to December 2020,62 patients with insomnia on the menopausal transition were treated in the inpatient department of Anhui Acupuncture Hospital and the outpatient doctor’s office six.Using envelope method,62 groups of cases were randomly divided into Group Treatment Group-Tongdutiaoren acupuncture group and Group Control Group-General Acupuncture Group,each group of 31 cases.The treatment group took Baihui,Shenting,Shuigou,Qihai,Guanyuan,Zhongji,and the auxiliary point is Shenmen,Neiguan,Hegu,Zusanli,Yinlingquan,Sanyinjiao,Zhaohai,Taichong.Control group took Shenmen,Neiguan,Anmian,Guanyuan,Shenshu,and the auxiliary point is Zigong,Sanyinjiao,Taixi,Shenmai,Zhaohai.Both groups were left with acupuncture for 40 minutes after the injection,five times a week and 10 times for one course of treatment.After 2 courses of treatment,data were collected to analyze changes in patient clinical efficacy,Pittsburgh Sleep Quality Index（PSQI）,improved Kupperman score（KI）,estriol（E₂）,follicle stimulating（FSH）before and after treatment,and entered the data into the SPSS21.0 package for analysis.Results1.Before treatment,the basic situation of the two groups of patients:age distribution,course distribution,PSQI integrals and total points,improved KI total score,E₂level,FSH level,differences are not statistically significant（p>0.05）,comparable.2.After treatment,（1）clinical efficacy comparison:the total efficiency of the treatment group was 96.67%,the total efficiency of the control group was 90.00%,the two groups were significantly different,statistically significant（p<0.05）;（2）PSQI integral comparison:In terms of sleep quality,sleep time,sleep time,sleep efficiency,sleep disorders,daytime function 6 factor scores and total scores,the two groups were significantly different from the group before treatment.The differences between the two groups after treatment were also significant,both statistically significant（p<0.05）;（3）improved KI score comparison:the two groups were significantly different from the group before treatment,and had statistical significance（p<0.05）.The difference between the two groups after treatment was not significant,it was not statistically significant（p>0.05）;（4）E₂,FSH situation comparison:there was no significant difference between E₂and FSH in the two groups before and after treatment（p>0.05）,after treatment in the treatment group It can be seen that E₂showed an upward trend,FSH showed a downward trend,the control group did not see this obvious trend,and the treatment group in the increase of E₂,reduce the level of FSH are better than the control group,after treatment between the two groups compared FSH,E₂compared to no statistical significance（p>0.05）.Conclusion1.Both the Tongdutiaoren acupuncture group can treat insomnia on the menopausal transition,which has obvious effect on improving PSQI score and improving KI score.2.The effect of the acupuncture group in improving the clinical efficacy of sleep,PSQI factor score（sleep quality,sleep time,sleep efficiency,sleep disorder,daytime function）and total score was better than that of the ordinary acupuncture group.3.There is no obvious difference between the Tongdutiaoren acupuncture group score of improved KI,E₂,FSH and the ordinary acupuncture group,but there is no obvious difference between the Tongdutiaoren acupuncture group,E₂is on the rise,FSH is on the decline,the control group does not see this obvious trend,and the treatment group is better than the ordinary acupuncture group in raising E₂and lowering FSH level.