Clinical Study Of Acupoint Catgut Embedding In The Treatment Of Insomnia Of Heart And Gallbladder Qi Deficiency

Objective:Acupoint catgut-embedding therapy was used to treat insomnia with deficiency of heart and gallbladder qi,and the improvement of Pittsburgh Sleep Quality Index and clinical symptoms of traditional Chinese medicine and long-term efficacy in patients with insomnia of deficiency of heart and gallbladder qi by acupoint catgut embedding therapy was evaluated.This paper further clarifies the effectiveness and simplicity of acupoint catgut-embedding therapy and provides some ideas for the study of the clinical treatment of insomnia and the scientific mechanism of acupuncture and moxibustion.Methods:This study collected a total of 60 insomnia patients diagnosed with heart and gallbladder qi deficiency in the outpatient department of acupuncture and moxibustion department from December 2020 to December 2021 in Wuhan First Hospital.Then,the patients were divided into acupoint catgut embedding group（ACE group）and simple acupuncture group（SA group）by random number table method,with 30 patients in each group;a total of 57 patients completed the experiment.Among them,there were 28 cases in SA group,2 cases dropped out,and 29 cases in ACE group,and 1 case was eliminated.In the ACE group,Danshu,Xinshu,Neiguan,Shenmen,Sanyinjiao,and Fengchi（all bilateral acupoints were selected）were selected for treatment.After routine disinfection,a disposable thread-embedding needle（Glans）was used to remove 1cm of sheep intestine.The thread（Boda 4-0#）was embedded in the above acupoints,and the treatment was once every week.The patients in the ACE group needed to receive continuous treatment for one month;the SA group selected the same acupoints for treatment.Replenishing and reducing manipulations,the needles were retained for 30 minutes after deqi,and the treatment was once every other day,patients should require treatment three times a week and the treatment was continued for 1 month.After the treatment,the Pittsburgh Sleep Quality Index（PSQI）score and TCM syndrome score were calculated,and compared with the data before treatment to evaluate the improvement of clinical symptoms of the two groups of patients.SPSS 26.0 software was used for statistical analysis of the data,the measurement data is described by`X±S,all data were tested for normality and homogeneity of variance.The measurement data with normal distribution and homogeneity of variance use t test,and the data that do not conform to the rank sum test,chi-square test was used for enumeration data,and P<0.05 was considered statistically significant in all statistical tests.To explore the therapeutic effect and long-term efficacy evaluation of acupoint catgut embedding on insomnia of heart and gallbladder qi deficiency.Results:1.Before treatment,the gender,age and disease course of the patients in the ACE group and the SA group were compared,and the results showed that P>0.05,there was no difference,and the baseline data of the two groups before treatment were similar and comparable.After the course of treatment,the ACE group was clinically cured in 6 cases,markedly effective in 11 cases,improved in 9 cases,and ineffective in 3 cases,with a total effective rate of 93.1%.The efficiency was 82.1%,the total curative effect of the ACE group was significantly higher than that of the SA group.Results:2.Before treatment,the PSQI total score between the ACE group and the SA group was compared,P>0.05,there was no difference.After the course of treatment,the PSQI scores of the two groups of patients were both lower than those before treatment.Significant（P < 0.05）;the SA group had a significant difference in the decrease in value after treatment compared with before treatment（P < 0.05）;after treatment,the PSQI total score of the ACE group was significantly lower than that of the SA group,and there was a difference（P < 0.05）.The score items of the main components in the PSQI scale of the two groups of patients before and after treatment were measured and compared,and the scores of7 items including sleep quality,daytime function and sleep time of insomnia patients in the ACE group after treatment were compared with those before treatment.,the score was significantly reduced,P<0.05;The scores of 7 items in SA group were lower than those before treatment,P<0.05;compared between groups,the improvement of sleep quality,sleep-onset time,and daytime function in ACE group was significantly better than that in SA group,and the difference was statistically significant.It shows that the ACE group is better than the SA group in reducing the PSQI total score and various scores of insomnia patients.3.There was no significant difference in TCM syndrome scores between the two groups before treatment（P>0.05）.After the course of treatment,the scores in the two groups were both decreased compared with those before treatment,and after treatment in the same group,compared with before treatment,There was a statistically significant difference in the decrease of the scores（P<0.05）.After treatment,the TCM symptom scores in the ACE group decreased more significantly than the SA group.After testing,there was a difference（P<0.05）.In terms of improving TCM symptoms,the ACE group was better than the SA group.SA group.4.Three months later,the patients in the ACE and SA groups were followed up,and the PSQI total score and its various scores and TCM syndrome scores were evaluated in the two groups respectively.Compared with the PSQI score at the end of treatment,the ACE group P>0.05,there was no significant difference,the SA group score was higher than that at the end of the course of treatment,and P<0.05,indicating the long-term effect of the ACE group in improving the sleep quality score.Better than SA group.Compared with the end of treatment,P>0.05 in both ACE group and SA group in terms of TCM syndrome score,there was no significant difference.Conclusion:Compared with simple acupuncture therapy,acupoint catgut embedding therapy in the treatment of patients with insomnia due to deficiency of heart and gallbladder qi is more effective in improving clinical symptoms,and there are no obvious adverse reactions in acupoint catgut embedding and simple acupuncture groups.Acupoint catgut embedding is a significant treatment method in acupuncture and moxibustion.The catgut that can be absorbed by the human body is embedded into the acupoints that play a therapeutic role,so as to achieve the effect of lasting stimulation of the acupoints,prolong the acupuncture effect of the patient,and enhance the therapeutic effect.The clinical operation is simple,save the clinical treatment time of patients,can be used as one of the important ways of clinical treatment of insomnia of heart and gallbladder qi deficiency.