Clinical Observation Of Acupuncture In The Treatment Of Insomnia Of Liver Stagnation And Fire

Purpose : This article observes the clinical efficacy of acupuncture combined with trazodone hydrochloride tablets in the treatment of liver depression and fire-type insomnia by referring to the TCM Syndrome Score and Pittsburgh Sleep Quality Index(PSQI),and explores the effect of acupuncture on liver depression and fire-type insomnia Unique intervention effects,summarizing its outstanding advantages and characteristics,discussing its internal laws,provide new ideas and new methods for clinical research and treatment of liver depression and fire-type insomnia.Materials and methods:The subjects of this trial were all from the Brain K1 Clinic of the Neurology Department of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine;according to the inclusion and exclusion criteria,the patients who visited the clinic between January 2019 and January 2020 were diagnosed and included,and 67 cases met Included standard liver-stagnation and fire-type insomnia subjects were randomly divided into a test group and a control group.The test group was treated with acupuncture points combined with oral trazodone hydrochloride tablets,and the control group was treated with western medicine trazodone hydrochloride tablets before going to bed..The test group had acupuncture once a day,with a needle retention time of 20 minutes,two weeks as a course of treatment,continuous treatment,and the treatment cycle was two courses.The subjects in the test group and the control group took 100 mg of trazodone hydrochloride tablets orally half an hour before going to bed,once a day,for a continuous course of treatment for 4 weeks.The observation and treatment cycle of the two groups was 4 weeks.After 4 weeks,the therapeutic effect was evaluated by the TCM Syndrome Score for Liver Depression and Fire Dissipation and the Pittsburgh Sleep Quality Index(PSQI).The six sleep factors and liver were observed in 67 subjects before and after the treatment cycle.The improvement of TCM syndromes of Yuhuahuo,collect data before and after treatment,and establish a database with office EXCEl.The statistical analysis and input of data shall be carried out with SPSS22.0statistical software.Result:1.Statistics of the scores of the Pittsburgh Sleep Quality Index(PSQI)showed that after treatment,the PSQI scores of the two groups of subjects decreased to varying degrees.After treatment,the experimental group and the control group had six sleep factors.The scores showed that after treatment,the scores of the test group in terms of sleep quality,time to fall asleep at night,and daytime dysfunction were significantly reduced,and the difference was statistically significant(P<0.05);and for the improvement of sleep time and sleep efficiency There was no statistically significant difference in the improvement of sleep disorders(P>0.05);after treatment,the total effective rate of the test group reached 87.88%.2.The comparison result of TCM syndrome scores of liver depression and fire type showed that after treatment,the total TCM syndrome scores of the experimental group decreased significantly,and the difference was statistically significant compared with the control group(P<0.05),and the total effective rate of the experimental group reached 72.72 %,the control group is only 41.17%.in conclusion:1.This test is based on the Pittsburgh Sleep Quality Index(PSQI)and the TCM Syndrome Score Scale.The total scores of the six sleep factors and the scores,and the comparison of the TCM syndrome scores for liver depression and fire,before and after treatment,It shows that acupuncture combined with trazodone hydrochloride tablets has a significant effect in the treatment of insomnia,which is better than simple oral trazodone hydrochloride tablets;acupuncture can effectively reduce the TCM syndrome scores of subjects with insomnia,improve the quality of sleep of subjects,and shorten sleep The time to fall asleep also has a good clinical effect on the relief of daytime dysfunction.2.Acupuncture has outstanding clinical effects in the treatment of liver depression and fire-type insomnia,but limited by many factors,tracking and follow-up of long-term treatment effects are lacking.Clinical long-term treatment effects are particularly important for insomnia and should be combined with reality.In the future,more rigorous and in-depth multi-center,large-sample research will be carried out.