| Purpose : To observe the clinical effects of eye acupuncture combined with Wendan Anmian Decoction and simply applying Wendan Anmian Decoction in the treatment of phlegm-fire disturbing heart-type insomnia,the two treatment methods were compared to the patients' Pittsburgh sleep index scores and TCM syndrome scores after treatment.Analyze its treatment mechanism and provide a reference for the clinical application of the treatment of phlegm-fire disturbing heart-type insomnia.Material and method:62 patients with insomnia who attended the Neurology Clinic of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine during the period from 2019.1-2020.9 and met the case screening criteria were selected.After signing the informed consent form,they were divided into the control group and the observation group using random numbers according to the same proportion.Among them,the control group was treated with Wendan Anmian Decoction,one dose a day,three times in the morning,afternoon and evening,and the observation group was treated with eye acupuncture at the same time on the basis of using Wendan Anmian Decoction.The two groups were treated for 7 consecutive days as a course of treatment,with 3 courses of treatment respectively.In this study,the Pittsburgh Sleep Index(PSQI)and the number of awakenings in the patient's sleep diary were used to evaluate the patient's sleep quality;the TCM symptom score scale was used to evaluate the clinical symptoms of the patient's phlegm-fire disturbing heart.SPSS26.0 software was used for data analysis on the obtained data.Results:A total of 62 patients with phlegm-fire disturbing heart-type insomnia were included in this study.A total of 2 patients in the control group and the test group fell off due to poor compliance and poor compliance due to failure to take medication as prescribed.Finally,the number of cases included in the statistical analysis was 60.There were 30 cases in the control group and 30 cases in the test group.1.Comparability analysis of general case data:Before treatment,general data such as gender,age,and course of disease were compared,and the results showed that P>0.05,and the differences were not statistically significant and comparable.2.Data analysis within the group after treatment:The PSQI scores and total scores of the two groups of patients before and after treatment,the number of night awakenings,the total scores of TCM syndromes,and the scores all decreased to varying degrees,and the difference was statistically significant(P?0.05).3.Data analysis between groups after treatment:After the course of treatment,there was no statistically significant difference in PSQI scores between the two groups in terms of sleep disorders,day disorders,and hypnotic drugs(p>0.05).There were improvements in sleep quality,sleep time,sleep efficiency,time to fall asleep,and total score.There is a significant difference(p<0.05);the number of awakenings recorded in the patient's sleep record table is significantly different(p<0.05);the comparison of insomnia,upset and annoyance,phlegm,chest tightness,palpitations,and total scores in the TCM syndrome score There is a significant difference(p<0.05),and there is no significant difference between the groups of other symptoms(p>0.05).4.Comparison of effective rates between the two groups after treatment:After the course of treatment,the effective rate was 93.33% in the treatment group and83.33% in the control group.After statistical analysis,P<0.05,the difference was statistically significant.Conclusion:1.Wendan Anmian Decoction can improve the overall sleep quality and clinical symptoms of insomnia patients with phlegm-fire disturbing heart;2.Eye acupuncture therapy can reduce the number of sleep awakenings,improve the quality of sleep,reduce the time to fall asleep,improve sleep efficiency,and improve the symptoms of upset,sputum,chest tightness,palpitations,and difficulty falling asleep;3.Eye acupuncture combined with Wendan Anmian Decoction has a better clinical treatment effect in the treatment of phlegm-fire disturbing heart-type insomnia,and can be further applied in clinic. |
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