Clinical Study On The Treatment Of Sleep Disorder After Perianal Abscess By Intradermal Needle

Purpose:By studying the score of sleep disorder related scale and the change of serum5-hydroxytryptamine(5-HT)concentration,this subject understands the clinical effect of intradermal acupuncture in the treatment of sleep disorder after perianal abscess operation.method:60 patients with sleep disorder(liver depression and spleen deficiency)after perianal abscess operation were randomly divided into control group and treatment group.Both groups were treated with routine treatment after operation.The treatment group was treated with intradermal needle acupuncture(body points: Taichong and Zusanli;ear points: Shenmen,subcortical,anus and rectum).The points on the left were taken,the needles were kept for 2days,and the needles were applied on the right points the next day.Through the observation of the total score of Pittsburgh sleep quality index(PSQI),the score of single sleep factor,the score of traditional Chinese medicine syndrome scale,the score of self rating Anxiety Scale(SAS),the score of pain and the change of serum 5-HT concentration,to understand the therapeutic effect of intradermal acupuncture on sleep disorder after perianal abscess operation.result:1.Clinical efficacy of intradermal acupuncture in improving sleep disorder after perianal abscess operation: the effective rate of the treatment group was 90% and that of the control group was 80%.There was significant difference between the two groups(P<0.05).The treatment group was better than the control group.2.Sleep disorder score: 1)total score of PSQI:(1)intra group comparison: before and after treatment,there was significant difference between the treatment group on the 5th day after operation(P<0.05),and the control group on the 8th day after operation(P<0.05).The treatment of the two groups was effective,and the effect of the treatment group was faster than that of the control group:(2)inter group comparison: there was significant difference between the two groups on the 5th and 8th day after operation(P<0.05).The treatment group was better than the control group.2)Single sleep factor score:(1)intra group comparison:before and after treatment,there was significant difference between the treatment group on the5 th day after operation(P<0.05),and the control group on the 8th day after operation(P<0.05).The treatment of the two groups was effective,and the effect of the treatment group was faster than that of the control group;(2)Comparison between groups: on the 5th day after operation,there were significant differences in the scores of six sleep factors between the two groups(P<0.05).The treatment group was better than the control group;On the 8th day after operation,there were significant differences in the scores of sleep quality,sleep time,sleep time and sleep efficiency between the two groups(P<0.05).The treatment group was better than the control group.There was no statistical difference in the scores of sleep disorders and daytime dysfunction(P>0.05).The curative effects of the two groups were the same.3.TCM syndrome score: 1)intra group comparison: before and after treatment,there was significant difference between the treatment group on the 5th day after operation(P<0.05),and the control group on the 8th day after operation(P<0.05).The treatment of the two groups was effective,and the effect of the treatment group was faster than that of the control group.2)Comparison between groups: there was significant difference between the two groups on the5 th and 8th day after operation(P<0.05),and the treatment group was better than the control group.4.Anxiety score: comparing the postoperative SAS score of the two groups,the difference was statistically significant on the 5th and 8th day after operation(P<0.05),and the treatment group was better than the control group.5.Pain score: compare the postoperative pain grades of the two groups: on the 5th and8 th day after operation,the difference was statistically significant(P<0.05),and the treatment group was better than the control group.6.Serum 5-HT concentration: 1)intra group comparison: there was significant difference between the two groups before and after treatment(P<0.05).Both groups could effectively increase the serum 5-HT concentration.2)Comparison between groups: there was significant difference between the two groups after treatment(P<0.05),and the treatment group was better than the control group.Conclusion:1.Intradermal acupuncture can improve the sleep disorder after perianal abscess operation,and significantly improve the subjective sleep quality,sleep time,sleep time and sleep efficiency.2.Intradermal acupuncture may improve the expression of serum 5-HT concentration,improve postoperative anxiety and related TCM syndromes,reduce anal pain symptoms,and alleviate postoperative sleep disorders.