Clinical Observation On The Treatment Of Estazolam Dependence Insomnia With Tongdu-Tiaoshen Acupuncture

Objective:To observe the therapeutic effect of Tongdu-Tiaoshen acupuncture on patients with estazolam dependent insomnia,seek a better scheme for acupuncture treatment of eszolam dependent insomnia,and expand new ideas to help patients reduce the dosage of eszolam or stop medication.Methods:60 patients with estazolam dependent insomnia were randomly divided into treatment group and control group,with 30 cases in each group.The treatment group was treated with Tongdu-Tiaoshen acupuncture combined with estazolam drug reduction method.Points were selected: Baihui through shenting,Shendao through Lingtai,Shuigou,Tanzhong,Zhongwan,Zhubin(both sides)and Qimen(both sides).The control group was treated with routine acupuncture combined with estazolam drug reduction method,and the points were selected: Yintang,Sishencong,Anmian(bilateral),Shenmen(bilateral),Shenmai(bilateral)and Zhaohai(bilateral).The selected acupoints of the two groups were treated with pingbu pingxie manipulation,acupuncture once a day,5 times a week for 4 weeks.The efficacy was evaluated by Pittsburgh Sleep Scale(PSQI),the dosage of estazolam,the reduction rate of estazolam and benzodiazepine withdrawal symptom questionnaire(BWQS)before and after treatment.Results:1.After 4 weeks of treatment,the PSQI score of patients with estazolam dependent insomnia in the treatment group decreased significantly(P< 0.05),and the treatment group was better than the control group(P< 0.05).2.After 4 weeks of treatment,the dosage of estazolam in both groups decreased compared with that before treatment(P < 0.01);However,there was significant difference in the dosage of estazolam between the two groups(P< 0.01),and the dosage of patients in the treatment group was less.3.After 4 weeks of treatment,the scores of benzodiazepine withdrawal symptom questionnaire(BWQS)in the two groups decreased(P < 0.01),but the improvement of withdrawal symptoms in the treatment group was significantly better than that in the control group(P< 0.01).4.Comparison of efficacy of discontinuation of estazolam: the total effective rate of estazolam in the treatment group was 86.21%,which was better than 68.97% in the control group.There was significant difference between the two groups(P< 0.01).Conclusion:1.The method of Tongdu-Tiaoshen acupuncture is effective in improving the sleep quality of patients with eszolam dependent insomnia(heart kidney disharmony type),and it is better than conventional acupuncture;2.Tongdu-Tiaoshen acupuncture combined with estazolam drug reduction method can significantly reduce the dosage of estazolam in patients,and the clinical effect is better than that of conventional acupuncture combined with estazolam drug reduction method;3.Tongdu-Tiaoshen acupuncture can significantly improve the withdrawal reaction caused by the reduction of estazolam,and the curative effect is better than that of conventional acupuncture.