| BackgroundInsomnia is the common disease in the modern life. With the fast life rhythm and fierce social competition, the sleep quality of human is decreasing gradually. More and more persons are suffering from the insomnia. The chronic insomnia will cause the fear and anxiety, even damage the cognitive function of attention, memory and calculation. How to solve the problem has become an important subject in medical domain nowadays.The pathogenesis of insomnia is not definite so far. One of the ordinary treatment is taking the hypnagogues which only has the effect of sedation and hypnosis in the short term. Besides the toxic and side effect, it is easy to produce drug resistance and addition by long-term large doses. Once stop the treatment, it will relapse. Therefore, it is necessary to find a new effective and less side-effect therapy at present. Object iveTo compare the curative effect of acupoint catgut embedding therapy and Chinese medicine therapy, to provide the clinical basis for treating insomnia with heart and spleen deficiency by catgut embedding therapy. Methods60 patients from the outpatient department in the first affiliated hospital of Guangzhou University of Chinese Medicine were selected according to the diagnosis criterion, divided to the treatment group of 30 cases and the control group of 30 cases. The treatment group selected the sets of acupoints:1. xinshu, pishu; 2. jueyinshu, zusanli (both sides). Treatment group: to treat once a week with two sets of acupoints alternated. Control group: to take Guipi pills 3 times per day,8 pills each time. Two groups both considered one month as a course of treatment and cured one course. Before treatment and after treatment all patients were recorded PSQI total score, and so on. Established a database for statistical analysis by SPSS 17.0 software package. ResultsAccording to statistical analysis, two groups both had the better curative effect. The treatment group total effective rate was 93.3%, while the control group was 73.3%. Two groups had statistical significance (P<0.05), which mean the effect of the treatment group was better than the control group. After the treatment, two groups both had curative effect on PSQI total score, total score of TCM symptom, sleep quality score, sleep latency score, sleep time score, sleep efficiency score, sleep disturbances score and daytime dysfunction score, compared with the prior treatment were significantly different (P<0.05).On improving total score of TCM symptom and the daytime dysfunction, the treatment group had better curative effect than the control group in post-treatment(P<0.05). All had no statistical significance between two groups except on improving the daytime dysfunction in post-treatment (P>0.05)There was statistical significance from the curative effect in the insomnia levels of the catgut embedding therapy group (P<0.05) ConclusionsBoth catgut embedding therapy and traditional Chinese medicine therapy contributed a good curative effect to the improvement of insomnia. Further more,on improving total score of TCM symptom and the daytime dysfunction, the treatment group had better curative effect than the control group in post-treatment. The effect of the mild insomnia was better than the moderate insomnia in the catgut embedding therapy group. Compared with the TCM therapy, the catgut embedding therapy could cure the disease in fewer times, remain a long-term effect, have less side-effect which was easy to operate and accept by patients. It was a safe and economic treatment of insomnia which was adapt to the modern fast-paced life, and was worth promoting on the clinic. |
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