| Purpose:This research take the central randomized controlled study to primary insomnia as the research object,through the acupuncture combined with electroacupuncture best hole,the acupuncture point to treat primary insomnia,observe two methods of treatment for patients with more guide sleep figure(PSG)and subjective indicators of Pittsburgh sleep quality index(PSQI)the influence of the difference,so the best will do systematic evaluation of the curative effect of acupuncture point treatment for primary insomnia.For clinical acupuncture treatment will provide a scientific basis for the selected point of primary insomnia.Method:From changchun university of Chinese medicine affiliated hospital to recruit patients with primary insomnia,will be included in the standard of 72 patients were randomly divided into two groups according to the visiting order,namely the best acupuncture point with the acupuncture point group,36 cases in each group.Method of treatment: acupuncture point group select the acupuncture point,the acupuncture point group selection deltoid and biceps intersection(double side),the patient supine position,use 0.25 mm x 25 mm and 0.30 mm x 40 mm filiform needle acupuncture point acupuncture point and the acupuncture point,and by 0.5 cm between the side close to the heart with 0.20 mm x 13 mm needle as ever in order to aid the use of electric acupuncture needle,needle after needling with SDZ-V electric acupuncture therapeutic apparatus electricity,select waveform for continuous wave,frequency is 60 hz,the stimulus intensity with patient tolerance advisable,30 minutes,retaining needle treatment 1 times a day,5 days for a period of treatment,after 5 days interval under two days for a period of treatment,a total of five courses of treatment,treatment after 4 weeks follow-up.To guide more sleep figure(PSG)as objective observation indexes,Pittsburgh sleep quality index(PSQI)as subjective observation indexes,through the acquisition of two point before and after treatment curative effect’s related data,summarizes the clinical curative effects.Result:1,Pittsburgh sleep index of curative effect evaluation:(1)the hole groups before treatment and after treatment,the sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime dysfunction and so on various factor score and total score there was a significant difference compared with before treatment(P < 0.05);Best will point group after treatment compared with follow-up,seven of the Pittsburgh sleep index factor(sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime dysfunction)score and total score were no significant difference(P > 0.05).(2)the acupuncture point group before and after treatment,the sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime dysfunction each factor score and total score in the seven factors such as there was a significant difference compared with before treatment(P < 0.05);The acupuncture point group after treatment and follow-up of PSQI seven factor score and total score comparison,there was no significant difference(P > 0.05).(3)comparison between groups: two groups of patients after treatment,the sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime dysfunction,etc have significant difference(P<0.05),while in the sleep time,daytime dysfunction,etc,no significant difference(P>0.05);Follow-up,two groups of patients in sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime dysfunction,etc,the difference(P<0.05),while in sleep,daytime dysfunction,etc,the effect will point with the acupuncture point group had no significant difference(P>0.05).2,PSG test result:After the treatment,two groups of polysomnography,the total sleep time,sleep efficiency,arousal,sleep wake time were tested by independent samples of t.The results showed that there were significant differences between the two groups(P<0.01).Comparison of clinical efficacy between the two groups generally: non acupoints group excluding off cases,the actual treatment of34 cases patients,which healed after treatment in 1 cases,2 cases were cured,10 cases effective,21 cases ineffective,the total effective rate was 38.32%;Baihui group will fall off the case after excluding the actual treatment cases in 33 cases,which after Baihui treatment 5 cases were cured,7 cases markedly effective,13 cases effective,8 cases ineffective,the total effective rate was 76%.There were significant differences between the two groups(P < 0.05).Paired sample t test compared no significant difference(P>0.05).Conclusion: will the hole has good effect to improve sleep symptoms.The acupuncture point treatment of insomnia effectively. |