| Objects:This research was designed to observe the clinical curative effect and advantage of Returning fire to origin acupuncture therapy in the treatment of heart kidney incoordination insomnia.And the correlation of the sleep improvement and theimproving emotional state was also discussed.this research aimed to providescientific and reliable basis for the clinical applications and promotions of thistreatment among the patients.Methods:This research selected 60 subjects from the outpatients at the center of preventing illness in SichuanProvince Chinese Medicine Hospital and neurology,and it randomly dividedthem into group A and group B.The group B was treated by means of Returning fire to origin acupuncture in other timesm while group A wastreated in You-shi.Both groups were carried out five times a week,two weeks fora period of the treatment,and a total of two course of the treatment.When theresearch was accomplished,we compared the changes of the scores of PSQI、SDS、SAS and TCM Syndrome Scale in the before、after treatment and follow-up visit.Simultaneously,we observed and evaluated the correlation of thesleep improvement and the improving emotional state among the two groups.Results1.Before treatnmnt,the study of gender,age,duration of the case and seales,P>0,05,suggesting that the difference was not statistically signigicant,the two groupswere comparable at baseline case.2.The self-contrast of before and afer treatment:At the end of the treatment,the total scores of PSQI、SDS、SAS、and TCM Syndrome Scale obviously decreased than before treatment,and the difference was statisticallysignificant(P<0.05);The follow-up visit of both groups shows that the total scores of PSQI、SDS、SAS、and TCM Syndrome Scale obviously decreased than before treatment,and the difference is statistically significant(P<0.05).but there is no statistically significant(P>0.05)while compared with the result of after treatment.3.The contrast between the two groups after treatment:At the end of the treatment,the group A was superior to group B in aspect of the total scores of PSQi,sleep quality,sleep time,sleep time,sleep efficiency scores weresi significantly lower than B group,the difference was statistically significant(P<0.05),sleep disorders,daytime function compared with B group,the difference was riot statistically significant(P>0.05);The secondary index of group A(SDS SAS,TCM Syndrome Scale)scores were significantly lower than those of B group,the difference was statistically significant(P<0.05).A month of follow-up,the group A was superior to group B in aspect of the total scores of PSQI,sleep quality,sleep time,sleep time,sleep efficiency scores were significantly lower than B group,the difference was statistically significant(P<0.05),sleep disorders,daytime function compared with B group.the difference was not statistically significais(P>0.05);The secondary index of group A(SDS SAS,TCM Syndromee Scale)scores were significantly lower than those of B group,the difference was statistically significant(P<0.05).4.The correlation analysis between sleep improvement and emotional stateimprovement:Before treatment,the PSQI score was positively correlated with SDS score(r=0.717,P=0.000),and positively correlated with SAS score(r=0.607,P=0.003);At the end of the treatment,the score of PSQI in group B do not have correlation with SDS and SAS;And the score of PSQI in group A has a positive correlation with SDS(r=O.409,P=0.025)and SAS(r=0.526,P=0.003),Conclusions:1.The returning-fire acupuncture-moxibustion method in You-shi can significantly improve the symptoms of heart kidney incoordination insomnia and the clinical cure rate.The efficacy can continue until one month after the completion of treatment.2.The more severe anxiety and depression the more severe insomnia.The returning-fire acupuncture-moxibustion method in You-shi can effectively improve heart-kidney disharmony insomnia associated with anxiety and depression. |
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