Clinical Observation On The Treatment Of Chronic Insomnia With Depression By Yintang Periosteal Acupuncture Combined With “Old Ten Points”

Objective To compare the clinical effects of Yintang periosteal acupuncture combined with "old ten points" and conventional western medicine in the treatment of chronic insomnia with depression,observe the effect of acupuncture on the immune function of patients with chronic insomnia and depression,and find an effective acupuncture treatment program for chronic insomnia with depression.Methods From August 2017 to August 2018,we received 64 patients who were selected according to the inclusion criteria.They were randomly divided into treatment group(n=32)and control group(n=32).The group was treated with Yintang periosteum acupuncture combined with "old ten points",and the control group was treated with conventional western medicine.Acupuncture points in the treatment group: Yintang,"old ten points"(Double Zusan,Shangzhong Xia,Qihai,Shuangtianshu,Shuang Neiguan),Baihui,Shenting,in which Yintang acupuncture penetrates the periosteum,each time Acupuncture for 30 minutes,4 times a week,10 times for a course of treatment,a total of 3 courses of acupuncture;control group: oral Baiyou solution(selective 5 HT reuptake inhibitor)once a day,once 20mg;sleep Before taking zopiclone,2mg once.Peripheral blood T lymphocyte subsets and immunoglobulin were detected before and after treatment,and the changes of CD3,CD8,CD4/CD8,IgM and IgG were observed before and after,and the changes of immune levels were compared.The therapeutic effects were observed by comparing the scores of the Pittsburgh Sleep Quality Index(PSQI)and the Hamilton Depression Scale before and after treatment.After the end of treatment,the effects of the two groups were observed for 3 months and compared.Results There were significant differences between the two groups in the peripheral blood T lymphocyte subsets CD3,CD8,CD4/CD8 and immunoglobulin IgM,IgGbefore and after treatment(P<0.05).There was no significant difference between CD3,CD8,CD4/CD8,IgM and IgG in the treatment group.The Yintang pericardial acupuncture combined with the "old ten points" can improve the immune level of the body.The effect is similar to oral administration of Prozac and zopiclone.2.The Pittsburgh sleep index scores before treatment were compared between the two groups,P>0.05.The difference was not statistically significant and comparable.After treatment,the PSQI scores of the treatment group and the control group were significantly lower than those before treatment(P<0.05).All the treatment methods can improve the sleep state of the patients;the comparison between the two groups,the treatment group scored better than the control group(P <0.05),the treatment group was better than the control group 3.Comparing the two groups of patients before treatment HAMD score,P> 0.05,the difference was not statistically significant,and it was comparable.After treatment,the scores of Hamilton Depression Scale in the treatment group and the control group were significantly lower than those before treatment(P<0.05),and the difference was statistically significant.Treatment group for depression treatment The index was better than the control group(P<0.05),the difference was statistically significant.The treatment group was better than the control group.4.The total effect was compared by the rank sum test.The cure rate was significantly different,P<0.05.Compared with the control group,Yintang periosteal acupuncture combined with the "old ten points" in the treatment of insomnia combined with depression is better than western medicine oral Prozac and dextropicone.Conclusion Yintang periosteal acupuncture combined with "old ten points" can effectively improve the quality of sleep,and its curative effect is better than oral western medicine alone;Yintang periosteal acupuncture combined with "old ten points" can effectively improve the patient’s depression,and its effect is better than Oral Western medicine alone;Yintang periosteal acupuncture combined with "old ten points" for the treatment of patients with chronic insomnia and depression is better than oral administration of Western medicine;the immune function of patients with depression is lower than that of ordinary people,and Yintang periosteal acupuncturecombined with "old ten points" have a certain effect on the immune function of the human body.