| Objective:To observe the safety and efficacy of spatiotemporal acupuncture and moxibustion in the treatment of insomnia,and compare with traditional acupuncture therapy,in order to provide a new idea forthe clinical treatment of the disease.Methods:In this study,a randomized controlled design was used.240 insomnia patients who met the inclusion criteria were randomly arranged in blocks using the SAS statistical analysis software PROCPIAN process and divided into treatment control group in a ratio of 1:1,with 120 cases in each group.The treatment of space-time acupuncture and moxibustion Feiteng Bafa group,with the acupoints opened by the patient’s treatment time as the time acupoints,with the spatial acupoints corresponding to the gossip position of the open points in the Feiteng Bafa system as the first acupuncture points in sequence to acupuncture the head hand gossip and abdominal leg gossip,with the dialectical matching points of traditional Chinese medicine as the targeted acupoints,the time acupoints,spatial acupoints and targeted acupoints were combined for acupuncture treatment;the control group was the traditional acupuncture group,with Shenting,Baihui,Sishencong,Anmian,Shenmen,Neiguan,Sanyinjiao,Shenmai,and Zhaohai as the main points,and Both groups were treated three times a week,every other day,for 4 weeks,for a total of 12 times.The differences in the scores of self-rating sleep status scale(SRSS),Pittsburgh sleep quality index(PSQI)and self-rating anxiety scale(SAS)between the two groups were observed before treatment,after 2 weeks,after 4 weeks,after 1 month and after 2 months.The effective rates of the two groups were counted after 2 weeks and 4 weeks of treatment.The body temperature,pulse,respiration and blood pressure were measured before treatment and after 4 weeks of treatment to evaluate the safety of the two methods.SPSS 21.0 statistical software was used for data analysis.Results:A total of 235 cases were completed in this study,including 118 cases in the treatment group and 117 cases in the control group.(1)Comparison of baseline data: Before treatment,the age,gender,marital status,course of disease,body temperature,pulse,respiration,blood pressure,SRSS,PSQI and SAS scores of the two groups were tested,P > 0.05,the difference was not statistically significant,and the baseline data were comparable.(2)The difference of curative effect between the two groups after 2 weeks of treatment: The SRSS,PSQI and SAS scores of the treatment group were lower than those before treatment.The difference between the two groups before and after treatment was statistically significant(P < 0.05).(3)The difference of curative effect between the two groups after treatment: the SRSS and SAS scores in the treatment group were lower than those in the control group,and the difference was statistically significant(P < 0.05).The PSQI scores of the two groups were comparable,and the comparison was tested,P > 0.05,and the difference was not statistically significant.After 2 weeks of treatment,the effective rate was 91.50% in the treatment group and 86.30%in the control group.There was no significant difference in the overall efficacy between the two groups(P > 0.05).(4)The difference of curative effect before and after treatment in the two groups after 4 weeks of treatment: the SRSS,PSQI and SAS scores in the treatment group were lower than those before treatment,and the difference before and after treatment in the group was statistically significant(P < 0.05).(5)After 4 weeks of treatment,the difference in the efficacy between the two groups: the SRSS,PSQI and SAS scores in the treatment group were lower than those in the control group,P < 0.05,the difference was statistically significant.After 4 weeks of treatment,the effective rate was 94.06% in the treatme nt group and 94.02% in the control group.The overall efficacy of the two groups was compared,P > 0.05,the difference was not statistically significant.(6)One month after the end of treatment,the difference of curative effect bet ween the two groups: the SRSS,PSQI and SAS scores of the treatment group were lower than those before treatment,and the difference before and after treatment in the group was statistically significant(P < 0.05).(7)1 month after the end of treatment,the difference in the efficacy between the two groups: the SRSS,PSQI and SAS scores in the treatment group were lower than those in the control group,P < 0.05,the difference was statistically significant.(8)Two months after the end of treatment,the difference of curative effect between the two groups: the SRSS,PSQI and SAS scores of the treatment group were lower than those before treatment,and the difference before and after treatment in the group was statistically significant(P < 0.05).(9)2 months after the end of treatment,the difference in the efficacy between the two groups: the SRSS,PSQI and SAS scores in the treatment group were lower than those in the control group,P < 0.05,the difference was statistically significant.(10)There was no significant difference in compliance and safety between the two groups(P > 0.05).Conclusion:Both spatiotemporal acupuncture and moxibustion feiteng eight methods and traditional acupuncture can improve the sleep quality and anxiety of patients with primary insomnia,but spatiotemporal acupuncture and moxibustion feiteng eight methods are superior to traditional acupuncture in the immediate and long-term efficacy of the treatment of this disease,and this difference can last for at least 2 months.Both therapies have no obvious adverse reactions and high safety,which is worthy of clinical application. |
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