| Purpose:By observing the clinical efficacy of Yangxue Rougan acupuncture method for the treatment of sleep disorders of chronic fatigue syndrome with liver stagnation and spleen deficiency,explore the effectiveness of Yangxue Rougan acupuncture method for improving the sleep status of chronic fatigue syndrome with liver stagnation and spleen deficiency.Treatment of chronic fatigue syndrome sleep disorders provides new ideas and methods.Method:This study collected a total of 76 patients with chronic fatigue syndrome with liver depression and spleen deficiency who were treated in the encephalopathy acupuncture clinic and inpatient department of the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from January 2019 to December 2019,using a completely randomized method The patients were divided into treatment group and control group,38 cases each.On the premise of basic treatment,the two groups of patients were treated with nourishing blood and softening the liver acupuncture,and the control group were treated with conventional acupuncture,once every other day,three times a week,one day a week,and two weeks as a course of treatment Both groups were treated for 2 courses.Pittsburgh Sleep Quality Index(PSQI),Athens Insomnia Scale(AIS-8),Fatigue Scale(FS-14),TCM Liver Depression and Spleen Deficiency Syndrome Scoring Scale as evaluation indicators,observe and apply the scores of the two groups of patients before and after treatment SPSS25.0 statistical software for statistical analysis.Result: 1 Baseline analysisA total of 76 patients were observed in this study,one in each of the two groups(one in the observation group was dropped due to failure to receive treatment on time,and one in the control group discontinued treatment due to intolerance of acupuncture pain).In the end,74 patients were included in the statistical analysis,37 in the observation group and 37 in the control group.Before treatment,there was no statistically significant difference in gender,age,course of disease,sedative and hypnotic drug use scores before treatment(P>0.05),indicating that the two groups are comparable.2 Analysis of Pittsburgh Sleep Quality Index(PSQI)Scale 2.1 Comparison of Pittsburgh Sleep Quality Index Scale(PSQI)total scoresThere was no statistically significant difference between the two groups of patients before treatment(P>0.05);after treatment,the total PSQI score of the observation group decreased significantly compared with the control group(P<0.01).Before and after treatment,the total PSQI group of the two groups of patients was significantly lower than that before treatment(P<0.01).2.2 Individual comparisons of the Pittsburgh Sleep Quality Index Scale(PSQI)Before treatment,there was no statistically significant difference between the Pittsburgh sleep quality index and the individual scores of the Pittsburgh sleep quality index(P>0.05);after treatment,there was no significant difference in the PSQI score between the two groups between the two groups.(P>0.05)In addition,sleep quality,time to fall asleep,sleep time,sleep efficiency,sleep disorders,and daytime dysfunction scores were compared between the observation group and the control group,and the decline was significant(P<0.05).Before and after treatment,the PSQI individual scores of the two groups were compared within the group.After treatment,the individual scores of the two groups of patients were significantly lower than before treatment(both P<0.05).3 Comparison of Athens Insomnia Scale(AIS-8)There was no statistically significant difference between the two groups of AIS-8 before treatment(P>0.05);after treatment,the total AIS-8 score of the observation group decreased significantly compared with the control group(P<0.01).The comparison between the two groups of patients before and after treatment in the AIS-8 group showed that the AIS-8 scores of the observation group and the control group decreased significantly after treatment(P<0.01).4 Comparison of Fatigue Scale-14(FS-14)There was no statistically significant difference between the two groups of FS-14 before treatment(P>0.05);after treatment,the total score of FS-14 in the observation group decreased significantly compared with the control group(P<0.01).Compared with the total group of FS-14 before and after treatment in the two groups,FS-14 in the observation group and the control group decreased significantly after treatment(P<0.01).5 Comparison of TCM Liver Depression and Spleen Deficiency Syndrome Rating ScaleThere was no statistically significant difference between the two groups of patients with liver depression and spleen deficiency syndrome before treatment(P>0.05);after treatment,the total score of observation group patients with liver depression and spleen deficiency syndrome scale Significantly lower than the control group(P<0.01).Before and after treatment in the two groups,the total scores of the Chinese medicine liver depression and spleen deficiency syndrome scale were compared within the total group.After treatment,the total scores of the Chinese medicine liver depression and spleen deficiency syndrome scale decreased significantly(P<0.01).6 Evaluation of total efficacyAfter treatment,the total effective rate of the observation group was 91.89%;the total effective rate of the control group was 72.97%.The results showed that the observation group was significantly better than the control group(P<0.05).Conclusion:1.The method of nourishing blood and softening liver can improve the sleep quality,sleep efficiency,chronic fatigue status and TCM syndromes of liver depression and spleen deficiency in patients with chronic fatigue syndrome of liver depression and spleen deficiency.And the effect is better than ordinary acupuncture.2.Yangxuerougan acupuncture method has significant curative effect on sleep disturbance of chronic fatigue syndrome of liver stagnation and spleen deficiency,and it is safe and effective in clinical application,which is worthy of clinical promotion. |
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