The Clinical Observation On Perimenopausal Insomnia Treated By Acupuncture At Huatuo Jiaji Points

Objective:To observe the clinical effect of acupuncture at Huatuo Jiaji(T3,T5,T7,T9,T11,L2)on perimenopausal insomnia,Objective to explore the safety and effectiveness of this program in the treatment of perimenopausal insomnia,and to explore an effective acupuncture point selection program for the treatment of perimenopausal insomnia,to provide ideas for clinical and experimental research.Methdos:Methods from October 2019 to October 2020,62 patients with perimenopausal insomnia were randomly divided into Huatuo Jiaji acupuncture group and conventional acupuncture group,In the Huatuo Jiaji acupuncture group,Each group had 31 cases,points T3,T5,T7,T9,T11 and L2 were selected,In the conventional acupuncture group,according to the teaching materials,the main points of Zhaohai,Shenmai,Shenmen,Sanyinjiao,Anmian and Sishencong were selected to exert the effect of connecting Yin and Yang and calming the mind.According to the syndrome,Fenglong and Laogong were selected for those with phlegm heat disturbing the heart,Xinshu and Pishu were selected for those with heart spleen deficiency,Xinshu and Shenshu were selected for those with heart kidney disharmony,Xinshu and Danshu were selected for those with heart gallbladder Qi deficiency,and Xinshu and Danshu were selected for those with liver fire disturbing the heart Between.Both groups were treated with the acupuncture technique of pingbu pingxie,Keep the needle for 30 minutes,every 10 minutes,we manipulated needle for patients.At the same time,TDP was used.Five times a week,a week for a course of treatment,a total of 6 courses of treatment.The PSQI score and Kupperman score of the two groups before and after treatment were collected respectively.The score changes of the two groups before and after treatment and between the two groups were analyzed by statistical software,and the corresponding conclusions were drawn.Results:1.There were no statistically significant differences in PSQI scores and Kupperman scores between the two groups before treatment,and the conditions were comparable between the two groups;During the course of treatment,one case was lost in each of Huatu Jiaji acupoint acupuncture group and conventional acupuncture group,and60 cases,30 in each group,were finally collected.After six courses of treatment,the effective rate was 93.33% in the huatujiaji acupoint acupuncture group and 83.33% in the conventional acupuncture group,suggesting that acupuncture is safe and effective for the treatment of perimenopausal insomnia.Moreover,the effective rate was statistically significant between the two groups(P<0.05),suggesting better efficacy in the Huatu Jiaji acupoint group.2.PSQI score: before treatment,there was no difference between the two groups(P> 0.05),which was comparable.After treatment,the scores of the two groups decreased,and the difference was statistically significant(P<0.05).Compared with the two groups,the Huatuo Jiaji acupuncture group decreased more significantly(P<0.05),and the sleep quality,sleep time,sleep disorders,daytime function indexes decreased more significantly(P<0.05).3.Kupperman score: there was no difference between the two groups before treatment(P>0.05),which was comparable.After treatment,the scores of the two groups decreased,especially in the Huatuo Jiaji acupuncture group(P<0.05),and the improvement of hot flashes,insomnia,fatigue and dizziness was more obvious in the shanghuatuo Jiaji acupuncture group(P<0.05).Conciusion:1.Both Huatuo Jiaji and routine acupuncture can improve perimenopausal insomnia.2.The clinical efficacy of acupuncture at Huatuo Jiaji point in the treatment of perimenopausal insomnia was better than that of conventional acupuncture group,especially in sleep quality,sleep time,sleep disorder and daytime function.3.Acupuncture at Huatuo Jiaji and conventional acupunc-tur e can improve perimenopausal symptoms.4.The ability of Huatuo Jiaji acupuncture group to improve perimenopausal symptoms was better than that of conventional acupuncture group,especially in hot flashes,insomnia,fatigue,dizziness and so on.5.Acupuncture at Huatuo Jiaji point can improve the body condition of perimenopausal women,which is worthy of clinical application.