Clinical Observation On The Treatment Of Depression-Related Insomnia By Acupoints On The Back Of Bladder With Microacupuncture

Objective:The improvement for depression and insomnia symptoms in patients with depression-related insomnia by using superficial needling of acupoints on the back of Bladder Meridian with micro needle.Methods:68 patients with depression related insomnia are selected and they are randomly divided into control group(34 cases)and treatment group(34cases).Conventional acupuncture for insomnia and depression adopted from Acupuncture and Moxibustion,the thirteenth Five-Year Plan undergraduate textbook for general higher education is used in the control group.((1)acupoint selected: Shenmen,Sanyinjiao,Baihui,Anmian,Zhaohai,Shenmai,Yintang,Shuigou,Taichong,Neiguan.(2)matching acupoint: dreaminess,Daling etc).The method needling of acupoints on the back of Bladder Meridian is used in the treatment group(acupoint selected: 40 acupoints on both sides from Dashu Acupoint to Baihuanshu Acupoint).The treating period is 4 weeks,rest for 1 day in a week.Record sleep quality index(PSQI)score before and after treatment,the insomnia syndrome scale and the Hamilton Depression Scale(HAMD-17)were recorded before and after treatment.The scale scores before and after treatment were compared,and the curative effects of depressive insomnia were observed.Results:1.Compare the 2 groups in the aspect of improving sleep quality: after treatment,the PSQI and the score of insomnia Syndrome Scale both significantly reduce before treatment(P<0.05).And in the aspect of sleep quality,sleep time,asleep time and the daytime dysfunction in the treatment group,their performance is much better than control group(P<0.05).The results show that the sleep quality in treatment group is better than that in control group.2.Compare the group in the aspect of improving depression: after treatment the score of HAMD-17 reduces significantly(P<0.05).Comparison of HAMD-17 scores between groups after treatment(P<0.05).The significant difference shows that the treatment group is better than the control group in improving depression.3.After the treatment: The controlling rate and the efficiency for treating insomnia is 67.65% and 88.24%.The controlling rate and efficiency in the control group is 26.47% and 73.53%.The controlling rate and efficiency of treating depression is 14.71% and 76.47%.The controlling rate and efficiency in the control group is 0% and 47.06%.In the treatment of insomnia and depression,the control rate and total effective rate of the treatment group were higher than those of the control group(P<0.05).Conclusion:1.Adding micro-needles to shallow acupuncture at the back of the bladder meridian can effectively improve sleep disorders and depression symptoms in patients with depression-related insomnia.2.Adding micro-needles to shallow acupuncture at the back of the bladder meridian has better regulation of sleep quality,sleep time,time to fall asleep,daytime dysfunction and depression than the conventional acupuncture therapy in the control group.