| Objective: to observe the acupuncture zhuang medicine a particular point in the treatment of heart and gallbladder qi deficiency type insomnia clinical curative effect,summarizes the zhuang medicine specific acupuncture point treatment of heart and gallbladder qi deficiency type of insomnia,the characteristics of assess its safety and effectiveness,and provide zhuang medicine acupuncture in the treatment of insomnia with new methods,new ideas,but also provide a basis for the clinical promotion of zhuang medicine specific point.Methods: 70 patients meeting the criteria were included and randomly divided into treatment group and control group,35 cases in each group.The treatment group was treated with acupuncture at specific points of Zhuang medicine,and the control group was treated with traditional Chinese medicine acupuncture.Both groups received one course of treatment(30 days).The scores of insomnia severity index,TCM Syndrome Scale and Pittsburgh Sleep Quality Index(PSQI)were observed before and after treatment in 2 groups,and evaluated according to the efficacy evaluation criteria.The adverse reactions occurred in the treatment process of 2 groups were observed,and the safety was evaluated.SPSS25.0 was used for statistical processing of the data.Results: 1 Comparison of basic data: there was no significant difference between the treatment group and the control group in gender,age,course of disease and severity of insomnia(P>0.05).The two groups were comparable.Moreover,the PSQI score,PSQI item score,insomnia severity index score and TCM symptom score of the two groups before treatment were statistically compared,and the difference was not statistically significant(P> 0.05).2.Intra group comparison after treatment: PSQI score,insomnia severity index score and TCM syndrome score after treatment were significantly lower than those before treatment(P<0.01),and the single item scores of sleep time,sleep time,sleep efficiency and sleep disorder in PSQI scale were significantly lower than those before treatment(P < 0.01).3.Comparison between groups after treatment: the difference between the two groups in PSQI score,PSQI score difference before and after treatment,TCM syndrome score difference before and after treatment,insomnia severity index score and other aspects is statistically significant(P < 0.05),and the improvement of PSQI score and TCM syndrome score in the treatment group is better than that in the control group.4.Comparison of curative effect of TCM symptoms:the effective rate of the treatment group was 94%;The effective rate of the control group was 91%,and there was significant difference between the two groups(P<0.01).5.Comparison of overall curative effect: after treatment,the number of cured,markedly effective,effective and ineffective in the treatment group were 3,27,4 and 1 respectively,and the total effective rate was 97%;The number of cured,markedly effective,effective and ineffective in the control group were 0,28,3 and 4 respectively,and the effective rate was 88%.There was no significant difference in the total physical therapy effect between the two groups(P>0.05),indicating that the overall curative effect of the treatment group was equivalent to that of the control group.6.Safety comparison: during the treatment period,one patient in the treatment group had mild adverse reactions,the incidence of adverse reactions was2.8%,and the safety level was level 2;Five patients in the control group had mild adverse reactions.The incidence of adverse reactions was 14.2%,and the safety level was grade 2.There was no significant difference in safety between the two groups(P>0.05).(8)Compliance comparison: a total of 70 patients with insomnia were included,and none of the two groups fell off.Conclusion: both Zhuang medicine acupuncture group and TCM acupuncture group can reduce PSQI score,insomnia index score and TCM syndrome score,shorten sleep time,prolong sleep time,improve daytime dysfunction,reduce the use of hypnotic drugs and improve sleep quality.Acupuncture at specific points of Zhuang medicine has a good therapeutic effect on the overall sleep status of insomnia patients with heart gallbladder Qi deficiency,with definite clinical curative effect and high safety. |
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