| Objective: The purpose of this study is to treat insomnia of heart-kidney disharmony type by using umbilical acupuncture combined with ear point pressing bean,and to observe differences of clinical curative effect by comparing with oral diazepam tablets,and to evaluate the scale,in order to provide a safe and effective therapy for insomnia of heart-kidney disharmony type,the advantages of umbilical acupuncture combined with ear point pressing bean in the treatment of this disease were discussed.Methods: Randomized controlled grouping method was used.According to the inclusion requirements,60 patients diagnosed with cardio-renal incompatibility insomnia were divided into treatment group and control group.The treatment group received umbilical needle combined with ear point pressure bean treatment,and the control group received oral diazepam tablets for a course of 4 weeks.The cardinal data were evaluated before treatment,and the curative effect was evaluated 4 weeks after treatment.The PSQI score,AIS score and TCM syndrome score were statistically analyzed.The two groups were compared Results:1.In the current study,60 patients completed the clinical observation,of which 58 were included in the statistics,including one dropout in the treatment and control groups,giving an overall dropout rate of 3.33%.2.Before treatment: no statistically significant differences were found between the two groups in terms of gender,age,duration of disease,underlying disease,PSQI scale,AIS scale,and Chinese medical symptom scale(P > 0.05).3.After treatment: The total efficacy rate for both groups was 93.1% in the treatment group and 72.4% in the control group.Of these,10 patients were cured,9 apparently effective,8 effective,and 2 invalid in the treatment group,and 5 cured,7 apparently effective,9 effective,and 8 invalid in the control group,indicating that the difference in clinical efficacy between the two groups was statistically significant(P<0.05),For patients with cardiorenal insomnia,the results suggest that the treatment group had better overall treatment efficiency than the control group.4.Within-group comparison:After treatment,both groups could improve the symptoms of cardio-renal dissonant insomnia.According to the total score of PSQI scale and AIS self-rating insomnia scale of the two groups after treatment,there was a statistically significant difference between the two groups compared with before treatment(P<0.05).PSQI scale scores decreased in both groups after treatment(*P <0.05).5.Between-group comparison: the treatment group was superior to the control group in improving sleep efficiency,daytime dysfunction,and sleep disturbances(▲P < 0.05);the treatment group was superior to the control group in improving PSQI scale total score(P < 0.05);while there were no significant differences in sleep quality,sleep onset time,or sleep duration between the two groups(P > 0.05).6.Between-group comparison:Comparing the total scores on the AIS scale after treatment,the difference between the two groups was statistically significant(P <0.05).7.Between-group comparison:After treatment,total scores on the TCM symptom scale decreased in both groups compared to the previous time,and between-group comparison showed that the treatment group had a better overall improvement in TCM symptoms than the control group(P <0.05).Conclusion(s):1.Umbilical acupuncture combined with auricular acupoint pressing with beans and oral diazepam tablets can both improve the clinical symptoms of insomnia patients with heart-kidney disharmonism.After treatment,umbilical acupuncture combined with auricular acupoint pressing with beans is better than oral diazepam tablets.2.Umbilical needle combined with auricular point pressure bean treatment in improving the symptoms of patients with cardio-renal insomnia,highlighting sleep efficiency,daytime dysfunction,sleep disorders and other three aspects.3.These results indicate that umbilical needle combined with auricular point pressure bean in the treatment of cardio-renal disjunction insomnia has definite clinical effect,simple and easy,few side effects,has certain advantages in the treatment of insomnia,worthy of clinical promotion. |
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