Comparative Study On The Clinical Effect Of Moxibustion And Acupuncture On Sun’s Abdominal Area In The Treatment Of Subacute Insomnia

Objective:By the comparative study of clinical efficacy of moxibustion in Sun’s abdominal area and acupuncture in Sun’s abdominal area in the treatment of subacute insomnia,in order to provide more selectivity for the clinical treatment of subacute insomnia.Methods:76 patients who met the inclusion criteria of this subject were randomly divided into moxibustion group and acupuncture group,with 38 cases in each group.The moxibustion group was treated with conventional acupuncture combined with abdominal moxibustion,and the acupuncture group was treated with conventional acupuncture combined with abdominal area.Both groups were treated once a day for 5 consecutive days,2 days off,7 days as a course of treatment,a total of 4 courses of treatment.PSQI scale,ISI scale,HAMA scale and HAMD scale were used before treatment,after treatment,2weeks(follow-up 1)and 4 weeks(follow-up 2),respectively.Results:1.Before treatment,there was no statistical significance in the comparison of the general information such as sex,age,course of disease and PSQI、 ISI、 HAMA and HAMD scales of all recipients(P>0.05).2.Intra-group comparison was conducted between the two groups: PSQI,ISI,HAMA and HAMD scores of the two groups after treatment,at follow-up1 and follow-up 2 were compared with those before treatment,and the differences were statistically significant(P<0.05),indicating that both treatments could improve insomnia symptoms and depression and anxiety accompanying insomnia in patients.3.Comparison between groups after treatment: There was no statistical significance in PSQI score and ISI score between the two groups at the point of time after treatment and 1 follow-up(P>0.05).At 2 follow-up,PSQI score and ISI score of moxibustion group were significantly lower than those of acupuncture group,and the difference was statistically significant(P<0.05),indicating that there was no significant difference in the short-term efficacy of the two treatments.The long-term curative effect of moxibustion group was better than acupuncture group.After treatment,HAMA score and HAMD score of acupuncture group were lower than those of moxibustion group,the difference was statistically significant(P<0.05),and HAMA score and HAMD score of acupuncture group were higher than those of moxibustion group at 2follow-up visits,the difference was statistically significant(P<0.05).These results indicated that the short-term effect of acupuncture group on improving anxiety and depression was better than that of moxibustion group,and the long-term effect of moxibustion group on improving anxiety and depression was better than that of acupuncture group.4.Compared the clinical efficacy of the two groups,the total effective rate of the moxibustion group was 91.4%,and that of the acupuncture group was 88.2%,with no statistical difference in the total effective rate(P>0.05),indicating that the two methods can treat subacute insomnia,and the difference in efficacy is not obvious.Conclusion:1.Both of the two schemes have clinical effects on subacute insomnia,and there is no significant difference in the short-term efficacy.In terms of long-term efficacy and stability,conventional acupuncture combined with moxibustion in Sun’s abdominal area has more prominent advantages in the treatment of subacute insomnia.2.The anxiety and depression associated with subacute insomnia were both improved,but the effect of conventional acupuncture combined with moxibustion in Sun’s abdominal area was more stable.