The Clinical Study On The Treatment Of Insomnia With Liver Stagnation And Fire In The Abdominal Massage Therapy

Objective: A clinical trial was conducted to observe the clinical efficacy of abdominal massage therapy in the treatment of sleeplessness with liver stagnation and fire and its effect on sleep rhythm.Methods: Patients diagnosed with insomnia in outpatient clinics and wards of the Fourth Clinical Medical College of Xinjiang Medical University from January 2022 to January 2023 were selected for this trial,and 87 patients meeting the criteria were included,and the cases were randomly divided into three groups:control group A,test group B,and test group C,with 29 cases in each group.Control group A was given 1 tablet of zolpidem tartrate orally daily,test group B was given abdominal massage therapy + zolpidem tartrate tablets,and test group C was given abdominal massage therapy + acupuncture + zolpidem tartrate tablets for 12 consecutive days,and patients’ PSQI scores,ISI scores,and HAMA anxiety scores were counted before and after treatment,respectively,and patients’ sleep was monitored in real time by exercise bracelets,and finally SPSS 25.0 software was used for Finally,SPSS 25.0software was used for statistical analysis and comparison,and Origin 2021 software was used for visualization.Results:(1)A total of 83 patients with insomnia and 4 cases of shedding were included in this study.By comparing the data of sex,age,PSQI,ISI,and HAMA scores before treatment in control group A,test group B,and test group C,the results showed that the differences among the three groups were not statistically significant(P > 0.05).(2)Comparison of clinical efficacy: After the intervention,the clinical efficacy of control group A,test group B and test group C were 60.71%,78.57%and 88.89%,respectively.(3)Comparison of PSQI scores:(1)The differences in PSQI scores between the three groups before treatment compared with after treatment were statistically significant(P< 0.05).(2)The difference in PSQI scores between control group A and test group C after treatment was statistically significant(P < 0.05).(4)Comparison of ISI ratings:(1)The differences between ISI scores in all three groups were statistically significant before treatment compared with after treatment(P < 0.05).(2)The difference between ISI scores of control group A and test group B after treatment was statistically significant(P < 0.05).(5)Comparison of HAMA scores:(1)The differences in HAMA scores between the three groups before treatment compared with after treatment were statistically significant(P < 0.05).(2)The difference in HAMA scores between test group C and control group A and test group B after treatment was statistically significant(P< 0.05).(6)Comparison of sleep monitoring data: The differences in deep sleep time and number of night wakefulness between the three groups during treatment were not statistically significant(P>0.05),while the differences in total sleep score,total sleep time,light sleep time and sporadic nap time between the three groups were statistically significant(P < 0.05).Conclusion:(1)Medication,abdominal massage therapy + medication,and abdominal massage therapy + acupuncture +medication method could effectively improve patients’ sleep quality,among which abdominal massage therapy + acupuncture + medication method had the best efficacy,and abdominal massage therapy + medication was not statistically significant compared with the drug-only group,but there was a trend of superiority over the drug-only group.(2)Medication,abdominal massage therapy + drug,and abdominal massage therapy +acupuncture + drug could alleviate the anxiety state to different degrees,and abdominal massage therapy + acupuncture + drug had more obvious efficacy compared with the drug-only group,and abdominal massage therapy + drug was superior to drug.(3)Medication,abdominal massage therapy + medication,and abdominal massage therapy +acupuncture + medication all effectively improved the total sleep score and prolonged the total sleep time of patients to some extent,among which abdominal massage therapy and abdominal massage therapy + acupuncture treatment may improve the sleep quality of patients by prolonging the time of light sleep and sporadic daytime naps in insomnia patients.