Clinical Observation On The Efficacy Of Chinese Medicine Combined With Acupuncture In The Treatment Of Perimenopausal Insomnia With Kidney Deficiency And Liver Depressio

Objective: In this study,the perimenopausal insomnia patients with kidney deficiency and liver depression syndrome were treated with traditional Chinese medicine decoction and ear point acupuncture.Through the improvement of clinical symptoms of perimenopausal insomnia patients with kidney deficiency and liver depression syndrome,we evaluated the efficacy of traditional Chinese medicine decoction combined with ear point acupuncture in the treatment of this disease,in order to provide reference for the clinical application of internal treatment combined with ear point acupuncture.Materials and Methods:In this study,60 patients in the department of Gynecology from September 2021 to December 2022 were screened and divided into experimental group and control group by random number table method,with30 patients in each group.The control group was treated with the instructor’s experience prescription Yishen-regulating liver-helping sleep.The experimental groups were treated with the tutor’s experience prescription Yishentiaoganzhumian prescription combined with ear point acupuncture,respectively,for 2 months.Pittsburgh Sleep Quality Score(PSQI)and TCM syndrome Score Scale were used to evaluate the efficacy.The scores before and after treatment were recorded and sorted into EXCEL data tables,which were imported into statistical software SPSS26.0 for statistical analysis to determine whether the differences were statistically significant.Results :1.Comparison of Pittsburgh Sleep Quality Score(PSQI): After treatment,the total score of PSQI and the score of each component of the two groups were decreased compared with that before treatment,and the difference was statistically significant(P<0.05).After treatment,there were no differences in sleep time,sleep disorder and daytime dysfunction between the two groups(P>0.05).However,the experimental group had advantages in improving sleep quality,sleep time and sleep efficiency,and there were differences between the two groups(P<0.05).2.Comparison of TCM syndrome score: After treatment,the total score and scores of TCM syndrome in the two groups were decreased compared with those before treatment,and the difference was statistically significant(P<0.05);However,the experimental group was better than the control group in insomnia and dreaminess,irritability or emotional depression,decreased libido,vaginal dryness,hand,foot and heart heat,the difference was statistically significant(P<0.05),and the other aspects were equally effective(P>0.05).3.After treatment,SAS scores in 2 groups were significantly decreased compared with before,and the difference was statistically significant(P<0.05).Between the two groups,the experimental group was better than the control group,the difference was statistically significant(P<0.05).4.Treatment of patients with no serious adverse reaction occurred,in the process of this study has a certain security.Conclusions:1.Both the control group and the experimental group could effectively improve perimenopausal insomnia and related clinical symptoms.2.The experimental group was better than the control group in improving sleep quality,sleep time and sleep efficiency with TCM decoction combined with press acupuncture.3.The experimental group was better than the control group in improving insomnia and dreaminess,impatience and irritability or emotional depression,decreased libido,vaginal dryness,hand,foot and heart heat.