Research On Treatment Effects Of Traditional Chinese Medicine For Sub-healthy State With Insomnia

BackgroundSub-health state of the body means that although the checks were no significant disease,but showed fatigue,vitality,responsiveness and adaptability to diminish the ability to create a weak,self-there are symptoms of a physiological state.Insomnia is the most common sub-health syndrome, sub-health state of insomnia is the modern way of life associated with the causes of the sleep rhythm(biological clock) is often difficult due to sleep disorders,or easy to wake up after sleeping,it' s a state of imbalance is caused by brain functional disorder.Chinese medicine practitioners believe that the process of people's sleep function is the coordination of organs, blood and accessibility,the results of Ying and Wei Fair,which particularly with the heart,liver,spleen,kidney close.Department of the occurrence of insomnia internal body Seven,Six Exogenous,diet,aging or illness,such as endowments less than a variety of reasons,causing organ dysfunction,business Wei disharmony,caused by yin-yang nothing.The occurrence rate of insomnia in china is 29.9 percent.Clinical treatment of insomnia in a wide range,can be summed up in the treatment of sedative and hypnotic drugs,traditional Chinese medicine syndrome differentiation,non-drug treatment.According to the survey,the general population take measures to insomnia are:sleeping pills to 33.4 percent,22.3 percent see a doctor,14.5 percent of Chinese medicine to drink,alcohol 13.1% and so on,the overall treatment of insomnia,only 45.9%satisfaction.From the current status of treatment of insomnia,many issues to be resolved.First of all,the goal of the treatment of insomnia is to establish good sleep hygiene practices and proper sleep cognitive function,education, patients learn to control and correct the effects of sleep behavior and cognitive factors that lead to change and the elimination of persistent chronic insomnia factors.The second is to help the reconstruction in patients with more "normal" sleep mode,the resumption of normal sleep architecture,from the troubled sleep.Therefore,the use of drugs in sleep before the treatment of insomnia sleep training should be to correct the adverse health and sleep habits.Although a single non-drug treatment can achieve a certain therapeutic effect,but the use of psychological-behavioral therapy with a combination of drug therapy can enhance the therapeutic effect,which is enhanced through the rapid effect of drug treatment and psychological role of behavior therapy to achieve sustained.Non-pharmacological treatments include sleep hygiene education,cognitive behavioral therapy,acupuncture therapy,massage therapy, Point Application therapy,light therapy.Non-pharmacological treatment of the primary principle is "sleep hygiene",which caused a variety of reasons for insomnia are necessary,when severe insomnia and sleep hygiene education and / or other non-drug therapy fails,drug therapy has become the first choice.At present,the most commonly used to treat insomnia include sedative-hypnotics No.2 on behalf of benzodiazepines such as Alprazolam, Clonazepam,etc.and 3 on behalf of non-benzodiazepines such as Zolpidem. Although these drugs have been improved in a different role in insomnia,but patients can not tolerate the side effects and drug-dependent and are often afraid to seek treatment in Chinese medicine,Chinese medicine because of side effects is relatively small,easy to accept insomnia.After thousands of years of clinical practice,a large number of the accumulation wree established. Chinese medicine can be expected in line with the treatment of insomnia to be more characteristic of an ideal drug.Chinese medicine treatment of insomnia is that although the lack of a wide range of treatments,but mostly by their own experience,not easy to repeat the verification,the lack of standardization of clinical study design,standardization of the randomized, double-blind and long-term curative effect.Chinese medicine based on the sub-health state of awareness and intervention areas,and the current lack of state intervention sub-health insomnia safe,effective and accepted treatment of the status quo,in the preparatory work of the Task Force on the basis of population for sub-health state of insomnia design our treatment programs,Chinese characteristics and increase in sleep medicine health Treatment and Education.First of all,mainly due to sub-health state of insomnia adverse lifestyle rhythm sleep disorders, the use of Chinese medicine concept of health care to correct bad sleep habits, changes the distorted perception of sleep is very important to both of these factors may be the incentive for insomnia,chronic insomnia will be prompted of;Secondly,the sleepless sub-health Treatment in Chinese medicine.Objective:1.Study on the quality of a specific group of people sleep,Explore the characteristics of Chinese medicine sleep2.Health Treatment and Education of Chinese Medicine plus sub-health role in the treatment of insomnia.Method:1.Application for 551 nurses Scale Pittsburgh Sleep Quality Index(PSQI) for measuring scale on the 146 sub-health applications sleepless insomnia sub-health TCM Syndrome Scale questionnaire survey done.2.A randomized controlled trial design,will be 40 cases of insomnia were randomly assigned to sub-health to the control group and 20 cases of the experimental group,control group Treatment using Chinese medicine treatment, the pilot group of sleep characteristics of syndrome differentiation of TCM increases the treatment of health education,treatment for 4 weeks,both before and after treatment for Pittsburgh Sleep Quality Index Scale,sub-health TCM Syndrome Scale,WHO Quality of Life BREF and the determination of clinicians overall impression(based on interviews) CGI and other measurements.Result:1.Nursing groups has problems in sleep quality,low sleep quality rate of 45.19%;nurses groups sleep quality with age,factors such as the rest of the system.Sub-health insomnia TCM common state of deficiency type Huowang type,Heart-type deficiency,stagnation of liver-type of fire,heat inside the disturbance type,heart type,such as false courage,of which deficiency Huowang type(41.1%) and Heart deficiency type(26.7%) most common.146 sleepless sub-health PSQI scores were＞7 minutes,with mild insomnia mainly 8-12 minutes(about 80.1%).2.Through randomized controlled trials of this study results showed that a qualitative analysis of two groups after treatment PSQI scores the number of normal and abnormal cases,test group and 19 cases of group 1 cases,the control group 14 cases and 6 cases,that is,sleep quality test group fully improve the rate of 95%,the control groups to improve the quality of sleep was 70%(P＞0.05),test group tips to improve sleep quality in the group not better than the control group.Improve symptoms in traditional Chinese medicine,the results suggest that test group total effective rate was 100%, while the control group total effective rate was 90%(P＞0.05),show that the test group of Chinese medicine in improving the symptoms the same as the control group.Improvement in quality of life in the psychological field,the field of environment and subjective insomnia sub-health feelings three aspects of quality of life by comparing score before and after treatment,test group scored higher than the control group,suggesting that test group to improve the quality of life should be better than the control group.Doctors in the clinical aspects of the overall impression,test group 11 persons significant progress,progress 8,1 is slightly better,while significant progress the control group 7,progress of 11,2 is slightly better(P＜0.05).Conclusion:1.Nursing groups has problems in sleep quality,sleep quality groups of nurses is far lower than that of other groups,should take the relevant measures to improve the sleep quality of nurses.Sleep quality nursing groups with age, factors such as the rest of the system.Sub-health state of insomnia to TCM Syndrome and Heart deficiency Huowang the most common type.Degree of of Sub-health stste of insomnia in people is mild insomnia mainly.More women than men suffer from insomnia sub-health state of a high proportion of 30-year-old medical staff following a high proportion of sub-health state of insomnia,tertiary and postgraduate education of medical personnel is also a higher state of sub-health insomnia.2.sleep characteristics of Chinese medicine TCM Canada Health and Education can improve the treatment of insomnia crowd sub-health sleep quality,Sleep characteristics of Chinese medicine TCM health education plus treatment can improve the quality of life in the crowd sub-health insomnia. Sleep characteristics of Chinese medicine health education intervention plus TCM treatment of insomnia sub-health state TCM treatment better than a simple effect.