| Background:Insomnia is a common clinical,frequently-occurring disease.Foreign reported that the patients with primary insomnia in sleeping centers was about 15 percent,it was a common clinical sleeping disorder.According to the latest issue of credits global sleep survey in China published by Mental Illness Association of the Chinese Medical Association,it indicated that the Chinese crowd with Insomnia was as much as 42.5%.And the formation and aggravation of insomnia is the result of the interaction of various factors,the study of insomnia in patients before treatment,according to instructors over the years the pathogenesis of insomnia,as well as the clinical experience of the disease,combined with modern medical literature of the conclusions of meta-analysis basis,Systematic understanding of the causes of insomnia patients,the extent and consequences of insomnia.Insomnia according to Chinese medicine and the relationship between emotion literature,combining ancient and modern literature treatment of insomnia prescription of acupuncture points,select the appropriate treatment of insomnia prescription and play acupuncture and psychological treatment of insomnia in the negative emotion of the dual purpose of showing Acupuncture advantages in this study the efficacy of acupuncture and moxibustion treatment of insomnia.Objective:Through systematic evaluation of the literature to discuss the impact factors of insomnia.Part of clinical research on patients with insomnia would be included and randomly divided into acupuncture and control groups.Before and after treatment,their mental health scale of sleep quality and psychological assessment would be recorded.The result would be analyzed and summarized to determine the effect of acupuncture,and to provide scientific basis for Chinese medicine clinical treatment. Methods:There are three parts in this study:literature research,a meta-analysis of Insomnia-related factors and clinical research.In the part of literature research,three main resources would be concluded in detail.Firstly,the understanding in insomnia' s pathogenesis in ancient Chinese medicine,and its corresponding acupuncture prescription.Secondly,the understanding in insomnia in modern medicine.Finally,the method of drugged and non-drugged therapy.The second part is about a meta-analysis of Insomnia-related factors. In the part of clinical research,according to diagnostic criteria of ICD-10 and CCMD-3 on non-organic insomnia,the suitable cases would be included and randomly divided to acupuncture and Diazepam control group.A treatment of four weeks would be launched.The effect of acupuncture and Diazepam would be determined by marking the Pittsburgh Sleep Quality Index(PSQI) questionnaire,self-rating depression scale(SDS),self-rating anxiety scale (SAS).Finally,we would launch a two-factor two-level analysis of variance(ANOVA) while the repeated measurement data are collected in the clinical cases.Results:1,In the part of literature research,three main resources would be concluded in detail.Firstly,the understanding in insomnia' s pathogenesis in ancient Chinese medicine,and its corresponding acupuncture prescription. Secondly,the understanding in insomnia in modern medicine.Finally,the method of drugged and non-drugged therapy.The second part is about a meta-analysis of Insomnia-related factors.2,In the second part of the relevant factors of insomnia meta-analysis: (1) of the EPQ scale using four literature insomnia group and the normal group of L,E,P,N are the number of hours the volume of the combined effect of the 95%CI,Z,P,respectively[-1.06,0.93],Z = 0.13,P = 0.897;[-5.736, -1.578],Z = 3.45,P = 0.001:[0.531,3.394],Z = 2.69,P = 0.007:[3.728, 4.374],Z = 24.58,P = 0.000.(2) of the SCL-90 using the three literature insomnia group and the normal depression and anxiety score of the mean volume of the combined effect of 95%CI,Z,P,respectively[3.046,13.262],Z =3.13, P = 0.002:[2.089,6.734],Z = 3.72,P = 0.000.(3) the adoption of the three literature SRSS insomnia group and normal group in support of the objective, subjective support,support for the use of a few degrees are the volume of the combined effect of 95%CI,Z,P,respectively[-2.170,-0.661],Z = 3.68, P=0.000;[-2.375,0.523],Z = 1.25,P=0.210;[-7.042,-1.833],Z =3.34, P = 0.001.3,Clinical study of the acupuncture group and control group on the role of the PSQI score in the B factors(measured before and after) the differences were statistically significant(P =0.000<0.01),in the A factor(processing factor) the difference is not see statistically significant,but the acupuncture group average PSQI from 10.9 before treatment dropped to 5.1 after treatment,with an average decrease of 5.8;PSQI the control group average of 9.43 from pre-treatment decreased to 4 after treatment.8,with an average decrease of 4.63.Acupuncture group that the effect of treatment of insomnia is still better than the control group.In addition,acupuncture group and the control group score on the role of SDS in the A factor(processing factor) were statistically significant differences on insomnia by acupuncture group compared with the control group the depression is effective.Score in the role of the SAS,the acupuncture group and the control group the main effect of SAS no difference(P = 0.3265> 0.05),but the average SAS acupuncture group from pre-treatment decreased to 43.07 after treatment of 36.6,with an average decrease of 6.47 in the control group the average pre-treatment of SAS from 43.1 down to 39.77 after treatment,with an average decrease of 3.33.That acupuncture group and control group in the treatment of insomnia associated with anxiety state has the efficacy of acupuncture in treating anxiety group is better than the control group.To sum up,acupuncture in the treatment of insomnia and its associated depression and anxiety better than the stability and efficacy,particularly for the treatment of depression have a better role.Conclusion:1,The meta-analysis of the insomnia-related factors concluded that:(1)Insomnia patients treat their illnesses objectively,and not deliberately lying to cover up the disease,so validity and reliability in answering the scales are consistent with the normal group.(2) insomnia group compared to the normal character,not good at revealing the feelings of passive communication,and do not like incentives;comparison alone is not gregarious,indifferent to others,it is difficult to adapt to the surrounding environment;the stimulation on the surrounding sensitive, paranoid,over-react,impulsive,aggressive. (3)Insomnia patients are generally associated with depression or/and anxiety.However,all studies of insomnia group different in depression and anxiety levels.(4)Compared with normal group,insomnia patients receive less practical support.But all groups had no significant difference in subjective support. That is,the emotional support which can be perceived is similar in both groups.2,Prescription of acupuncture points on insomnia is based on the summary of ancient and modern acupuncture points of insomnia.First of all,it aimed at the pathogenesis of the imbalance between yin and yang,Wei Qi against Ying Qi,so the Baihui,Naohu,Naokong points are inserted by the basic reinforcing and reduceing methods to regulate the dysfunction of the Brain.We also seek the causative factors by differentiating sysptoms and select corresponding point to maintain free flow of Qi and manipulate the depressive symptoms arising from insomnia.So the acupucture treatment of insomnia with depression and anxiety is better than the control group,especially has a significant effect on insomnia with depression.So the purpose of acupuncture prescription is not only to keep balance between yin and yang,but also smooth the flow of Qi. |
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