The Study Of Acupuncture Combine Tapping And Pressing Ear Acupoint Therapy In The Insomnia

1 The objectsTake the acupuncture treatment as the control group,the observation acupuncture unifies the acupuncture point on the ear to paste presses treatment losing sleep the clinical curative effect,is for the purpose and provides the essential clinical basis for the clinical care losing sleep discussion effective method of treatment.2 The methodsFirstly,to look up the literature from domestic and abroad,and to study the literature particularly,the pathogenesis of insomnia in traditional Chinese medicine and western medicine,the therapy progression of insomnia in traditional Chinese medicine and western medicine,and the acupuncture therapy progression of insomnia.at these base,collected 60 patients from the department of acupuncture and moxibustion ambulatory of The First Clinical Medical College of Guangzhou University of TCM.We divided the 60 patients into two groups according to random digits table,the control group and the treatment group.There are 30 patients in the treatment group,all these patients treated with the method of acupuncture combine the tapping and pressing ear acupoint.There are 30 patients in the control group, all the people treated with simple acupunture.All the patients use the Pittsburg sleep quality index to evaluate the sleep quality a month ago.Processing method of the two groups is as follows:Treatment group:acupuncture method,use the master point method,selecting acupointsalong meridian and coordination of acupoints method,ear acupoint use the heart, spleen,Shenmen,subcortex,consensus.Acupuncture main point use Shenmen, Baihui,Anmian,selecting acupointsalong meridian use Neiguan;to follow the syndrome, pathogenic fire derived from stagnation of liver-QI add Xingjian,Taichong,Fengchi; internal disturbance by phlegm and heat add Zhongwan,Fenglong,Neiting;asthenic yin causing excessive pyrexia add Taixi,Taichong,Yongquan;heart-spleen deficiency add Xinshu,Pishu,Crossroad of Three Yins;heart and courage qi asthenia add Heart Shu, Gallbladder Shu,hillock ruins.Acupuncture manipulation:After needling insertion,use the method of mild reinforcing and attenuating;mild reinforcing-reducing method,after 10 min to needling manipulation once,rise the needle after needle retaining 30 minutes,time of therapy:twice a week,four weeks was a course of treatment,there were three a course of treatment.Observe indexes:each group observe the secure index between the treament, electrocardiogram,heart function,Liver function,renal function;and to observe the adverse reaction between the treatment.adopt the to evaluated the curative effect of acupuncture to insomnia;observe the treatment effects of the PSQI,and to top scores and each item scores of PSQI.3 The resultsThe treatment result indicated that regardless of being treats the group patients or the control group patient,after the above 2 method treatment,the losing sleep symptom has the distinct improvement.Two group of curative effect comparisons demonstrated that the treatment group clinical convalesces 14 examples(46.67%),shows results 9 examples (30.00%),the effective 5 examples(16.67%),the invalid 2 examples(6.67%),does not have the worsening,the total effectiveness is 93.95%;The control group clinical convalesces 8 examples(26.67%),shows results 7 examples(23.33%),the effective 10 examples(33.33%),the invalid 7 examples(16.67%),does not have the worsening,the total effectiveness is 83.33%.After the Ridit analysis,two group of curative effect differences are remarkable,p<0.05.The PSQI each data result indicated:The acupuncture point on the ear pastes presses the union acupuncture treatment before the Pittsburgh total score sleep quality(sleep quality,SQ),the subjective sleep quality(subjective sleep quality,SQ),the going to sleep time(the time to fall asleep,TFA),the sleep time(bedtime,BT),sleep efficiency(sleep efficiency,SE),the sleep disorder(somnipathy,SP),during the day function(daytime function,DF) seven aspects to grade compared to the treatment drops,and the difference obviously has statistics significance(p<0.05)Treatment group to the Pittsburgh total score,sleep time,sleep disorder,during the day function adjustment after treatment contrasts the control group to grade reduces,and the difference is remarkable,has statistics significance(p<0.05)4 The conclusionsThe acupuncture point on the ear pastes presses the union acupuncture treatment and the pure acupuncture treats the vigilance to have the good clinical curative effect.The acupuncture point on the ear union acupuncture treatment and the pure acupuncture treatment can improve the losing sleep patient subjective sleep quality,the going to sleep time,the sleep efficiency,and does not have the difference;The acupuncture point on the ear union acupuncture group in the improvement sleep time,the losing sleep patient sleep disorder and during the day the function as well as the total sleep quality aspect surpasses the acupuncture treatment group.The acupuncture point on the ear pastes presses the union acupuncture to treat the vigilance to have the good clinical curative effect,is worth the clinical promoted application.