Therapeutic Observation On The Treatment Of Acupuncture Combined With Head And Neck Massage Therapy In Ifre Excess From Yin Deficiency Type Of Insomnia

Objective:Clinically with fire excess from yin deficiency type ofinsomnia patients as the research object, through randomizedcontrolled single-blind study method，select the acupuncturetreatment of head and neck massage therapeutic method, systematicobserve and summarise the clinical curative effect of treatment forthe disease, and evaluate on its safety objectively.Methods:Using randomized controlled single-blind study method,60patients with fire excess from yin deficiency type of insomnia wererandomly divided into groups of combination of acupuncture withmassage group and simple acupuncture group30cases each. Simpleacupuncture group uses the simple dialectical method to findacupuncture treatment,1times a day, seven times for1period oftreatment, a total of4courses of treatment; the combination ofacupuncture with massage group use the basic treatment of simpleacupuncture group combine with the head and neck tranquilize mindmassage for25～30minutes, courses of treatment were the same asthe simple acupuncture treatment group,curative effect observationwas performed in the end of4courses. On two groups of patientsrun the before and after the treatment of insomnia curative effect、the Pittsburgh Sleep Quality Index (PSQI)、TCMsyndrome quantitativeintegral,the indicators of evaluation and comparison in improving insomnia symptom,through comparison and contrast between the twogroups, after the clinical observation results were statisticallyanalyzed. Stduy into the principle of the curative effect on thetreatment of insomnia by simple acupuncture and the combination ofacupuncture with massage and find the reason for the differences.Results:①Combination of acupuncture with massage show thesignificant efficiency and the total effective rate was76.67%and93.33%respectively, while the simple acupuncture group was50.00%and83.33%. Compare two groups total effective rate and thesignificant efficiency,P＜0.05,with statistical significance.②Compare the combination of acupuncture with massage group andsimple acupuncture group in Pittsburgh Sleep Quality Index Scorebefore and after the treatment,the difference was statisticallysignificant(P＜0.05);And comparison among groups after thetreatment, differences have statistical significance(P＜0.05).Group of combination of acupuncture with massage on the improvementof the patients’s sleep time and sleep disturbance degree is moreobvious than simple acupuncture group.③Compare the combination ofacupuncture with massage and simple acupuncture group in thetreatment of TCM syndrome quantitative score before and aftertreatment in the group, all P＜0.05;Comparison between the twogroups total integral after treatment,difference have statisticalsignificance(P＜0.05);But compare the extent of the integral of twogroups,no significant difference has shown up(P＜0.05).Besidescombination of acupuncture with massage group had betterimprovement for dizziness and tinnitus in the TCM syndromequantitative component than the simple acupuncture group,and it hassignificant statistical significance(P＜0.01)。 Conclusion:The combination of acupuncture with massage group andsimple acupuncture group were both effective,significantly improvepatients with insomnia clinical symptoms,signs,reduce time of fallinto sleep、extend sleep time and reduce the PSQI score. Resultsshow that two kinds of treatment’s the clinical cure rate is roughlythe same。Compare two groups with reduce time of fall into sleep、improve the sleep disorders and reduce the PSQI scores combinationof acupuncture with massage group is better;On the improvement ofthe symptoms of dizziness and tinnitus in patients combination ofacupuncture with massage group is obvious better than simpleacupuncture group, and compare other components of sleepimprovement like increase sleep time，two groups were rather thesame.This method also has the characteristics of safe,reliable andeasy to apply.