| ObjectiveTo observe the curative effect and safety of heart and gallbladder meridian on treating the insomnia caused by depression.MethodsAll cases were from Guangdong Provincial Hospital,70patients who met diagnostic criteria for depression, insomnia were randomly divided into treatment group and control group groups,35cases in each groupTreatment groups:Neiguan, Yanglingquan,Baihui, Yintang. Use intradermal needle in Xinshu, Danshu.Manipulation:the acupoints were disinfected by75%alcohol, manipulate the needle until Qi arrive for30minutes, after acupuncture, use intradermal needle in t Xinshu, Danshu, retained for three days.Control group:Shuigou, Shenmen, Neiguan, Sanyinjiao, Taichong. Manipunlation:Routine disinfection, manipulate the needle until Qi arrive for30minutes, Using cow soapwortseed to stick on the Xinshu, Danshu points for three days.Course:three times a week.treatment interval≥48hours,12times as a course for two courses, eight weeks to completeTreatment efficacy were evaluated before treatment, the fourth week, the end of treatment, one month after treatment using Hamilton Depression Scale (HAMD) and the Pittsburgh Sleep Quality Index Scale (PSQI). Record adverse reactions and side effects at any time during the study.Using statistical software SPSS20.0to collect data for statistical analysis, measurement data with the mean±standard deviation(x±s), count data ratio (%) represented by the constitution. Measurement data were compared using t test (heterogeneity of variance using t’test or rank sum test).Results1. Before treatment, there was no statistical differences between the twogroup in gender, age, disease duration, education level, past treatment history, Traditional Chinese Medicine type, PSQI and HAMD score before the treatment (P>0.05)2. Within groups comparing:The HAMD scores of treatment group before treatment, the fourth week, at the end of treatment and one month after treatment were:15.20±2.19,11.89±2.12,8.86±1.78,8.02±1.49; PSQI scores were26.68±3.78,17.01±4.18,11.89±4.02,11.99±4.28; Both the HAMD scores and PSQI scores decreased the fourth week, at the end of treatment and one month after treatment, there were statistically significant difference than those before treatment (P <0.05).The HAMD scores of control group before treatment, the fourth week, at the end of treatment and one month after treatment were were:14.79±2.34,13.37±2.00,11.30±1.78,12.01±1.86; PSQI scores were27.92±4.01,23.08±4.19,19.79±4.67,20.27±4.09; there was statistically difference at the end of treatment than that before treatment(P<0.05), and there were no differences at the fourth week, one month follow-up comparing with that before treatment(P>0.05).3. Between group comparing:①The HAMD scores of treatment group at the fourth week, at the end of treatment and one month follow-up were11.89±2.12,8.86±1.78,8.02±1.49, the control group were13.37±2.00,11.30±1.78,12.01±1.86. there were statistically significant differences between two groups(P<0.05). The PSQI scores of treatment group at the fourth week, at the end of treatment and one month follow-up were was17.01±4.18,11.89±4.02,11.99±4.28, the control group were23.08±4.19,19.79±4.67,20.27±4.09. There were statistically significant differences between two groups(P<0.05).②Effective rate of treatment group before the course, at the fourth week, at the end of the treatment, and one month follow-up were:82.4%、91.2%、82.4%; The control group was59.4%、62.5%、56.2%. there were significant differences between them (P<0.05)4.Safety evaluation Adverse events did not appear at the treatment group. There was a patient in the control group felt excruciating pain and acupuncture quit the study.ConelusionBoth of the groups have precise effect on treating insomnia caused by depression. The treatment group has better effect on treatment insomnia. There was no adverse events in the treatment group. |
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