| ObjectiveTo observe the curative effect of "soothing liver and regulating mind" treatment the depression-insomnia, in order to propose an new clinical protocol of treating depression-insomnia.MethodsThis was a simple randomized controlled trial.Recruited 60 volunteer s with depression-insomnia from acupuncture department of Guang Dong Prov incial Hospital of TCM,1:1 randomized into two groups,30 cases in each g roup. The treatment group(group 1) was treated with soothing liver and re gulating mind, while the control group(group2)using blunt-pointed needles both groups use the same points:hegu(LI4), Taichong(LR30), Zhaohai(KI6), Ba ihui(DU20), Yintang(EX-HN3). In group 1:manipulate the needles until the Qi arrives, and retain the needles for 30 minutes, during the 30 minutes, lifting, thrusting and rotating manipulation till arrival of qi once for lminite. In group 2:The 1 square centimeters of the plastic foam paste wi 11 be sticked to the points, and insert blunt-pointed needles into plasti c foam paste without just arrive the skin After acupuncturing, both of t he groups use intradermal needle(wang bu liu xing seed) treatment in Xins hu and Danshu Points,and retained for 2 or 3days each time. The treatmen t was totally8 times for one course and must be completed within four wee ks. There were at least two days between every two treatment. The eurativ e effect was evaluated by the PSQI scale and HAMD scale before the course, before the fifth treatment, at the end of the course, one month after th e course, Side effect and adverse reaction were ready to write down at an y time during the research. Using statistical software SPS19.0 on statis tical analysis of data collected.Results(1) In contrast the PSQI scale scores, in the treatment group, the later 3 scores compare with the first score, (P=0.014、0.00、0.00, p<0.05), which had statistical difference and meant the soothing liver and regulating mind group could improve sleep quality.In the control group, the second and the fourth scores compare with the first score, (p=0.533、0.10>0.05), which had no statistical difference and means the blunt-pointed treatment could not change the sleep quality. While the third score compare with the first score, (p=0.043, p<0.05), which had statistical difference and meant the blunt-pointed treatment could improve sleep quality after 8 treatments. In contrast the tendency chart of PSQI scale scores, the two groups had a declined tendency, (P=0.00、0.01,p<0.05), which meant the differences and both groups are effective.And comparability of tendency between two groups, (P=0.00, p<0.05), which meant the treatment group has better on treating insomnia.(2)In contrast HAMD scores, in the treatment group, in the treatment and control groups, the later 3 scores compare with the first score, (P=0.00、 0.00、0.00, p<0.05), which had statistical difference and meant both treatment could improve depression. In contrast the tendency chart of HAMD scale scores, the two groups had a declined tendency, (P=0.00、0.00, p<0.01), which meant the differences and both groups are effective.And comparability of tendency between two groups, (P=0.00, p<0.05), which meant the treatment group has better on treating depression..(3) Before treatment, there was no statistical discrepancy between the two group in age, disease duration, PSQI and HAMD score before the treatment(p=0.37、0.67、0.26、0.35>0.05), which meant the two groups had Comparability.(4) with the effective rate before the fifth treatment, at the end of the course, and one month after the course, the soothing liver and regulating mind group was:72.0%、92.0%、92.0%, while the control groupwas24.0%、44.0%、 36.0%. There are significant differences between them(P=0.01、0.00、 0.00,p<0.05).,which means the curative effect of the soothing liver and regulating mind group is better than the control group.ConelusionThe soothing liver and regulating mind method could improve the PSQI and HAMD scale scores.The soothing liver and regulating mind group has effect on treatment insomnia. |
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