| ObjectiveThis study is based on the comparison of three kinds of intervention methods, which included the curing method of liver and kidney, spleen and stomach mainly by burr, conventional needling therapy and non acupuncture combined therapy. To explore the difference of clinical curative effect of three kinds of different therapy on the treatment of sub health insomnia and the change of the forehead average temperature before and after treatment. Objective to evaluate the clinical effect of the Liver kidney spleen and stomach maintenance therapy basing on burr in the treatment of sub health insomnia, and by observing infrared thermography, we get the effect of the Liver kidney spleen and stomach maintenance therapy mainly by burr on the abnormal temperature of forehead of the patients,studying the association between infrared thermography and clinical manifestations, providing a new objective evaluation method and objective index for the clinical effect evaluation and prognosis of sub health insomnia..MethodsUsed randomize, single blind method, select 90 cases of sub-health insomnia patients were divided into three groups according to the random number table. 30 in each group,treated for 2 weeks. Evaluated by Pittsburgh sleep quality index (PSQI). before and after treatment using infrared thermal imaging technique for the detection of left and right frontal part temperature, the average temperature of the two, and score and PSQI score were compared and analyzed. Whether there is relationship between full frontal part of infrared temperature and PSQI score.Specific groups are as follows: experimental group:Skin needling on Beishu points(Electroacupuncture) and pulsing digital acupoint pressure and hot medicated control Group 1:routine-needling on Beishu points (Electroacupuncture) and pulsing digital acupoint pressure and hot medicated control Group 2:digital acupoint pressure and hot medicatedAll the patients in the Pittsburgh sleep quality index (PSQI) before and after treatment were evaluated by specially-assigned persons, the same with the measurement of Infrared thermal imaging forehead temperature. After finishing all the surveys, data was sorted out by specially-assigned persons, making basic database by EXCEL, and using SPSS19.0 statistical software for statistical analysis.Results①ompare the efficacy of insomniaExcept 6 cases dropped out, the final number in this trial was 84,28 in each group.Compared with the clinical curative effect of three groups had statistically significant (P<0.05). treatment group、 control group one、 control group two, the total effective rate of three groups were 89.29%, 53.57%,21.43%. Tip:Three different treatment for insomnia, clinical data concluded that treatment group were superior to control groups.②Pittsburgh Sleep Quality Index scoresa. Compare the Pittsburgh Sleep Quality ScaleTo observe the changes of sleep quality, sleep time, hours of sleep, sleep efficiency, sleep disorder, daytime function activities, treatment group compared significantly improved after treatment in sleep quality, sleep time, hours of sleep, the statistical difference was remarked(P<0.01). sleep efficiency, sleep disturbances and daytime dysfunction cases were better than before, the difference was statistically significant(P<0.05);control group one, the sleep time, sleep efficiency, daytime dysfunction significantly ease the situation than before treatment, the difference was statistically significant(P<0.01):sleep quality, hours of sleep, sleep disturbances situation has improved(P<0.05). control group two, the sleep quality, sleep latency, sleep disorders case there are significant differences(P<0.05), the rest of the improvement was not obvious (P>0.05). Compared three groups after treatment, after all, they all had improvement in the sleep time, sleep disturbances and sleep quality casesb. Pittsburgh Sleep Quality Index total scoresThree group before and after treatment Pittsburgh Sleep Quality Index scores statistically significant difference(P<0.05), the same with the Comparisons between the three groups after treatment.③ompare full frontal part of infrared temperatureThree group before and after treatment full frontal part of infrared temperature statistically significant difference (P<0.05); treatment group had more changes than control group one in the infrared temperature case there are significant differences (P<0.05); control group one had more changes than control group two in the infrared temperature case there are significant differences(P<0.05).④orrelation analysis of infrared thermographic temperature and PSQI scorescomparison correlation of PSQI score, infrared thermographic temperature, through statistical analysis of P indexes before and after treatment were lower than 0.05, The final comparison:analysis of infrared thermographic temperature and PSQI before and after treatment, scatter plot with linear trend, anomaly is not obvious, before treatment and after treatment of infrared temperature and PSQI scores were correlated, and positively related to.ConclusionThe clinical effect of Liver kidney spleen and stomach maintenance therapy mainly by burr for sub-health insomnia was obvious, especially in improving sleep quality of patients and reduce sleep time, increase the sleep duration of patients with insomnia. What is more, the treatment could improve full frontal part of infrared temperature. On these sides, this treatment is better than those. The full frontal part of infrared temperature and the curative effect was positively correlated;infrared thermal imaging technology can be used as an objective index to assess the clinical therapeutic effect of knee osteoarthritis, and provide objective basis for clinical evaluation. |
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