Research On The Therapeutic Efficacy Of Scraping Combined With Cupping On Insomnia Of Both Deficiency Of Heart And Spleen

Objective To compare the therapeutic efficacy difference of scraping therapy,cupping therapy and scraping combined with cupping on insomnia of both deficiency of heart and spleen.Aims to increase scraping combined with cupping technology applied to clinical disease range.Methods(1)Based on the theory of evidence-based nursing,using Meta analysis method,"scraping intervention in patients with insomnia" as the theme.The purpose is to evaluate the efficacy and safety of scraping therapy for insomnia,and to look for a Chinese medicine scraping clinical nursing practice program.(2)Patients were randomized into each group averagely.Pittsburgh quality sleep index(PSQI),TCM of symptom scores for Insomnia of Both Deficiency of Heart and Spleen,Self-Rating Anxiety Scale(SAS)and Self—Rating Depression Scale(SDS)observed after 10 weeks’treatment.Result(1)Meta analys is showed that the overall quality of the existing studys is poor.Existing researches need to be further standardized in many ways,such as choosing internationally accepted diagnostic criteria and evaluation tools for insomnia;collecting datas correctly;adoptting standard scraping method,frequency and duration of intervention;making the implementation of specific randomization and blind methods and the safety evaluation of the scraping therapy.It also provides the basis of the evidence based theory for the development of the intervention program for insomnia patients.(2)The PSQI,TCM of symptom,SAS and SDS scores of the scraping combined with cupping group were improved as compared with those before treatment,and so were single therapy except take sleeping pills.The PSQI,TCM of symptom,SAS and SDS scores of the combination therapy group were higher than single therapy group except subjective sleep quality(P<0.05).There were no differences between scraping therapyand cupping therapy except sleep time,sleep efficiency(P>0.05)Conclusion Scraping and cupping therapy can improve quality of sleep and depression,but can not reduce the quantity of sleeping pills.On the whole,scraping combined with cupping therapy in improving the sleep quality and depression of the patients is superior to single therapy,and the scraping therapy is better than cupping.