Clinical Observation Of Intervention On Chronic Insomnia With "Tong Du Tiao Shen" Acupuncture

Objective:To observe the clinical effect of "Tong Du Tiao Shen" acupuncture on chronic insomnia.Methods:A total of 60 patients with choronic insomnia were recruited in the study.They were randomized imto two groups:treatment group and control group.Each group includes 30 cases.In the control group,the patients were treated with false acupuncture.The patients of treatment group were treated with "Tong Du Tiao Shen" acupuncture.The treatment group selected Baihui,Shenting,Yintang,Shenmen double,Sanyinjiao double,leaving 30 minutes for treatment,3 times a week,once every other day,a total of 12 times.The clinical curative effect of the two groups was compared before and after the treatment,including the scores of PSQI,ISI,HAMA,HAMD.Then we can observe the clinical effect of "Tong Du Tiao Shen" acupuncture for chronic insomnia Besides,we can explore the mechanism of "Tong Du Tiao Shen" acupuncture treatment by detecting serum MT level.Results:1.Comparison of groups before and after treatment:Compared with before,after treatment,PSQI factors,total score,ISI,HAMA,HAMD scores and MT levels of treatment group decline,the differences were significant(p<0.01);the scores of PSQI factors except for sleep time were lower than before,the difference were statistically significant(p<0.05),total score of PSQI and ISI,HAMA,HAMD scores decreased,the differences were significant(p<0.01),while MT level was of nodifference(p>0.05).2.Comparison between groups after treatment:Compared with the control group,the factors,total score of PSQI,and ISI,HAMA,HAMD scores,MT level of treatment group were significant(p<0.01).3.Comparison of overall efficacy:the total effective rate of the treatment group was 65.52%,while 1 case cured,7 cases strikingly effective,10 cases effective,10 cases resultless.The total effective rate of the control group was 25.00%,with 0 cases cured,l case strikingly effective,6 cases effective,21 cases resultless.The difference between efficacy of two groups was significant(p<0.01).Conclusion:1.The "Tong Du Tiao Shen" acupuncture method can signi:ficantly improve the clinical symptoms about insomnia,while the sham acupuncture method except total sleep time.The "Tong Du Tiao Shen" acupuncture method is obviously superior to false acupuncture.2."Tong Du Tiao Shen" acupuncture and sham acupuncture can significantly improve the anxiety and depressive symptoms of patients with chronic insomnia.The "Tong Do Tiao Shen" acupuncture method is significantly better than the control group.3."Tong Du Tiao Shen" acupuncture can improve the MT level in patients with chronic insomnia,which may be one of the mechanisms of acupuncture to improve sleep quality.