Clinical Observation On The Therapeutic Effect Of Insomnia With Tong-Du-Tiao-Shen Acupuncture Combined With Estazolam

Objective:Choose the acupuncture points under the guidance of the theory of Tong-Du-Tiao-Shen,to observe the clinical effect of Tong-Du-Tiao-Shen acupuncture combined with estazolam on insomnia and whether Tong-Du-Tiao-Shen acupuncture can reduce the side effect of estazolam.Methods:A total of 64 patients with insomnia were randomly divided into treatment group and control group in a 1:1 ratio,with 32 patients in each group.The patients in treatment group were treated with Tong-Du-Tiao-Shen acupuncture and oral estazolam.Acupuncture was performed at the main points of Baihui,Shenting,Yintang,Anmian,Shenmen,Sanyinjiao,the needles were retained for 30 minutes and treated 3 times a week,one time every other day for 4 weeks;estazolam was taken half an hour before going to bed every night for four weeks.The patients in the control group only took estazolam,and the method of taking estazolam was as same as that of the treatment group.The therapeutic effect of Tong-Du-Tiao-Shen acupuncture on insomnia was evaluated by the changes of Pittsburgh sleep quality(PSQI),Flinders fatigue scale(FSS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)and the occurrence of adverse reactions in the two groups.Results:1.Comparison between the two groups before and after treatment:after treatment,the PSQI,FSS,SAS and SDS scores of the treatment group and the control group all decreased compared with those before treatment(P<0.05).2.Comparison between the two groups:Before treatment,there was no statistical difference in the total score of PSQI,FSS,SAS and SDS between the two groups(P>0.05).After treatment,the improvement of PSQI,FSS,SAS and SDS scores in the treatment group was more significant than that in the control group(P<0.05).3.Comparison of the adverse reactions between the two groups:There were 30 cases in the treatment group and the control group,and 1 case of fatigue in the treatment group,with a total incidence of adverse reactions of 3.33%.There were 2 cases of dry mouth,2 cases of fatigue,1 case of daytime sleepiness and 1 case of dizziness in the control group.The total incidence of adverse reactions was 20%,and the incidence of adverse reactions in the two groups was statistically significant(P<0.05).4.Total efficiency comparison:The total effective rate of treatment group is 93.33%and 73.33%in the control group.The total effective rate of the two groups was statistically different(P<0.05),and the total effective rate of the treatment group was higher than that of the control group.Conclusion:1.Tong-Du-Tiao-Shen acupuncture combined with estazolam can prolong sleep time,improve sleep quality,relieve fatigue symptoms and relieve anxiety and depression in the treatment of insomnia.2.The efficacy of Tong-Du-Tiao-Shen acupuncture combined with estazolam was better than that of oral estazolam alone in the treatment of insomnia.3.Tong-Du-Tiao-Shen acupuncture can reduce the adverse reactions caused by estazolam.