| Objective:To observe the therapeutic effect of Nazi-method of midnight-midday ebb flow acupuncture on chronic insomnia,and analyze its regulating effect on mood,fatigue and sleepiness of chronic insomnia patients,so as to improve the clinical efficacy of chronic insomnia.Methods:Randomized,control and single-blind method was taken.A total of 60 patients with chronic insomnia were randomly divided into experimental group and control group,with 30 cases in each group.The experimental group(Nazi-method of midnight-midday ebb flow):According to the patient's visiting time and the symptoms of the patients,to check from Nazi time point injection therapy to select acupoints to acupuncture.The control group(conventional acupuncture)was given conventional acupuncture treatments selecting Baihui,Shenmen,Neiguan.The patients in both groups were treated once a day,neutral supplementation and draining method,acupuncture for 30 minutes,continuous treatment for5 days,rest for 2 days,a total of 15 days of treatment.Pittsburgh sleep quality index scale(PSQI)was used to evaluate sleep before and after treatment in the two groups,and daytime function was evaluated by self-rating anxiety scale(SAS),self-rating depression scale(SDS),fatigue scale-14(FS-14)and Epworth sleepiness scale.Were processed by SPSS 23.0statistical software.Results:1.Efficacy analysis: This study shows that acupuncture can effectively improve the sleep of patients with chronic insomnia,the total effective rate was 86.70% in the experimental group and 76.70% in the control group,the difference was statistically significant(P<0.05),suggesting that the therapeutic effect of Nazi-method of midnight-midday ebb flow acupuncture was better than that of conventional acupuncture.2.Night sleep evaluation: Before the treatment,there was no significant difference between the experimental group and the control group(P>0.05).After treatment,the total score of PSQI and the scores of various factors in the experimental group and the control group were decreased,and the difference was statistically significant(P<0.01),the total scoreof PSQI and the scores of all factors in the experimental group were lower than those in the control group,the differences of PSQI total score,sleep quality,sleep time and daytime dysfunction score between the two groups before and after treatment were statistically significant(P<0.01orP<0.05),and comparison of sleep time,sleep efficiency and sleep disorder scores,there was no significant difference(P>0.05),it is suggested that both Nazi-method of midnight-noon ebb-flow acupuncture can improve the sleep at night.In terms of improving sleep quality,shortening sleep time and reducing daytime dysfunction,Nazi-method of midnight-midday ebb flow acupuncture is superior to conventional acupuncture.The two kinds of acupuncture methods have the same effect in prolonging sleep time,improving sleep efficiency and reducing sleep disorder.3.Daytime function evaluation: Before treatment,there was no significant difference in SAS,SDS,FS-14 and ESS scores between the experimental group and the control group(P>0.05).After treatment,the scores of SAS,SDS,FS-14 and ESS in both groups were decreased,the difference was statistically significant(P<0.01),the scores of SAS,SDS,FS-14 and ESS in the experimental group were lower than those in the control group,and the differences between the two groups before and after treatment were statistically significant(P<0.01orP<0.05),it is suggested that both Nazi-method of midnight-midday ebb flow acupuncture and conventional acupuncture can improve the anxiety and depression of patients with chronic insomnia,relieve fatigue symptoms and daytime sleepiness,and Nazi-method of midnight-midday ebb flow acupuncture is superior to conventional acupuncture.Conclusions:1.Both Nazi-method of midnight-midday ebb flow acupuncture and conventional acupuncture are effective methods for treatment of chronic,but Nazi-method of midnight-midday ebb flow acupuncture is better than conventional acupuncture.2.Nazi-method of midnight-midday ebb flow acupuncture can not only improve sleep at night,but also improve daytime sleepiness,daytime fatigue,anxiety and depression in patients with chronic insomnia. |
PDF Full Text Request