Study On The Effect Of Pressing Needle Combined With Magnetic Therapy On Insomnia Of Heart-kidney Incompatibility

ObjectiveThis study in order to press the needle within the close combination of magnetic therapy,yongquan heart kidney type insomnia,combination therapy intervention studies the combination therapy of cardiovascular and renal type don't hand in patients with insomnia sleep structure,the curative effect of sleep efficiency,quality of life,to evaluate the clinical application of this therapy compliance,convenience and safety,to explore heart kidney is not handed over to the TCM type of insomnia non-drug treatment.MethodThis study using randomized controlled clinical research method,research object is included in the standard of 64 cases of heart kidney is not handed in patients with insomnia,the object of study according to random number table method is divided into trial group and control group,treatment group 32 cases were treated by press the combination of acupuncture with closed cavity in magnetic therapy yongquan point therapy intervention,control group in 32 patients with oral zopiclone tablets intervention,treatment 2 weeks in a row,at 0,2,4 weekend with Pittsburgh sleep quality index scale(PSQI),observation before and after treatment in patients with sleep quality and PSQI each factor score of change,at 0,2 weeks using polysomnography(PSG)monitoring sleep sleep structure,To evaluate the overall efficacy of the combined therapy according to the therapeutic effect criteria of insomnia in TCM internal medicine disease syndrome diagnosis and therapeutic effect criteria,and to explore the clinical therapeutic effect of acupuncture point neiguan combined with magnetic therapy point yongquan in the intervention of heart and kidney incompatibility insomnia.Results1.After a 4-week study,1 case in the experimental group,2 cases in the control group,and 3 cases in total were excluded due to natural loss of follow-up.The final number of patients participating in efficacy evaluation was 31 cases in the experimental group and 30 cases in the control group.2.After treatment,5 patients in the experimental group recovered clinically at the weekend of 2,10 showed obvious effects,11 showed improvement,and 5 showed no effect,with a total effective rate of 83.9%.In the control group,there were 5 cases of clinical recovery,14 cases of obvious effect,8 cases of good rate,3 cases of inefficiency,and the total effective rate was 90.0%.The overall efficacy of the two groups was statistically significant(p<0.05).4.In the weekend follow-up group,the curative effect continued to recover in 2 cases,obvious effect in 8 cases,improvement in 7 cases,and inefficiency in 14 cases,with a total effective rate of 54.8%.In the oral western medicine group,the clinical recovery rate was 1 case,obvious effect was 3 cases,improvement was 6 cases,no effect was 22 cases,the total effective rate was 33.3%.3.After treatment,the total score of PSQI(2)and PSQI(4)in the two groups decreased to different degrees compared with that of PSQI(0);The decrease of PSQI(2)in the control group was more significant(p<0.05).The total score of PSQI(4)in the experimental group decreased more significantly than that of PSQI(0)(p<0.05).4.The scores of all factors decreased to different degrees compared with PSQI(0)(p<0.05);In the control group,the PSQI(2)score of sleep quality factor,sleep time factor,sleep time factor,sleep disorder factor and daytime function factor decreased more significantly(p<0.05).PSQI(4)of the experimental group was significantly better than that of the control group in terms of sleep time factor,sleep time factor,sleep efficiency factor,sleep disorder factor and daytime function factor(p<0.05).In the control group,PSQI(4)sleep time factor and sleep time factor increased more than PSQI(0)(p<0.05)5.After treatment,compared with baseline data,PSG(2)in both groups showed prolonged total sleep duration,improved sleep efficiency,decreased sleep latency and awakening duration(p<0.05).In the experimental group,the total sleep time was prolonged,the sleep efficiency was improved,and the duration of awakening was reduced more significantly(p<0.05).The decrease of sleep latency was more obvious in the control group(p<0.05).The results are basically consistent with the above results.6.The sleep structure of the two groups at week 0 was characterized by an increase in nrem-1 ratio and a decrease in NREM-2,NREM-3+4 and REM ratio(p>0.05).After intervention,NREM-2,NREM-3+4 and the ratio of REM increased in both groups,while the ratio of NREM-1 decreased in both groups,increasing the ratio of deep sleep stage and decreasing the ratio of shallow sleep stage.The ratio of NREM-2,NREM-3+4 and REM increased more significantly in the experimental group(p<0.05).The NREM-1 ratio of the control group decreased more significantly(p<0.05).The results were consistent with the above PSQI results.Conclusion1.The combination of acupuncture and magnetic therapy with zopicron tablets can reduce the incubation period for falling asleep,prolong the sleeping time,improve the sleeping efficiency,restore the daytime function and restore the sleeping structure to a certain extent.2.The overall effect of acupuncture combined with magnetic therapy yongquan is more significant,which can significantly improve the sleep efficiency,increase the proportion of deep sleep period,and have a significant long-term effect.The function of restoring sleep structure is more stable and lasting,which is conducive to better restoring the sleep-wake rhythm.3.Oral zopicron tablet has a fast effect on insomnia,significantly shortening the latency period of sleep,and the early prolongation of sleep time is more effective,with the phenomenon of rebound insomnia.