Clinical Study Of Acupuncture Combined With Medicine In The Treatment Of Perimenopausal Insomnia(Yin Deficiency With Effulgent Fire)

Objective:To observe the effect of acupuncture combined with medicine in the treatment of perimenopausal insomnia(yin deficiency with effulgent fire pattern).Methods:In this study,66 patients of perimenopausal insomnia were randomly divided into treatment group and control group according to random number table method,with 33 cases in each group.The treatment group was treated with acupuncture combined with Bailemian capsule,while the control group was treated with Bailemian capsule alone.Pittsburgh sleep quality index(PSQI),modified Kupermann score and TCM(Traditional Chinese Medicine)syndrome score were recorded before and after 2 courses of treatment and at follow-up,respectively.Results:1.Clinical efficacy: After treatment,the total effective rate of the treatment group was 83.87%,1 case was cured,5 cases were significantly effective,20 cases were effective and5 cases were ineffective.In the control group,the total effective rate was 76.67%,1 case was cured,3 cases showed obvious effect,19 cases were effective and 7 cases were ineffective,the difference between the two groups was statistically significant(P<0.05).It shows that both groups have certain curative effect,and the treatment group is better than the control group.2.Intra-group comparison:After treatment,the scores of PQI,modified Kupermann and TCM syndrome in both treatment group and control group decreased,and the differences were statistically significant compared with those before treatment(P<0.05).It shows that both groups can effectively improve the insomnia symptoms and all sleep dimensions,as well as other symptoms related to perimenopause.During follow-up,PSQI scores,modified Kupermann scores and TCM syndrome scores in both groups increased slightly compared with those after treatment,but were still lower than those before treatment,and the differences were statistically significant compared with those before treatment(P<0.05).It indicated that both groups had a certain lasting effect.3.Comparison between groups: After treatment,the scores of PQI,modified Kupermann and TCM syndrome in the treatment group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).At follow-up,the scores of PQI,modified Kupermann and TCM syndrome in the treatment group were lower than those in the control group,and the difference was statistically significant(P<0.05).It shows that the treatment group had a better and lasting effect than the control group on the improvement of insomnia,sleep dimensions and other symptoms related to perimenopause.Conclusion:Acupuncture combined with medicine(acupuncture combined with Baile Mian capsule)can improve the insomnia symptoms of patients with yin deficiency with effulgent fire type perimenopausal insomnia,with a certain lasting effect,but also improve the related symptoms of perimenopausal.And the effect of acupuncture combined with Chinese medicine is better than single use of Chinese medicine.