| Objective This study through randomized controlled clinical research methods,to observe the clinical efficacy of the insomnial prescription of compendium of acupuncture and moxibustion,control group were treated with conventional acupuncture therapy and western medicine therapy.To evaluate the therapeutic efficacy of three kinds of therapy,to investigate the clinical value of the medical prescription of the insomnial prescription of compendium of acupuncture and moxibustion,and provide objective basis for better clinical treatment of this disease.Methods The 90 patients with Insomnia were randomly divided into the following groups:the treatment group,the routine acupoint group and the western medicine group.The treatment group:the use of the insomnial prescription of compendium of acupuncture and moxibustion(Taiyuan,Gongsun,Yinbai,Feishu,Yinlingquan,Sanyinjiao);the routine acupoint group received acupuncture prescription "in insomnia" acupuncture treatment(the main acupoints of Shenmen,Neiguan,Baihui;acupoints:heart-spleen deficiency add Xinshu,Pishu,Sanyinjiao;heart-gallbladder qi deficiency add Xinshu,Danshu,Qiuxu;heart-kidney imbalance,fire excess from yin deficiency add Taixi,Taichong,Yongquan;liver fire harassing the heart plus Xingjian,Fengchi,Taichong;phlegm heat disturbing heart plus Zhongwan,Fenglong,Neiting);western medicine group with oral administration of Estazolam Tablets.The treatment of acupuncture and moxibustion is once a day,10 times as a course of treatment,2 days per treatment interval,western medicine treatment once a night,1 tablets each time,three groups were treated for 3 courses.The PSQI evaluation scale,SF-36 quality of life scale,TCM syndrome type,curative effect and overall curative effect were statistically analyzed before and after treatment in the three groups.Results(1)After treatment,the total scores and scores of PSQI in the three groups increased compared with those before treatment(P<0.05).There was a significant difference between the two groups.The treatment group and the conventional acupoint group were better than those in the western medicine group(P<0.05).(2)After treatment,in the evaluation of PSQI scale,the treatment group was better than the conventional acupoint group in the change degree of sleep disorders score(P<0.05),and in sleep time and sleep disorders were significantly better than those in western medicine group(P<0.01).Compared with the western medicine group,the routine acupoint selection group had the same sleep time and sleep efficiency(P>0.05),but the difference was not statistically significant,but it was significantly better than that in the western medicine group in the time of falling asleep(P<0.01).(3)After treatment,scores increased compared with before treatment in the three groups have different degrees of SF-36 quality of life scale(P<0.05),there was statistically significant differences;and the treatment group and conventional acupuncture group was better than western medicine group(P<0.05),there was statistically significant difference.In the psychological health dimension,the treatment group was better than the conventional acupoint group(P<0.05),the difference was statistically significant,and the other two groups had no significant difference.(4)After treatment,the TCM syndrome,the Insomnial Prescription of Compendium of Acupuncture and Moxibustion group treatment of phlegm heat disturbing heart and heart-spleen deficiency effective rate was higher than that of routine acupuncture group and Western medicine group,but no difference,no statistical significance(P>0.05).(5)The total effective rate and the recovery rate of the treatment group were higher than those of the conventional acupoint group,but the difference was not statistically significant(P>0.05).The total effective rate of the treatment group was higher than that in the western medicine group,the difference was statistically significant(P<0.05),the recovery rate was higher than that in the western medicine group,and there was a significant difference(P<0.01).The total effective rate and the recovery rate of the routine acupoint group were higher than those in the western medicine group,and the difference was statistically significant(P<0.05).Conclusions The results of this study suggest that treatment of three groups of patients can improve the sleep quality and quality of life index in different extent,has certain advantages in mental health but the treatment group is "acupuncture" insomnia medical therapy in improving sleep disorders,PSQI,SF-36,and the better effect in the treatment of phlegm heat disturbance the heart and the heart and spleen two deficiency syndromes in two. |
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