Clinical Observation Of Perimenopausal Sub-health Insomnia By Scalp Acupuncture Combined With Tiaojing Anshen Decoction

Objective: To observe the clinical effect of perimenopausal sub-health insomnia,and to provide a scientific,effective and special treatment plan for the clinical treatment of perimenopausal sub-health insomnia.Methods: 64 patients with perimenopausal Sub-health Insomnia who met the diagnosis and inclusion criteria were randomly divided into comprehensive treatment group and western medicine control group,with 32 patients in each group.In the comprehensive treatment group,scalp acupuncture and Tiaojing anshen Decoction were adopted,and the western medicine control group gave oral eszolam tablets for a course of 3 weeks and followed up 1 month after the end of the intervention.PSQI,TSS,SAS,SDS were statistically analyzed using SPSS 25.0 software.Results:1.Clinical efficacy: After treatment,under the premise of P<0.05,the treatment method in the treatment group showed a total of 93.33%,and the treatment method in the control group showed a significant effect in 76.67%,so it can be concluded that A more accurate conclusion is that the efficacy can be regarded as statistically different.2.PSQI scores: By observing the scores after treatment,the treatment group showed a significant decrease,and there was a statistical difference(P<0.05);in the control group,except for daytime dysfunction,the other factors showed a significant decrease,so in the P<0.05 On the premise,the efficacy can be considered to be statistically different.Compared between groups,the treatment group was better than the control group in terms of sleep quality and daytime function(P<0.05),but in terms of sleep time,sleep efficiency,etc.,under the premise of P>0.05,its curative effect could not be considered statistically significant.learning differences.During the follow-up,the treatment group had more obvious advantages in sleep efficiency and quality items and daytime dysfunction,with statistical differences(P<0.05).3.TCM syndrome score: After receiving the corresponding treatment,both groups showed a very obvious decrease in the total score of syndrome scores,and the difference between the groups was significant.Therefore,a more accurate conclusion can be drawn that under the premise of P<0.05,the Efficacy can be considered statistically different.The scores of related factors in the treatment group were lower than those in the control group(P<0.05),such as irritability,spontaneous sweating,night sweating,palpitation,dizziness or headache,soreness of waist and knee,dry mouth,red tongue and less moss,and pulse count.4.Anxiety and depression standard scores:After receiving the corresponding treatment,both groups showed a significant decrease in the standard scores of anxiety and depression,so under the premise of P<0.05,the efficacy can be considered to be statistically different.If the difference between the groups is P>0.05,the efficacy cannot be considered to be statistically different.conclusion:1.Both scalp acupuncture combined with Tiaojing Anshen Decoction and estazolam can improve perimenopausal sub-health insomnia,but the effect of scalp acupuncture combined with Tiaojing Anshen Decoction is more significant than that of estazolam in sleep quality,daytime dysfunction and PSQI total score.2.the combination of scalp acupuncture and Tiaojing Anshen Decoction has more advantages in improving the TCM syndromes of Yin-deficiency and fire-hyperactivity syndrome,which is worthy of in-depth clinical research.3.the combination of scalp acupuncture and Tiaojing Anshen Decoction has obvious efficacy in improving anxiety and depression symptoms of subject,but it is not proved that the the efficacy of scalp acupuncture combined with Tiaojing Transhen Decoction is superior to estazolam in improving anxiety and depression symptoms.