Clinical Study On Acupuncture Combined With Traditional Chinese Medicine Decoction In The Treatment Of Menopausal Syndrome Insomnia Patients Of Disharmony Between The Heart And Kidney

ObjectiveTo explore the clinical effect of acupuncture combined with traditional Chinese medicine(TCM)decoction in the treatment of PerimenoPausal syndrome insomnia of disharmony between the heart and kidney.MethodsA total of 72 ptients who were diagnosed with perimenopausal syndrome insomnia of disharmony between the heart and kidney in the outPatient dePartment of TCM Rehabilitation Department of Huaiyin People’s Hospital of Jinan City from January 2021 to November 2021 were selected and randomly divided into three grouPs,26 cases in group I,24 cases in group Ⅱ,and group Ⅲ 22 cases.Group I was treated with acupuncture combined with TCM decoction,4 weeks as a course of treatment,and two courses of continuous observation.Group Ⅱwas treated with oral alprazolam for 8 consecutive weeks.Group Ⅲwas treated with estradiol tablets/estradiol-dydrogesterone tablets orally,every 28 days as a course of treatment,and two courses of continuous observation were made.The insomnia status of the three groups of subjects before and after treatment was evaluated by PSQI and TCM Syndrome Scale resPectively.The three groups of subjects were evaluated by PSQI scale and TCM Syndrome Scale before receiving treatment;after 8 weeks of treatment,all subjects received PSQI scale and TCM Syndrome Scale evaluation again,to judge the comprehensive effect of the three treatment methods on the subjects.Whether there is a positive clinical effect on sleep quality and TCM syndromes,and whether there is a difference in the clinical effects of the three treatments.At the same time,the clinical trial efficacy standard nimodiPine method was used to evaluate the effective rate.Results1.Comparison of PSQI scores after treatment:Comparison of the three groups of subjects before and after,the scores of group I and group II were significantly reduced,and the scores of group III were significantly reduced except for score A,with obvious Statistical difference(P<0.05).There were significant differences among the three groups in score A,score C,score G,and PSQI total score,with significant statistical significance(P<0.05).The three groups were compared in Pairs,and there were significant differences in score C,score G and PSQI total score between group I and group II,with significant statistical significance(P<0.05).PSQI total scores were significantly different,with significant statistical significance(P<0.05);compared with group Ⅱ,there were significant differences in score A and score G,with significant statistical significance(P<0.05).2.Comparison of TCM Syndrome Scale scores after treatment:The three groups of subjects were compared before and after,and the TCM Syndrome Scale scores were significantly decreased,with significant statistical difference(P<0.05).The three groups were compared with each other,and there was a significant difference in the TCM Syndrome Scale score,which was statistically significant(P<0.05).Pairwise comparisons,group Ⅰ versus group Ⅱ,group Ⅰversus group Ⅲ,and group Ⅱ versus group Ⅲ had significant differences in the TCM Syndrome Scale scores,with significant statistical significance(P<0.05).3.Evaluation of effective rate after treatment:There were significant differences in the calculated effective rate based on PSQI score,PSQI exclusion score F score,and TCM Syndrome Scale score among the three groups,with significant statistical significance(P<0.05).Pairwise comparison,based on PSQI score calculation,there were significant differences between group I and group II,and between group Ⅰ and group Ⅲ,with significant statistical significance(P<0.05);there was no significant difference between grouP Ⅱ and grouP Ⅲ.In the calculation of the effective rate based on the TCM Syndrome Scale score,there were significant differences in the TCM Syndrome Scale scores of groupⅠ compared with group Ⅱ,group Ⅰ compared with group III,and groupⅡ compared with group Ⅲ,with significant statistical significance(P<0.05).ConclusionsAcuPuncture combined with traditional Chinese medicine decoction theraPy can imProve the comprehensive sleeP quality of Patients with menoPausal syndrome insomnia with heart-kidney incompatibility and imProve the traditional Chinese medicine syndrome.It has a good theraPeutic effect,and the effect is better than that of sleePing Pills and hormone replacement theraPy.It is worthy of further research and clinical Promotion.