| Objective: To observe the clinical efficacy of electro-acupuncture at Baihui and Yin Tang for insomnia of the heart-kidney disorder type and to compare it with the traditional milli-acupuncture method.Methods: Sixty qualified patients were selected and divided into a treatment group and a control group by a randomized control method,with 30 cases in each group.30 patients in each group were treated with the same acupuncture points,of which the Baihui and Yin Tang points were treated with an electronic acupuncture device in the treatment group,while the rest of the acupuncture points were treated with the milli-acupuncture method for a total of 3 courses of treatment.Before and after treatment,60 patients were evaluated on the Pittsburgh Sleep Quality Index Scale(PSQI),Athens Insomnia Scale(AIS),and the TCM Syndrome Integral Scale,comparing the changes in the observation indicators before and after treatment,to evaluate the efficacy of the two treatment regimens by statistical methods.Results: 1.After treatment,the total PSQI score and the scores of each component were reduced in both groups compared with those before treatment(P <0.05);among them,the difference between the pre-and post-treatment values of the 4items of total PSQI score,sleep quality,sleep efficiency and sleep disturbance were greater in the treatment group compared with the control group(P < 0.01),and the difference between the 2 items of time to fall asleep and sleep duration were different compared with the control group(P < 0.05),while daytime functional impairment was not significantly different in the two groups(P > 0.05).2.After treatment,the AIS scores of both groups decreased compared with those before treatment,and P < 0.05;in the comparison of the difference between before and after treatment,the treatment group was better than the control group(P < 0.05).After treatment,the degree of improvement in the symptoms of heart and kidney disorders was statistically significant in both groups(P < 0.05);the difference between the treatment group and the control group was greater(P < 0.05)in the three items of the total score,disturbed heart and sleeplessness,and dizziness and tinnitus,and the improvement effect was more obvious;while the difference between the two groups in the five items of palpitations and dreaminess,soreness and weakness of the waist and knees,dry mouth and throat,irritable fever and night sweating,and diaphoresis was not significant(P > 0.05).The difference between the two groups was not significant(P>0.05),indicating that the clinical improvement effect was the same.4.The total effective rate of the two groups was 93% for the treatment group and 83% for the control group,with the treatment group being higher than the control group(P <0.05),indicating that the total effective rate of the two groups was statistically significant and that the clinical effect of electroacupuncture Baihui and Yintang in treating the heart-kidney discomfort type of insomnia is better.Conclusions: 1.For insomnia of the heart-kidney incompatibility,electro-acupuncture of Baihui and Yin Tang and milli-acupuncture are both effective,with the final therapeutic effect of electro-acupuncture of Baihui and Yin Tang being more pronounced.2.The electro-acupuncture of Baihui and Yin Tang is more effective in most of the indicators and overall improvement in the three scales,indicating that the clinical advantages of this treatment are more pronounced. |