| Objective:To observe the clinical efficacy of acupuncture therapy based on acupuncture "Anshen point group" in the treatment of insomnia patients with deficiency of both heart and spleen,and to analyze and compare with the control group,to evaluate the effect of this method on the clinical efficacy of insomnia patients with deficiency of both heart and spleen,to expand new ideas for the treatment of this disease,and to provide an effective and feasible optimization scheme for the acupuncture treatment of this syndrome in clinical practice.Methods:Sixty patients with insomnia who met the criteria in the outpatient department of acupuncture and moxibustion department of Shandong Provincial Hospital of Traditional Chinese Medicine were selected.The patients were divided into treatment group(30 cases)and control group(30 cases)by simple random number table method.The patients in the treatment group were treated with acupuncture at"Anshen acupoint group".The acupoints were mainly composed of Baihui,Dazhui,Taodao,Shendao,Lingtai,Zhiyang,Neiguan,Pishu and Gongsun on both sides.The acupuncture treatment of the patients in the control group was based on the treatment method of insomnia of spleen deficiency type in the center of "Acupuncture Therapy "(10th edition),and routine acupuncture treatment was performed.The two groups of patients were treated 5 times a week for 4 weeks.The PSQI scale and TCM syndrome score table were recorded before and after treatment and 1 month after treatment(follow-up),and the clinical efficacy was analyzed and compared.Results:In this study,60 patients were included.No adverse reactions occurred during the treatment,and no patients were discontinued and dropped during the period.1.Two groups of intra-group data analysis:(1)Analysis of PSQI scale:the total score of PSQI scale after treatment in both groups was lower than that before treatment,P<0.05,there was a statistically significant difference.(2)Analysis of TCM syndrome scale:the total score of TCM syndrome in the two groups after treatment was lower than that before treatment,P<0.05,there was a statistically significant difference.2.Data analysis between the two groups:(1)Analysis of PSQI scale:After treatment,the total score of PSQI scale in the treatment group was lower than that in the control group,P<0.05,the difference was statistically significant.Among the sleep factors,the scores of sleep time and daytime dysfunction in the PSQI scale of the treatment group were lower than those of the control group,P<0.05,the difference was statistically significant.(2)Analysis of TCM syndrome scale:after treatment,the total score of TCM syndromes in the treatment group was lower than that in the control group,P<0.05,the difference was statistically significant.3.Analysis after follow-up:(1)Analysis of PSQI scale:After follow-up,the PSQI score of the treatment group was lower than that of the control group,P<0.05,the difference was statistically significant.(2)Analysis of TCM syndrome scale:After follow-up,the total score of TCM syndromes in the treatment group was lower than that in the control group,P<0.05,the difference was statistically significant.4.The efficacy of sleep quality in the treatment group was 96.67%,and the efficacy of TCM syndromes was 86.67%.The control group was 90.00%and 76.67%,respectively.The difference between the two groups was statistically significant(P<0.05).Conclusion:1.Both treatment methods can reduce the total score of PSQI scale and TCM syndrome score of patients,and can improve the overall sleep quality of patients.However,acupuncture therapy based on "Anshen acupoint group"has higher clinical efficiency and better clinical efficacy.2.The acupuncture therapy based on "Anshen acupoint group" is superior to conventional acupuncture in improving the total score of PSQI scale and TCM syndrome score of insomnia patients with deficiency of both heart and spleen,as well as improving sleep time and daytime dysfunction.3.After the follow-up,acupuncture therapy based on "Anshen acupoint group" was superior to conventional treatment in improving the total score of PSQI scale and TCM syndrome score of insomnia patients with deficiency of both heart and spleen,and the clinical efficacy showed a maintenance effect within a certain period of time. |
