The Treatment Effect Of Wrist-ankle Acupunctures On Insomnia Symptoms In Patients With Palpitations Was Observed With Different Retention Times

Objective:1.Analyze the current situation and existing problems of the time parameters of wrist-ankle acupuncture treatment of insomnia through literature analysis to explore the rules;2.Through clinical control trial to clarify the effect of wrist-ankle acupuncture therapy on insomnia symptoms in patients with palpitations,and explore the effect of needle retention length on wrist-ankle acupuncture treatment on insomnia symptoms.Methods:1.Search all relevant literature published in China Knowledge Resources Database(CNKI),Wanfang Database,Weipu Database and Pub Med Database on wrist-ankle acupuncture intervention in insomnia,from the establishment of the database to December 2021.The time parameter information of acupuncture such as needle retention time,acupuncture interval time and course of treatment was extracted,and the time parameter rules of wrist-ankle acupuncture treatment for insomnia were summarized and analyzed.2.98 patients who were hospitalized in the cardiovascular department of three hospitals in Harbin from November 2021 to February2023 and met the exclusion criteria were selected by convenient sampling.According to the stratified randomization method,98 patients with palpitations and insomnia were randomly divided into control group,trial1 group and trial 2 group.The control group was given basic treatment and usual in-hospital care;Patients in trials 1 and 2 were given wrist-ankle acupuncture treatment on the basis of routine nursing,and the needles were kept for 30 min in trial group 1 and 1h in test group 2,acupuncture once a day,5 consecutive acupuncture times for 1 course of treatment,and 2 courses of treatment in all three groups.The general condition questionnaire was used to detect the consistency of basic data of the three groups of patients before the intervention,and the PSQI scale(Pittsburgh Sleep Quality Index)was applied respectively and the European Five Dimension Questionnaire 5 Level(EQ-5D-5L)evaluated the sleep quality and quality of life of the three groups of patients before and after the intervention,and used the Xiaomi Band to record and calculate the average daily sleep duration of the three groups in the first course and second course of treatment intervention.The above included data are entered into SPSS26.0 statistical software for statistical analysis.Results:1.There was no statistically significant difference in the scores of general data,PSQI scale and EQ-5D-5L scale of the three groups before the intervention(P>0.05),and the baselines of the three groups were basically consistent and comparable.2.Intra-group comparison before and after treatment,the scores of PSQI scale and EQ-5D-5L scale in the three groups were significantly improved,with significant differences(P<0.05).There was no significant difference in the average daily sleep duration of the three groups after one course of treatment(P>0.05),and compared with the first course of treatment,the average total daily sleep duration of the patients in each group was significantly increased after the two courses of treatment,and the difference was statistically significant(P <0.05)。3.After two courses of treatment,compared with the control group,the improvement effect of PSQI scale and EQ-5D-5L scale scores in patients in test groups 1 and 2 was more obvious,and the difference was statistically significant(P<0.05),while the treatment effect of patients in trial 1 and 2 groups was slightly different,but the difference was not statistically significant(P>0.05).Conclusion:1.Wrist and ankle acupuncture therapy can effectively relieve insomnia symptoms in patients with palpitations;2.The retention of wrist and ankle needles for 30 min and that for 1h,there is no significant difference in the improvement of insomnia symptoms.Clinical retention of wrist and ankle needles for 30 min and 1h can achieve the effective effect of improving insomnia.