Effect of heart regulating and mind calming acupuncture combined with cognitive behavioral therapy on patients with chronic insomnia
Objective To analyze the effect of heart regulating and mind calming acupuncture combined with cognitive behavioral therapy on patients with chronic insomnia(CID).Methods One hundred and two patients with CID treated at Hospital Affiliated to Shaanxi University of Chinese Medicine from September 2021 to August 2023 were selected,and divided into a control group and an observation group by lottery,with 51 cases in each group.There were 29 males and 22 females in the control group;they were(40.26±8.54)years old.There were 27 males and 24 females in the observation group;they were(42.73±8.15)years old.The control group received cognitive-behavioral therapy,while the observation group received heart regulating and mind calming acupuncture and cognitive-behavioral therapy.Both groups were intervened once a week for 4 weeks.The treatment effects and scores of Insomnia Severity Index(ISI),Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)and serum neurotransmitter levels before the treatment and after 4 weeks'treatment were compared between the two groups.Independent-sample t test and x2 test were applied.Results The total effective rate of the observation group was higher than that of the control group[96.08％(49/51)vs.84.31％(43/51)],with a statistical difference(x2=3.991,P=0.046).After 4 weeks'treatment,the scores of ISI and PSQI in the observation group were lower than those in the control group[(9.53±2.74)vs.(11.23±2.58)and(6.17±2.45)vs.(10.32±2.62)],with statistical differences(both P＜0.05).After 4 weeks'treatment,the levels of γ-aminobutyric acid and glutamic acid in the observation group were higher those in the control group[(10.42±1.32)ng/L vs.(8.61±0.95)ng/L and(17.42±0.92)μmol/L vs.(15.62±5.52)μmol/L],with statistical differences(both P＜0.05).After 4 weeks'treatment,the scores of SAS and SDS in the observation group were lower than those in the control group[(31.42±5.52)vs.(39.63±5.47)and(36.15±6.43)vs.(41.62±5.79)],with statistical differences(both P＜0.05).Conclusion Heart regulating and mind calming acupuncture combined with cognitive behavioral therapy for patients with CID can improve the treatment effect,alleviate their insomnia,improve their sleep quality and serum neurotransmitter levels,and alleviate their adverse emotions.
Cognitive behavioral therapyHeart regulating and mind calming acupunctureChronic insomniaApplication effect
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维普
