Effects of Midnight-noon Ebb-flow Acupuncture on Sleep and Blood Pressure in Patients with Phlegm-heat Type Insomnia and Essential Hypertension
Objective:To explore the effect of midnight-noon ebb-flow acupuncture on sleep and blood pressure in patients with phlegm-heat type insomnia combined with essential hypertension.Methods:Sixty-seven patients with phlegm-heat type insomnia and essential hypertension were randomly divided into 33 cases in the observation group and 34 cases in the control group.The control group was given amlodipine besylate tablets and estazolam tablets orally,and the observation group was treated with midnight-noon ebb-flow acupuncture on the basis of the treatment the control group accepted,they were treated for four courses of treatment.To observe and compare the Pittsburgh sleep quality index(PSQI),symptoms,dynamic blood pressure,blood pressure variability,and smoothness index before and after treatment in the two groups.Results:PSQI scores of the two groups decreased significantly after treatment compared with those before treatment(P<0.05),and the observation group was lower than the control group(P<0.05).All single symptom scores of the two groups after treatment decreased compared with those before treatment(P<0.05),and the decrease of the observation group was greater than that of the control group except for heavy sensation of head and oppression in chest(P<0.05).The dynamic blood pressure and blood pressure variability of both groups were lower than these before treatment(P<0.05),and the average systolic blood pressure at night,average systolic blood pressure during the day,systolic blood pressure variability at night and systolic blood pressure variability during the day of the observation group were lower than those of the control group(P<0.05);the smoothness indexes of both groups were higher than those before treatment(P<0.05),and the smoothness indexes of the night systolic blood pressure and daytime systolic blood pressure in the observation group were higher than those of the control group(P<0.05).Conclusion:Midnight-noon ebb-flow acupuncture could obtain definite clinical effects in treating patients with insomnia combined with hypertension,which can significantly improve clinical symptoms,reduce blood pressure variability,and lower blood pressure smoothly.
insomniaessential hypertensionacupoint selection based on midnight-noon ebb-flowneedlingPSQIblood pressure variabilitysmoothness index