A Comparative Clinical Study between Acupuncture Based on Wrist and Ankle Acupuncture and Abdominal Acupuncture in Treating Insomnia Pa-tients with Liver-fire Disturbing Heart Type Anxiety Disorder
Objective To explore the clinical efficacy of different needling methods,such as wrist and ankle needling and abdominal needling,for the treatment of insomnia patients with liver-fire disturbing heart type anxiety disorder.Methods A total of 96 patients diagnosed with cardiotype anxiety disorder caused by liver fire and insomnia in the De-partment of Traditional Chinese Medicine of Nanhai District People's Hospital of Foshan City from January 2021 to December 2022 were selected as the study objects,and were divided into control group(oral alprazolam tablets),treat-ment group 1(wrist and ankle acupuncture treatment group)and treatment group 2(abdominal acupuncture treatment group)by random number table method,with 32 cases in each group.Before and after treatment,three groups of indi-cators were evaluated,including the Hamilton Anxiety Scale(HAMA),Self Rating Anxiety Scale(SAS),Beck Anxiety Inventory(BAI),Pittsburgh Sleep Quality Index(PSQI),and Traditional Chinese Medicine(CTAM)Syndrome Score.Results Compared with before treatment,HAMA,SAS,BAI,PSQI and TCM syndrome scores of the 3 groups showed improvement after treatment,the differences were statistically significant(all P<0.05).After treatment,HAMA,SAS,BAI,PSQI and TCM syndrome scores in the wrist-ankle acupuncture treatment group and abdominal acupuncture treatment group were better than those in the control group,the differences were statistically significant(all P<0.05).Before and after treatment,there was no significant difference in the D-value of HAMA,SAS,BAI,PSQI and TCM syndrome scores between the wrist-ankle acupuncture treatment group and the abdominal acupuncture treatment group(all P>0.05).Compared with the abdominal acupuncture treatment group,the wrist ankle acupuncture treatment group showed a significant decrease in SAS score after treatment,and the difference was statistically significant(P<0.05).Conclusion The wrist ankle acupuncture and abdominal acupuncture have significant therapeutic effects on pa-tients with liver fire disturbance type anxiety disorder and insomnia,and can significantly reduce their HAMA,SAS,BAI,PSQI,and traditional Chinese medicine syndrome scores.Both acupuncture methods have their own advantages,and compared to oral administration of alprazolam alone,wrist ankle acupuncture and abdominal acupuncture have better therapeutic effects on insomnia.
Wrist and ankle acupunctureAbdominal acupunctureInsomnia
万方数据
维普
