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  • Title: [Comparative observation of acupoint thread-embedding and acupuncture therapy of Shugan Tiaoshen for insomnia of liver depression and qi stagnation].
    Author: Li XR, Hou X, Ye YJ, Bu XM, An CL, Yan XK.
    Journal: Zhongguo Zhen Jiu; 2020 Dec 12; 40(12):1277-80. PubMed ID: 33415867.
    Abstract:
    OBJECTIVE: To compare the effect of Shugan Tiaoshen (soothing the liver and regulating mind) acupoint thread-embedding therapy and Shugan Tiaoshen acupuncture therapy for insomnia of liver depression and qi stagnation. METHODS: A total of 68 patients with insomnia of liver depression and qi stagnation were randomly divided into an acupoint embedding group (34 cases) and an acupuncture group (34 cases). Two groups were respectively treated with acupoint thread-embedding and acupuncture at Baihui (GV 20), Shenmen (HT 7), Neiguan (PC 6), Taichong (LR 3), Ganshu (BL 18) and Xinshu (BL 15). The treatment in the acupoint embedding group was given once a week, and in the acupuncture group was given once every other day for 6 weeks. The Pittsburgh sleep quality index (PSQI), self-rating anxiety scale (SAS), self-rating depression scale (SDS), TCM syndrome scores before and after treatment and medical expenses were compared between the two groups, and the clinical efficacy was evaluated. RESULTS: After treatment, the PSQI total scores, each sub-item score and SAS and SDS scores of the two groups were lower than those before treatment (P<0.05); the sleep quality, time during fall asleep, sleep time, sleep efficiency, daytime dysfunction scores and PSQI total score in the acupoint embedding group after treatment were lower than those in the acupuncture group (P<0.05). After treatment, except for constipation and yellowish urine, the sub-item scores and total scores of TCM syndromes in the two groups were lower than those before treatment (P<0.05); the sleep disturbance score of the acupoint embedding group was lower than that of the acupuncture group (P<0.05). The medical expenses in the acupoint embedding group was lower than that in the acupuncture group (P<0.05). The total effective rate of the acupoint embedding group was 85.3% (29/34), and the acupuncture group was 82.4% (28/34), there was no significant difference between the two groups (P>0.05). CONCLUSION: Shugan Tiaoshen acupoint thread-embedding therapy and Shugan Tiaoshen acupuncture therapy both have significant curative effect on insomnia of liver depression and qi stagnation, but acupoint thread-embedding therapy is better than acupuncture therapy in improving sleep quality and reducing medical expenses. 目的：比较“疏肝调神”组方埋线法与针刺法治疗肝郁气滞型失眠的疗效。方法：将68例肝郁气滞型失眠患者随机分为穴位埋线组（34例）及针刺组（34例）。两组均穴取百会、神门、内关、太冲、肝俞、心俞，分别行穴位埋线与针刺治疗，针刺组隔日1次，穴位埋线组每周1次，均治疗6周。比较两组治疗前后匹兹堡睡眠质量指数量表（PSQI）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、中医证候评分及医疗费用，并评定临床疗效。结果：两组治疗后PSQI总分、各分项评分及SAS、SDS评分均较治疗前降低（P<0.05），穴位埋线组治疗后睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能障碍评分及PSQI总分低于针刺组（P<0.05）。治疗后，除便秘、尿黄外，两组中医证候各项评分及总分均较治疗前降低（P<0.05）；穴位埋线组治疗后睡眠不安评分低于针刺组（P<0.05）。穴位埋线组医疗费用低于针刺组（P<0.05）。穴位埋线组总有效率为85.3%（29/34），针刺组为82.4%(28/34)，组间比较差异无统计学意义（P>0.05）。结论：基于“疏肝调神”组方的埋线法和针刺法治疗肝郁气滞型失眠均有显著的疗效，穴位埋线法在改善睡眠质量、减少医疗费用方面优于针刺法。.
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