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Objective <p>To observe the effects of needle-embedding therapy combined with Western medication on sleep quality, emotional state, and prognosis in patients with depression accompanied by insomnia.</p> Methods <p>A total of 50 patients with depression and insomnia treated between April 2019 and April 2020 were assigned to a medication group, and another 50 patients treated between May 2020 and May 2021 were assigned to a combination group. Both groups were treated with oral venlafaxine, while the combination group additionally received needle-embedding therapy. Traditional Chinese Medicine (TCM) symptom scores (excessive thinking and worrying, fatigue and weakness, and sleeplessness with irritability), sleep quality [Pittsburgh sleep quality index (PSQI)], and emotional state [17-item Hamilton depression scale (HAMD-17)] were compared between the two groups before treatment and after 2 weeks of treatment. Adverse reactions during treatment were recorded. Clinical efficacy was compared after treatment, and insomnia recurrence and readmission rates were observed 3 months after treatment.</p> Results <p>After 2 weeks of treatment, TCM symptom scores, PSQI, and HAMD-17 scores in both groups were significantly lower than those before treatment (<i>P</i>&lt;0.05), and all scores in the combination group were significantly lower than those in the medication group (<i>P</i>&lt;0.05). The total effective rate in the combination group was significantly higher than that in the medication group (<i>P</i>&lt;0.05). No significant adverse reactions occurred in either group during treatment. Within 3 months after treatment, the recurrence rate of insomnia and the readmission rate were significantly lower in the combination group than in the medication group (<i>P</i>&lt;0.05).</p> Conclusion <p>Needle-embedding therapy combined with oral venlafaxine is superior to venlafaxine alone in alleviating clinical symptoms and improving emotional states in patients with depression accompanied by insomnia, showing better short-term and long-term efficacy.</p>

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Observation on the effects of needle-embedding therapy combined with Western medication on sleep quality, emotional state, and prognosis in patients with depression accompanied by insomnia

  • 期刊论文

  • 发表日期：

    2025年12月23日

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  • Lanlan Fang,
  • Liping Dong

摘要

Objective

To observe the effects of needle-embedding therapy combined with Western medication on sleep quality, emotional state, and prognosis in patients with depression accompanied by insomnia.

Methods

A total of 50 patients with depression and insomnia treated between April 2019 and April 2020 were assigned to a medication group, and another 50 patients treated between May 2020 and May 2021 were assigned to a combination group. Both groups were treated with oral venlafaxine, while the combination group additionally received needle-embedding therapy. Traditional Chinese Medicine (TCM) symptom scores (excessive thinking and worrying, fatigue and weakness, and sleeplessness with irritability), sleep quality [Pittsburgh sleep quality index (PSQI)], and emotional state [17-item Hamilton depression scale (HAMD-17)] were compared between the two groups before treatment and after 2 weeks of treatment. Adverse reactions during treatment were recorded. Clinical efficacy was compared after treatment, and insomnia recurrence and readmission rates were observed 3 months after treatment.

Results

After 2 weeks of treatment, TCM symptom scores, PSQI, and HAMD-17 scores in both groups were significantly lower than those before treatment (P<0.05), and all scores in the combination group were significantly lower than those in the medication group (P<0.05). The total effective rate in the combination group was significantly higher than that in the medication group (P<0.05). No significant adverse reactions occurred in either group during treatment. Within 3 months after treatment, the recurrence rate of insomnia and the readmission rate were significantly lower in the combination group than in the medication group (P<0.05).

Conclusion

Needle-embedding therapy combined with oral venlafaxine is superior to venlafaxine alone in alleviating clinical symptoms and improving emotional states in patients with depression accompanied by insomnia, showing better short-term and long-term efficacy.