Clinical Efficacy of Sun's Abdominal Acupuncture Combined with CBTI in Treating Chronic Insomnia with Anxiety

Objective: This study aims to evaluate the clinical efficacy of Sun's abdominal acupuncture combined with cognitive behavioral therapy (CBTI) in the treatment of chronic insomnia with anxiety. Methods: A total of 86 patients diagnosed with chronic insomnia and anxiety were selected from October 2022 to September 2023. Patients were divided into two groups: the cognitive therapy group (treated with CBTI alone) and the combined therapy group (treated with Sun's abdominal acupuncture combined with CBTI). Various parameters including insomnia severity (measured by ISI score), sleep quality (assessed by PSQI score), polysomnography (PSG) results (including sleep duration, latency, wake time, and efficiency), cognitive function (MMSE score), anxiety symptoms (HAM-A score), and insomnia efficacy and anxiety efficacy were compared between the two groups. Results: The combined therapy group exhibited significantly lower ISI and PSQI scores compared to the cognitive therapy group (P < .05). PSG results showed increased sleep duration, decreased latency and wake time, and higher sleep efficiency in the combined therapy group (P < .05). Moreover, MMSE and HAM-A scores were significantly lower in the combined therapy group (P < .05). The total effective rate for both insomnia and anxiety efficacy were higher in the combined therapy group compared to the cognitive therapy group (P < .05). Conclusions: Sun's abdominal acupuncture combined with CBTI demonstrates superior clinical efficacy in the management of chronic insomnia with anxiety. This combined approach not only reduces insomnia severity and improves sleep quality but also enhances cognitive function and reduces anxiety symptoms. Overall, the efficacy of combined therapy surpasses that of CBTI alone, suggesting its potential for widespread clinical adoption and application.