Meta Analysis And Selection Rule Of The Treatment Of Primary Insomnia By Electro Acupuncture

Objective:The use of meta analysis method, analysis of electro acupuncture therapy in the treatment of primary insomnia curative effect, on the basis of this, electro acupuncture treatment of primary insomnia acupuncture prescription rules, the therapeutic effect of acupuncture on mining, optimize clinical treatment of primary insomnia treatment scheme.Method:Domestic database CNKI, Wanfang, VIP, SinoMed and foreign database PubMed Computer retrieval of domestic database CNKI, Wanfang, VIP, occupational negative event including and foreign database PubMed and retrieved from 2005.1-2014.12 nearly 10 years of electro acupuncture treatment of primary insomnia the RCT study, according to the inclusion and exclusion criteria selected 41 quality control studies, and extracted the data of intervention measures are summed up, the packet, using review Manager5.0 of software of literature clinical effectiveness by meta analysis. Analysis of efficacy results obtained after clear Meta, features of these documents are systematic statistics and sorting, including the selection of points, go through the application and combination of acupoints, compatibility effects, main and collateral channels of statistics and analysis of factors of the therapeutic effect of electroacupuncture.Result:1.Electro acupuncture for primary insomnia Meta analysis results:electro acupuncture and traditional Chinese medicine curative effect contrast that OR=3.48, 95% CI (1.88,6.44); simple electroacupuncture and sedative efficacy of Chinese medicine and Western medicine contrast that OR=3.36,95% CI (2.15,5.25); electroacupuncture and acupuncture curative effect contrast that OR=5.54,95% CI (2.89,10.60); experience the effect of electroacupuncture (EA) and ordinary electro acupuncture curative effect comparison OR=3.62,95%CI (2.02,6.49); electro acupuncture combined with other therapy and drug curative effect contrast that OR=4.39,95% CI (2.46,7.81).2.Electro acupuncture treatment of primary insomnia treatment group of acupuncture prescription of acupoints selection results: â‘ 41 acupuncture prescription in the main point was the meridian 32, the extraordinary points 5, experience points six acupoints. The total frequency of use of 210. â‘¡The prescription of acupuncture pointed the use frequency of more than 15 times with six points, followed by 20 times Yintang, Shenmen,19 times, Baihui and Anmian the 17 times, Sanyinjiao 16 times, Sishencong 15 inferior.â‘¢Main points of treatment group belonged to the meridian of the total frequency of using more than 15 times has four, Du 20 times respectively, Heart Sutra 19 times, Anmian by 16 times, kidney 15 times.3.The electro acupuncture treatment of primary insomnia treatment group main acupoints compatibility result:â‘  Acupuncture prescription in main acupoints compatibility using frequency more than 11 times had five points, followed by Yintang-Shenmen, Shenmen and Sanyinjiao the 13 times, Yintang and Baihui 12 times, Shenmen hypnotic, Shenmen-Baihui 11 times. â‘¡Treatment group the main point belonged to the meridian and the odd points the frequency of use of the compatibility of the extraordinary points and Du, the singular point and the Heart Sutra compatibility highest with 17 times, by the odd hole and spleen the compatibility for 14 times.4.Electro acupuncture in the treatment of primary insomnia treatment group interventions influencing factor of curative effect of results: â‘  Acupuncture prescription through acupoint electric frequency of use more than 10 times, followed by Baihui 16 times, Yintang 14 times, Anmian 12 times, Sishencong 12 times, Fengchi 10 times, head experience hole 10 times, the above points were distributed in the head and using the total frequency of 74. â‘¡ Application of electroacupuncture most waveform was rarefaction wave, using 16 times, followed by dense wave using 14 times; curative effect of electroacupuncture in dense wave to improve sleep disorder prominent literature accounted for 57% of the dense wave total amount of the literature, improve sleep quality and prolong the sleep time highlights the efficacy of literature each accounted for 50%, improve work day prominent curative effect of obstacle of literature accounted for 47%. â‘¢In dense wave contrast sparse wave to improve the symptoms of insomnia curative effect good premise, wave current density when long for 30 minutes 8 literatures, accounting for 57% of dense Bowen offer amount of. The acupuncture treatment of primary insomnia treatment was 20 times the number of documents was 17, accounting for 42% of the total amount of the literature.Conclusion:1.Electro acupuncture therapy in the treatment of primary insomnia curative effect was better than that of drug; experience in acupuncture treatment of primary insomnia curative effect is better than the ordinary acupuncture therapy; electro acupuncture therapy in the treatment of primary insomnia curative effect is better than that of routine acupuncture therapy.2.Acupuncture prescription acupoint selection based on Du Meridian on the scalp and the Heart Sutra Shenmen, compatibility with the head as non acupoint treatment of primary insomnia.3.To the head acupuncture based on the dense wave every time 30 minutes, 1 times a day,20 days for electro acupuncture treatment of primary insomnia treatment options..