Clinical Research Of Abdominal Acupuncture For Insomnia

Objective:To explore the effect and advantage of abdominal acupuncture compared with normal acupuncture for insomnia by observing the effect and safety of abdominal acupuncture on changing Pittsburgh sleep quality index(PSQI) and its 7 sleeping factors.To provide theory basis for abdominal acupuncture in treating with insomnia by discussing its mechanism.Methods:Forward-looking,randomized controlled and single-blinded method was used. We divided the cases that met the including criteria into 3 groups:abdominal acupuncture group,normal acupuncture group and pseudo abdominal acupuncture group which was regarded as blank controlled group.Cases in abdominal acupuncture group were treated by abdominal acupuncture;the points chosen in normal acupuncture group were based on the chapter "insomnia" of of the 7^th edition.For the pseudo abdominal acupuncture group,all the points were lcm left lateral to the right abdominal points.The treating was one time a day,every time the needles were remained for 30 minutes.The treatment process was 10 times(the first week was 5 times every day,Saturday and Sunday stopped,the second week was the other 5 times). Before and after the treatment,the PSQI and its 7 sleeping factors and the safety index were observed.1 month after the treatment,the PSQI and its 7 sleeping factors were inquired again by telephone and letter.All the data were analyzed by spss 13.0 statically.Results:(1) After the treatment and 1 month after the treatment,the PSQI and 7 sleeping factors were reduced obviously in abdominal acupuncture group and normal acupuncture group,P＜0.05;as there was no significant difference change of PSQI and 7 sleeping factors in pseudo acupuncture group,P＞0.05. (2) For three groups,the PSQI and 7 sleeping factors had no obvious changes between after treatment and 1 month flowing.(3) After treatment and 1 month following,there was no significant difference of PSQI between abdominal acupuncture and normal acupuncture group,P＞0.05.(4) Among 7 sleeping factors,after the treatment and 1 month following,there were significant difference between abdominal acupuncture and normal acupuncture in 3 sleeping factors as sleeping quality,time needed in falling asleep and sleeping disturbance,P＜0.05.(5) The safety test items after the treatment:there were no abnormality in all the 3 groups:heart rate;rhythm of the heart;blood pressure;routine test of blood,urine,defecate;electrocardiogram,function of liver(ALT),function of kidney(BUN).(6) During the treatment,we observed infection,injury and patients who couldn't endure the needle:there were 2 cases in abdominal group,1 case in pseudo abdominal group and 3 cases in normal acupuncture group had obvious subcutaneous blood stasis.We asked the cases to apply raw potato slices to affected area and they persisted in treatment after our explanation.There were 2 cases in normal acupuncture group couldn't endure the pain and discomfort during the treatment,we also explained to them and reduced the stimulation,they persisted in the treatment. All the 3 groups had no infectious cases.Conclusion:Both abdominal acupuncture and normal acupuncture can reduce the PSQI of insomnia patients,and the effect could last for 1 month following. Abdominal acupuncture is better than normal acupuncture in reducing some sleeping factors although abdominal acupuncture has no obvious advantage for improving general situation of sleeping compare with normal acupuncture,it has less pain,comparative standard prescription and manipulation,which is suitable for popularizing in clinic.