| Purpose:To study the difference of Sancai acupoints combination with Sham acupoint to the primary insomnia acupuncture treatment,test the Sancai acupoints co mbination curative effect is better than Sham acupoint or not,and discuss the effect of Sancai acupoints combination to primary insomnia patients' ET and PSQI,which use to guide its clinical application.Method:The topic targets primary insomniac,by the method of randomized controlled trial(RCT).According to screening criteria,collect 72 cases insomniacs which meet the criterion.To divide them into two groups by the method RCT.Sancai acupoints combination treatment group has 30 cases and 5 cases fall off.Sham acupoint control group has 30 cases and 7 cases fall off.Therapeutic method: Sancai acupoints combination treatment group use Baihui,Shenmen(Double),Sanyinjiao(Double);Sham acupoint control group make the acupoint in the middle of Binao with acromion.Patient in the supine position,use the hole area skin routine disinfection,take 0.30 mm x 25 mm or 0.30 mm x 40 mm needle acupuncture acupoints,and near heart beside the 0.5 cm with 0.20 mm x 13 mm needle to be to help electricity needle auxiliary.After the arrival of qi,to electrify the SDZ-V electronic needle therapy instrument,stimulation waveform for continuous wave 60 hz,strength in patient tolerance for degrees,retaining needle 30 min,5 days for a period of treatment.The treatment intervals for two days.A total treatment has five courses and follow-up visit after 4 weeks.With Pittsburgh sleep quality index(PSQI)and Encephalofluctuograph Technology(ET)as observation indexes,through the before and after treatment and follow-up visit,three points related curative effect index data,summarize the clinical curative effects.All the data will use the SPSS19.0 statistical software for analysis.To contrast the effect of Sancai acupoints combination acupuncture and sham acupoint acupuncture of primary insomniac group within and between groups of ET and the influence of PSQI.Result:(1)PSQI comparison in group:(1)Sham acupoint control group:Sham acupoint control group before and after treatment,after treatment and follow-up of PSQI total points and each factor points out paired sample t test.The statistical results showed P > 0.05,except total scores,prompting the sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs and daytime dysfunction and total score after treatment compared with before treatment there was no significant difference,stating sham acupoint acupuncture of primary insomnia no effect to the improvement of sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs and daytime dysfunction and total score and it is stable.Before and after reatment,after treatment and follow-up score result P<0.05,suggesting difference have statistical significance,without going through the acupuncture point group may be reduced index of PSQI score.(2)Sancai acupoints combination treatment group: Sancai acupoints combination group before and after treatment of PSQI total points and each factor points out paired sample t test.The statistical results showed P<0.05.Statistical results show that there are significant differences,illustrating Sancai acupoints combination acupuncture treatment for primary insomnia curative effect is distinct.Sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drug application and daytime dysfunction were improved.Each factor score and total score fall down.Sancai acupoints combination group after treatment and follow-up of PSQI total points and each factor points out paired sample t test.The sleep quality hypnotic drug application and total points statistical results showed P<0.05,illustrating sleep quality hypnotic drug application and total points have long-term curative effect after treatment and follow-up.The falling asleep time,sleep time,sleep efficiency,sleep disturbance and daytime dysfunction statistical results showed P>0.05,illustrating falling asleep time,sleep time,sleep efficiency,sleep disturbance and daytime dysfunction have the quite curative effect after treatment and follow-up.(2)PSQI comparison between groups: The two groups before treatment and after treatment and follow-up PSQI total points and each factor points out difference between t test analysis.The result shows that: Sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drugs,daytime dysfunction and total score comparison showed the two groups before treatment(P > 0.05).There was no statistically significant difference,so there were comparable between groups.Each factors and total score in the two groups after treatment compared with follow-up two group scores showed P < 0.05.Difference was statistically significant,illustrating Sancai acupoints combination group better than Sham acupoint group.Sancai acupoints combination acupuncture treatment for primary insomnia can improve sleep quality,reduce falling asleep time,more sleep,improve the efficiency of sleep,improve sleep disorders,reduce the hypnotic drug taking,improve daytime dysfunction,reduced the total score and score of each factor,and have the forward curative effect.(3)ET comparison in group:(1)Sham acupoint control group:Approved by t test,Sham acupoint control group ET testing r-aminobutyric acid,glutamate and serotonin,and acetylcholine,dopamine,norepinephrine treatment before and in the treatment,in the treatment and after treatment,all the test results showed P>0.05.There were no statistically significant difference(2)Sancai acupoints combination treatment group: Approved by t test,Sancai acupoints combination treatment group ET testing r-aminobutyric acid,glutamate and serotonin,and acetylcholine,dopamine,norepinephrine treatment before and in the treatment,in the treatment and after treatment,all the test results showed P<0.05.The difference have statistical significance.Therefore,suggesting Sancai acupoints combination acupuncture for the primary insomnia,makes r-aminobutyric acid,glutamate,serotonin and norepinephrine levels increase,acetylcholine and dopamine reduce.(4)ET comparison between groups: Contrast Sham acupoint control group and Sancai acupoints combination treatment group,r-aminobutyric acid,glutamate and serotonin,acetylcholine and noradrenaline and dopamine testing before treatment showed that all the measurement resultsP<0.05 by t test.There was no statistically significant difference.Two groups are comparable.The two groups' r-aminobutyric acid,glutamate,serotonin,acetylcholine,noradrenaline and dopamine testing in the treatment and after treatment,according to the t test showed P<0.05.The difference has statistical significance.Relative to the Sham acupoint control group,Sancai acupoints combination treatment group for primary insomnia can make the r-aminobutyric acid,glutamate and serotonin and norepinephrine levels increase,acetylcholine and dopamine reduce.Conclusion:(1)Sancai acupoints combination group acupuncture treatment for primary insomnia curative effect is distinct and Sham acupoint control group for the treatment of primary insomnia does not play a role.(2)Sancai acupoints combination group acupuncture treatment for primary insomnia can make the PSQI sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drug application,daytime dysfunction,each factor score and total score lower,and with long-term effect after the treatment.Without going through the acupuncture point group can also lower the PSQI index score,but little influence on various factors.Sancai acupoints combination is good treatment for primary insomnia better than that of without going through the hole.(3)Sancai acupoints combination group acupuncture in treating primary insomnia can make ET testing r-aminobutyric acid,glutamate,serotonin,norepinephrine test results increase,acetylcholine and dopamine reduce.Sancai acupoints combination is good point in the treatment of primary insomnia has a tendency to is better than that of without going through the acupuncture point group. |
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