Effect Of Acupuncturing Single Acupoint Or Combinative Acupoints On ET And PSQI In Patients With Primary Insomnia

Purpose:Using electroacupuncture respectively stimulate the single acupoint or the compatibility acupoints to treat primary insomnia,and observing the differences of two methods for patients on ET and PSQI.Then evaluating the clinical curative effect for treating primary insomnia by electroacupuncturing single point or compatibility acupoints.And then providing a scientific basis for the compatibility acupoints theory and clinical prescription of acupuncture for treating primary insomnia.Method:In this study,the primary insomnia patients as the research object,using of randomized controlled trial as the design method.In the trial,72 patients were randomly divided into two groups according to the order of visit:the single point group and the compatibility acupoints group,36 cases in each group.Treatment methods:The treatment group of single acupoint use Shenmen(double),the treatment group of compatibility acupoints use Baihui,Shenmen(double)and Sanyinjiao(double).Patients were maintained at supine position,after acupuncture,using electroacupuncture stimulate the acupoints.The electroacupuncture is set to continuous wave 60 Hz,30min,5 days for 1 courses,and 2 days interval,continuous treatment of 5 courses.Follow and record the therapeutic effects after the end of treatment.Using ET as the objective indexes,and PSQI as the Subjective index,and To collect the relevant data,summarize the difference of clinical curative effect.Result:1.PSQI result: a.In two groups,compare symptoms before and after treatment and follow-up period,there are significant differences(P<0.05)in the time of 7factors(hypnagogic time,waking-up at night,waking-up earlier than expected,total sleep time,emotions during the days,physical functions in day time,drowsy in day time)b.The two groups of patients after treatment,hypnagogic time,waking-up at night,waking-up earlier than expected,total sleep time,emotions during the days,physical functions in day time,drowsy in day time etc.have significant difference(P<0.05).2.ET detection result:a.In two groups,compare neurotransmitter value before and after treatment,GABA,Glu,DA,5-HT,NE have a significant difference(P<0.05).b.The two groups of patients after treatment,GABA,Glu,5-HT,NEAch,DA content have a significant difference(P < 0.05).3.The overall clinical efficacy evaluation:single point group 36 cases,6 cases were cured,7 cases were markedly effective,effective in 12 cases,7 cases were ineffective,4 cases were losed the total efficiency of 69.44%.And compatibility acupoints group 36 cases,13 cases were cured,13 cases were markedly effective,effective in 5 cases,3 cases were ineffective,2cases were losed the total efficiency of 86.11%.Conclusion:1.Single point acupuncture and combination of acupoints for treating primary insomnia are both effective,but the effect of compatibility acupoints group is better than the single point.2.Combination of acupoints in improving the quality of sleep in patients with primary insomnia,leep time,hours of sleep,sleep efficiency,sleep disorders,daytime dysfunction,the number of awakening and sleep after waking time is better than Single acupoints.3.Combination of acupoints in exchanging GABA,5-HT,Glu,NE,DA is better than Single acupoints.