The Effect Of Shenmen Acupoints And Sham Acupoints On PSQI And PSG In Patients With Primary Insomnia

Purpose: The primary insomnia patients as the research object,the randomized controlled trial methods,to EA Shenmen acupoints in the treatment of primary insomnia observed the therapy to patients by Pittsburgh sleep quality index(PSQI)and Polysomnography(PSG)effect,thus the Shenmen acupoints in the treatment of primary insomnia clinical curative effect evaluation,for compatibility theory and acupuncture in the clinical treatment of primary insomnia accurate prescription acupoints selection to provide a scientific basis.Method: There are 66 patients that are chosen by the screening criteria.A randomized controlled study was carried out and randomly divided into two groups according to the excel table.One is the shenmen acupoints treatment group and the other group called sham acupoints treatment group.The shenmen acupoints treatment group takes the shenmen acupoints.Meanwhile the sham acpoints group takes the midpoint between the acromion and binao.The patient should be in supine position then the shenmen acupoints and sham acupoints will be acupunctured by 0.25mm*25mm and 0.30*40mm filiform needles around which there will be the 0.20mm*13mm needles and the auxiliary needles to help energization.After getting the air,using the SDZ-V electronic needle treatment for the energization.The stimulation waveform will be CW 60 Hz.Take the patients’ endurance as the standard.Keep the needles for 30 minutes,treat the patients once a day and make 5 days a course of the treatment.After 4 weeks of the treatment,there should be a follow-up visit.Then we should use the PSQI and PSG as the observation target to observe the database of the baseline phase,post treatment,follow-up period.After this,the software SPSS19.0 should be used to analyze the database.Finally,the differences of the curative effects between the prior treatment and the post treatment in the group and the differences among each groups will be compared to get the conclusion.Result: On the basis of no obvious differences between the ages and genders of the insomniac though the statistics,the comparison in the groups and between each groups.(1)Comparison inside the group①Shenmen Acupoints groupFirst we should evaluate the 7 elements(sleep quality,sleep time,hours of sleep,sleep efficiency,sleep disorders,drug application and daytime dysfunction)in Pittsburgh sleep quality index during the single acupoints baseline phase and the post treatment and total points subjectively.Then we should evaluate the total sleep time,sleep efficiency,waking-up times,the awaken time after falling asleep in the polysomnogram,after which we should make the paired samples test.The statistical results shows that there are obvious differences between the prior treatments and post treatments(P<0.05),which shows that the shenmen acupoints is effective for curing the insomnia.②Sham Acupoints groupFirst we should evaluate the 7 elements(sleep quality,sleep time,hours of sleep,sleep efficiency,sleep disorders,drug application and daytime dysfunction)in Pittsburgh sleep quality index during the sham acupoints baseline phase and the post treatment and total points subjectively.Then we should evaluate the total sleep time,sleep efficiency,waking-up times,the awaken time after falling asleep in the polysomnogram,after which we should make the paired samples test.The statistical results shows that there are no obvious differences between the prior treatments and post treatments(P >0.05),which shows that the sham acupoints is not effective for curing insomnia.(2)Comparison between the groupsAfter treatment,the two groups of Pittsburgh sleep quality index(PSQI)and the total score of the independent sample t test,the statistical results showed that the two groups in terms of each factor and total score were significantly different(P <0.05)T test after treatment two groups of polysomnography in total sleep time,sleep efficiency,awakenings,sleep after waking time for independent samples.The results show significant differences between the group and the non acupoints of Shenmen group related factor(P < 0.05).Conclusion: 1.The treatment of primary insomnia of Shenmen acupoints is better than Sham acupoints;2.Shenmen acupoints in improving the quality of sleep in patients with primary insomnia,sleep time,hours of sleep,sleep efficiency,sleep disorders,sleep medication,daytime dysfunction,the number of awakening and sleep after waking time is better than Sham acupoints.