调神针法治疗原发性失眠症的疗效观察OA

Objective To observe the clinical efficacy of the Tiao Shen acupuncture method in the treatment of primary insomnia(PI).Method A total of 74 patients with PI were randomly assigned to a treatment group(37 cases)and a control group(37 cases,with 2 dropouts).The treatment group received the Tiaoshen acupuncture method,whereas the control group received sham acupuncture using the Park sham device.Changes in Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS),self-rating depression scale(SDS),Epworth sleepiness scale(ESS),and fatigue scale-14(FS-14)scores were assessed before treatment,after treatment,and at follow-up.Clinical efficacy was compared between the two groups.Polysomnography(PSG)and heart rate variability(HRV)parameters were evaluated after treatment.Result In the treatment group,PSQI scores after treatment and at follow-up were lower than those before treatment(P＜0.05).In both groups,PSQI scores at follow-up were higher than those immediately after treatment(P＜0.05).The treatment group had lower PSQI scores than the control group both after treatment and at follow-up(P＜0.05).In the treatment group,SAS and SDS scores decreased significantly after treatment compared with baseline(P＜0.05),and SDS scores at follow-up remained lower than baseline values(P＜0.05).In both groups,SAS and SDS scores at follow-up were higher than those after treatment(P＜0.05).After treatment,SAS and SDS scores in the treatment group were lower than those in the control group(P＜0.05).After treatment,ESS and FS-14 scores in the treatment group decreased significantly after treatment compared with baseline(P＜0.05),and FS-14 scores at follow-up remained lower than baseline values(P＜0.05).After treatment,ESS and FS-14 scores in the treatment group were lower than those in the control group(P＜0.05).PSG results showed that total sleep time and non-rapid eye movement 3 sleep duration were higher,whereas non-rapid eye movement 1 sleep duration was lower,in the treatment group than in the control group after treatment(P＜0.05).The low-frequency power/high-frequency power ratio of HRV was lower in the treatment group than in the control group after treatment(P＜0.05).Conclusion The Tiao Shen acupuncture method can improve sleep quality in patients with primary insomnia and also ameliorate emotional disturbances,daytime sleepiness,and fatigue.