针刺配合穴位贴敷治疗失眠的疗效观察OACSTPCD

Objective To observe the clinical efficacy of acupuncture plus aromatic point application in treating insomnia.Method Ninety patients with insomnia were randomized into a treatment group and a control group,with 45 cases in each group.The treatment group was intervened by acupuncture plus aromatic point application[Wu Zhu Yu(Fructus Evodiae),Rou Gui(Cortex Cinnamomi),and Su He Xiang(Styrax)],and the control group was treated with acupuncture plus conventional point application[Wu Zhu Yu(Fructus Evodiae)and Rou Gui(Cortex Cinnamomi)].Before and after 2 and 4 weeks of treatment,the following outcome measures were observed:the Pittsburgh sleep quality index(PSQI)scores(sleep quality,sleep latency,sleep duration,sleep efficiency,sleep disturbance,diurnal dysfunction,and general score)and polysomnography parameters[total sleep time and the lengths of non-rapid eye movement(NREM)stage Ⅰ,NREM stage Ⅱ,NREM stage Ⅲ,and rapid eye movement(REM)stage].The clinical efficacy was also compared between the two groups.Result After 2 and 4 weeks of treatment,the scores for all components of the PSQI,except for sleep duration,significantly decreased compared to the same group's pre-treatment scores(P＜0.05);After 2 and 4 weeks of treatment,the scores for all components of the PSQI,except for sleep efficiency,significantly decreased in the control group compared to their pre-treatment scores(P＜0.05);the sleep quality,sleep disturbance,and general scores were lower in the treatment group than in the control group with statistical significance(P＜0.05).After 2-week treatment,the treatment group showed a significant decrease in the lengths of NREM stages Ⅰ and Ⅱ and a significant increase in the length of NREM stage Ⅲ compared to the baseline(P＜0.05);after 4-week treatment,the treatment group showed a significant decrease in the lengths of NREM stages Ⅰ and Ⅱ and REM stage and a significant increase in the total sleep time and the length of NREM stage Ⅲ compared to the baseline(P＜0.05).After 4-week treatment,the control group had a significant decrease in the lengths of NREM stages Ⅰ and Ⅱand a significant increase in the total sleep time and the length of NREM stage Ⅲ compared to the baseline(P＜0.05).The two groups were significantly different in comparing the lengths of NREM stages Ⅰ,Ⅱ,and Ⅲ after 2-week treatment and in comparing the total sleep time and the lengths of NREM stage Ⅲ and REM stage after 4-week treatment(P＜0.05).The total effective rate was 77.8%in the treatment group,higher than 66.7%in the control group,and the difference was statistically significant(P＜0.05).Conclusion Acupuncture plus aromatic point application is an effective method in treating insomnia,and it takes a shorter time to act compared to the conventional point application.