Conventional Chinese Medicine And Acupuncture As Estazolam Replace Randomized Controlled Study Of The Treatment Of Insomnia

Background:Insomnia, either as a symptom or as a disorder is a common complaints in clinic, and can cause many problems that affects on people's life. These days, there is an increasing trend in patients and physicians to treat it by complementary medicine, especially Chinese herbs and acupuncture to reduce the dosage and side effects of western medicine drugs.Study design:This study consists of two parts. One is a cross sectional study in which we briefly investigate the reliability and validity of Chinese version of insomnia severity index scale in 113 patients with insomnia. In the second part of this study which is a randomized clinical trial in 60 patients with insomnia who had our inclusion and exclusion criteria, we compared the efficacy of two different Chinese medicine methods as the complementary medicine with estazolam including "Acupuncture plus oral estazolam" and "Chinese herb with administration of oral estazolam" in the treatment of insomnia for 3 weeks.we compared the effective rate.lSI change, changing in sleep parameters after 3 weeks treatment course, including:sleep latency, Day dysfunction, sleep disturbance, sleep duration, night dream, usage of estazolamm, and relapse rate after one month stopping the treatment.Results:in the cross sectional study, Cronbach-a coefficient of C-ISI (Chinese version of Insomnia severity Index) for the clinical group, control group and both of them was 0.72,0.75 and 0.91 respectively. The C-ISI component and total scores in test were significantly correlated with their related components and total scores in re-test (P<0.05). Mean Ranks for All C-ISI components, total score were significantly higher in clinical group than control group that presents low sleep quality in clinical group. There are Significant correlations between C-ISI component and total scores and C-PSQI components and Total scores in related Items.In the clinical trial part, we found "Chinese herb with administration of oral estazolam" and "Acupuncture plus estazolam" had no significant difference in Treatment effect (P value>0.05), ISI change (P value>0.05), sleep duration change (P value>0.05), sleep disturbance change (P value>0.05), sleep latency change (P value>0.05), day dysfunction (P value>0.05) after treatment. While "Chinese herb with administration of oral estazolam" was significantly more effective in night dream change (P value<0.05), using of estazolam (P value<0.05), relapse rate after one month (P value<0.001).in using "Acupuncture plus estazolam" severity of insomnia index has decreased quicker than" Chinese herb with administration of oral estazolam" after Ithweek treatment.Conclusion:Although there is no significant difference between" Chinese herb with administration of oral estazolam" and "Acupuncture plus estazolam", using herb plus estazolam is more effective than applying acupuncture plus estazolam in "decreasing of night dream"," reducing the usage of estazolam" and "relapse rate"...