The Effect Of Electro Acupuncture Shenmen On PSG And AIS 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 polysomnography(PSG)and Athens insomnia scale(AIS)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 64 patients that are chosen by the screening criteria.Then the patients will be divided into 2 groups using the IWRS system(Clinical Evaluation Center of Chinese Academy of traditional Chinese Medicine).One is the single cavity treatment(here in after referred to as single cavity group)and the other group called sham acpoints treatment group(here in after referred to as sham acpoints group).There are 32 single cavity patients,32 sham acpoints and 2 detachments to form 64 patients,among which there are 28 males and 36 males.The single cavity group takes the shenmen point.Meanwhile the sham acpoints group takes the midpoint between the acromion and binao.The patient should be in supine position then the shenmen points and sham points 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 PSG and AIS 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 group(1)Sham Acpoints groupFirst we should evaluate the 8 elements(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)in Athens insomnia scale during the sham acpoints 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 acpoints is not effective for curing insomnia.(2)Single Acupoints groupFirst we should evaluate the 8 elements(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)in Athens insomnia scale 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 point is effective for curing the insomnia.(2)Comparison between the groupsWe should make independent sample t test for all the elements in the Athens insomnia scale of two groups' treatments.The results show that there are obvious differences in the 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 of both groups(P<0.05),which shows that shenmen point is effective for curing insomnia.Then we will make independent sample t test of the total sleep time,sleep efficiency,waking-up times,the awaken time after falling asleep in the polysomnogram after the treatments of the two groups.The results show that the correlation factors in the sham acpoints and single acupoints have significant differences(P < 0.05),which means that shenmen points is effective in increasing sleeping time and efficiency,decreasing awaken times and cutting down the sober time after sleep.Conclusion: Shenmen point is effective in curing insomnia.It also has good effect in improving the sleeping associated symptoms.