| Objective:The purpose of this study is to observe the curative effect of massage gong "Yi Jinjing" on university students with prime insomnia(PI)compared with rTMS.And discuss the result of mechanism effect of "Yi JinJing" of PI in order to provide new ways of treatment for university students.Methods:1000 Athens insomnia scale(AIS)were delivered randomly in Nanjing University of Chinese Medicine in order to test the sleep quality of University students.Students who with PI who were treated in encephalopathy department of the Second TCM Hospital of Jiangsu Province between May 2016 and December 2017 were selected.All students were selected whose score of Pittsburgh Sleep Quality Index(PSQI)is more than 7 and AIS more than 6.These 60 students were divided into two groups randomly with 30 each.Yi Jinjing group where treated repeatedly with exercising of "Yi Jinjing" while rTMS group were treated with repetitive transcranial magnetic stimulation..Both groups were treated for 8 weeks during which AIS and PSQI were tested separately after 8 and 12 weeks.During the test,TST,SE,SL,AT,S 1?S4,REM,PSQI,HAMA,HAMD scores were given after 4 weeks of treatment in order to evaluate the long-term efficacy and sustained effect of the two groups of treatment on subjective sleep and mood of the patients,and to perform statistical analysis.Results:1.1000 copies of the Athens Insomnia Scale(AIS)were randomly distributed of which 837 were valid and 215 scored>6 points,accounting for 25.69%of all students.Boys have a higher rate of insomnia than girls.2.PSG results:Comparison between groups:After treatment,during the sleep process,the rTMS group was superior to the Yijinjing group in increasing the SE and increasing the TST time(P<0.05).In the sleep structure,the rTMS group was superior to the Yijinjing group in reducing the S1 time,increasing the SE,and increasing the REM time;in the increase of S3,the Yijinjing group was superior to the rTMS group(P<0.05).The rest showed no significant difference(P>0.05).Comparison within groups:After treatment,SL,AT,and SE in the sleep process of Yijinjing group were improved compared with treatment before(P<0.05).In the sleep structure,S1 time decreased and S3 sleep time increased(P<0.05);There was no significant difference in the rest(P>0.05).In the rTMS group,SL and AT decreased during sleep,and TST and SE increased(P<0.05);S3 and REM increased in the sleep structure(P<0.05);the others had no significant difference(P>0.05).3.PSQI conclusionComparison between groups:Comparison of PSQI factors and total scores after treatment:Daytime function difference between Yijinjing group and rTMS group after treatment(P<0.05),Yijinjing group was better than rTMS group;Sleep quality,sleep time,sleep disorders,sleep There was no significant difference in efficiency,hypnotic drugs and total scores(P>0.05).Comparison within groups:After 8 weeks treatment,the data between rTMs and "Yi Jirnjing" is obviously changed(P<0.05).Follow-up conclusion:Between-group comparisons:At the time of follow-up,the sleep quality,sleep time,,sleep efficiency,sleep disturbance score,and total score of the Yijinjing group were higher than those of the rTMS group(P<0.05).Intragroup comparison:The PSQI scores of the Yijinjing group were higher than those after 8 weeks of treatment(P<0.05).The sleep quality,sleep time,sleep efficiency,sleep disorders,hypnotic drugs and total scores of the rTMS group were higher than those after 8 weeks of follow-up(P<0.05);there was no significant difference in sleep time and daytime function(P>0.05).4.HAMA conclusionBetween groups:After 8 weeks of treatment,the HAMA total score of Yijinjing group was lower than that of rTMS group(P<0.05).Intragroup comparison:After 8 weeks of treatment,the total HAMA scores of Yijinjing group and rTMS group were lower than before(P<0.05).Follow-up:between-group comparisons:At the time of follow-up,there was no statistically significant difference between the Yijinjing group and the rTMS group HAMA(P>0.05).Intragroup comparison:The HAMA group in follow-up of the Yijinjing group increased after 8 weeks of treatment(P<0.05).In the rTMS group,the HAMA increased after 8 weeks of treatment(P<0.05).5.HAMD conclusionBetween groups:After 8 weeks of treatment,the HAMD score of Yijinjing group was higher than that of rTMS group(P<0.05).Intragroup comparison:After 8 weeks of treatment,the total HAMD scores of Yijinjing group and rTMS group were lower than before(P<0.05).Follow-up:Comparison between groups:At follow-up,the HAMD score of Yijinjing group was higher than that of rTMS group(P<0.05).Intra-group comparison:HAMD increased in the follow-up group of the Yijin group compared with 8 weeks after treatment(P<0.05).HAMD increased in the rTMS group at follow-up after 8 weeks(P<0.05).Conclusion:1.Students from Nanjing University of Chinese Medicine have bad sleeping condition which is very common.Boys are more serious than girls;and the proportion of insomnia among freshmen and senior students is high.2.8 weeks of Yijing improved the sleep time in PSG sleep process,reduced the number of awakening,and improved sleep efficiency.The decrease in light sleep time in sleep structure and the increase in deep sleep time suggested that Yijing can improve the objective sleep indicators of college students' PI.Compared with rTMS,Yi Jin Jing was superior to rTMS in increasing deep sleep,but it was inferior to rTMS in reducing shallow sleep time,improving sleep efficiency,increasing actual sleep,and rapid eye movement.The different roles between the two still need to be further explored by controlling the influencing factors.3.The 8 weeks of Yi Jin Jing have a role in the sleep time,sleep quality,sleep efficiency,daytime status and sleep disorders of subjective sleep of PI college students,and can reduce dependence on hypnotic drugs.Four weeks after the end of treatment,the two groups failed to continue functionally.Compared with rTMS,Yi Jin Jing is superior to rTMS group in reducing daytime functional impairment.The effect of Yijing on subjective sleep indicators was significant,but its continuous effect was limited.4.8 weeks of Yi Jin Jing exercise has an obvious improvement effect on anxiety symptoms of PI undergraduates,and is superior to rTMS treatment.However,both groups failed to produce sustained effects after 4 weeks of treatment.It shows that Yijinjing can improve anxiety state,but its continuous effect is limited.5.The 8 weeks of Yijing exercise significantly improved the depression symptoms of PI students,but it was not as good as rTMS treatment.After four weeks of treatment,the two groups failed to produce sustained effects,but the effect of rTMS was better than that of Yi Jin Jing.It shows that Yijinjing can improve depressive symptoms,but it is less effective than rTMS treatment in terms of effect and sustained effect.6.Yi Jing Jing improves the patient's status of anxiety and depression by reducing anxiety and anxiety in sleep patients.The interaction between the two will help improve the quality of life of college students.It can be used as a three-level prevention exercise method for college students. |
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