Clinical Research On The Effects Of Acupuncture On Sleep Quality And Cognitive Function For Senile Primary Insomnia

Objective:To observe the effects of acupuncture on sleep quality and cognitive function for senile primary insomnia and to further study the therapeutic of acupuncture on senile primary insomnia.Methods:The 60 cases of senile primary insomnia were randomly divided into treatment group and control group,30 cases in each group.At the end of the treatment,there was two cases dropped in each group.The therapeutic group was treated with acupuncture and the control group given estazolam tablets.Both groups were treated one time a day for 4 weeks.To evaluate the sleep quality of patients with PSQI and assess the degree of patients with cognitive impairment with Mo CA.Results:1.After 4 weeks of treatment,PSQI scores were significantly lower than before treatment(P<0.05),but there was no statistically significant difference between the treatment group and the control group after treatment(P>0.05).2.The clinical efficacy:the treatment group markedly effective rate was46.4%(13/28),the control group markedly effective rate was 35.7%(10/28),which has no statistical significance(P > 0.05)between two groups.3.After 4 weeks of treatment,Mo CA score in both groups was better than that before treatment(P<0.05)and the total score,visual space/executive function,delayed recall and attention in the treatment group were better than those in the control group(P<0.05).4.Sleep quality was negatively correlated with cognitive function(P<0.05).Conclusion:1.Acupuncture can improve the sleep quality in senile primary insomnia,and its efficacy is similar to estazolam.2.Acupuncture is better than estazolam in improving the cognitive function of senile primary insomnia,especially in terms of visual spatial/executive function,attention and delayed recall.3.The worse the sleep quality,the more obvious the impairment of cognitive function,and the improvement of sleep quality is conducive to the recovery of cognitive function.