Clinical effect of acupuncture based on syndrome differentiation in the treatment of chronic insomnia and its influence on cognitive function.
10.13703/j.0255-2930.20230128-0004
- Author:
Bao-Xian WU
1
;
Shuo YANG
1
;
Rui HUANG
2
;
Yue LIAO
1
;
Xing-Rong ZHANG
1
Author Information
1. Department of Acupuncture-Moxibustion and Rehabilitation, Second Affiliated Hospital of Guizhou University of TCM, Guiyang 550001, China.
2. Department of Child Rehabilitation, Third Affiliated Hospital of Zunyi Medical University/First People's Hospital of Zunyi.
- Publication Type:Journal Article
- Keywords:
acupuncture;
chronic insomnia;
estazolam;
randomized controlled trial (RCT);
syndrome differentiation
- MeSH:
Humans;
Sleep Initiation and Maintenance Disorders/therapy*;
Estazolam;
Acupuncture Therapy;
Cognition;
Acupuncture Points;
Syndrome
- From:
Chinese Acupuncture & Moxibustion
2023;43(9):1014-1017
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the effect of acupuncture based on syndrome differentiation and estazolam in the treatment of chronic insomnia and its influence on cognitive function.
METHODS:A total of 90 patients with chronic insomnia were randomly divided into an acupuncture group and a medication group, 45 cases in each group. The acupuncture group was treated with acupuncture at Sishencong (EX-HN 1) and bilateral Shenmen (HT 7), Sanyinjiao (SP 6) combined with compatibility of acupoints based on syndrome differentiation, once a day for 6 d and then rest for 1 d, for a total of 4 weeks. The medication group was treated with oral estazolam tablets before bedtime, 1 tablet each time, for a total of 4 weeks. Before and after treatment, the scores of Pittsburgh sleep quality index (PSQI), mini-mental state examination (MMSE), Montreal cognitive assessment (MoCA) and auditory verbal memory test (AVMT) of the two groups were compared, and the effects were evaluated.
RESULTS:After treatment, the PSQI sub-item scores and total scores of the two groups were lower than those before treatment ( P<0.05 ), and above scores in the acupuncture group were lower than those in the medication group ( P<0.05 ); the scores of MMSE, MoCA and AVMT in the two groups were higher than those before treatment ( P<0.05 ), and the scores in the acupuncture group were higher than those in the medication group ( P<0.05 ). The total effective rate of the acupuncture group was 80.0% (36/45), which was higher than 53.3% (24/45) in the medication group (P<0.05).
CONCLUSION:Syndrome differentiation acupuncture can improve the sleep quality and cognitive function of patients with chronic insomnia, and the curative effect is better than that of estazolam.
