Acupuncture for perimenopausal early-wake insomnia: a randomized controlled trial.
10.13703/j.0255-2930.20211009-k0004
- Author:
Jian-Fang ZHU
1
;
Tao LIU
1
;
Fen HU
2
;
Ji-Li SHENG
2
;
Yuan-Yuan JIN
1
Author Information
1. Department of Acupuncture and Moxibustion, Zhejiang Hospital, Hangzhou 310013, China.
2. Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053.
- Publication Type:Randomized Controlled Trial
- Keywords:
Pittsburgh sleep quality index (PSQI);
acupuncture;
perimenopausal early-wake insomnia;
sleep actigraphy;
sleep-wake state
- MeSH:
Acupuncture Points;
Acupuncture Therapy;
Humans;
Perimenopause;
Sleep Initiation and Maintenance Disorders/therapy*;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2022;42(6):608-612
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the clinical effect of acupuncture for perimenopausal early-wake insomnia.
METHODS:A total of 60 patients with perimenopausal early-wake insomnia were randomly divided into an observation group (30 cases, 3 cases dropped off) and a control group (30 cases, 2 cases dropped off, 2 cases were removed). In the observation group, acupuncture was applied at Baihui (GV 20), Yintang (GV 24+), Anmian (Extra), Hegu (LI 4), Shenmen (HT 7), Taichong (LR 3), Taixi (KI 3), etc., once every other day, 3 times a week. In the control group, oryzanol tablets were taken orally, 20 mg each time, 3 times a day. Both groups were treated for 4 weeks. Before and after treatment, the sleep actigraphy (ACT) was used to measure the effective sleep time, sleep quality, wake-up time, wake-up frequency, each wake-up time, and the Pittsburgh sleep quality index (PSQI) score and early-wake score were compared in the two groups, and the clinical effect was assessed.
RESULTS:After treatment, compared before treatment, the effective sleep time was prolonged and the sleep quality was improved (P<0.05), the wake-up time, each wake-up time were shortened and wake-up frequency was decreased (P<0.05), the PSQI score and early-wake score were decreased (P<0.05) in the observation group. After treatment, the wake-up frequency, PSQI score and early-wake score were decreased in the control group (P<0.05). The effective sleep time, sleep quality, wake-up time, wake-up frequency, each wake-up time, PSQI score and early-wake score after treatment in the observation group were superior to the control group (P<0.05). The total effective rate was 88.9% (24/27) in the observation group, which was higher than 38.5% (10/26) in the control group (P<0.05).
CONCLUSION:Acupuncture can increase the effective sleep time and improve sleep quality in patients with perimenopausal early-wake insomnia.