Effect of Auricular Acupoint Bloodletting plus Auricular Acupressure on Sleep Quality and Neuroendocrine Level in College Students with Primary Insomnia: A Randomized Controlled Trial.
10.1007/s11655-022-3581-0
- Author:
Hao CHEN
1
;
Ming-Jian ZHANG
1
;
Jia-Ai WU
1
;
Yan-Fen SHE
2
;
Xin-Ru YUAN
1
;
Yun-Xiang HUO
1
;
Huan SUN
1
;
Dao-Nan LIU
1
;
Xu-Liang SHI
1
Author Information
1. College of Acupuncture Moxibustion and Massage, Hebei University of Chinese Medicine, Shijiazhuang, 050200, China.
2. College of Acupuncture Moxibustion and Massage, Hebei University of Chinese Medicine, Shijiazhuang, 050200, China. sheyanfen@163.com.
- Publication Type:Journal Article
- Keywords:
Chinese medicine;
auricular acupoint bloodletting;
auricular acupressure;
insomnia;
randomized controlled trial
- MeSH:
Humans;
Acupressure;
Acupuncture Points;
Bloodletting;
Sleep Initiation and Maintenance Disorders/therapy*;
Sleep Quality;
Syndrome;
Students;
gamma-Aminobutyric Acid
- From:
Chinese journal of integrative medicine
2022;28(12):1096-1104
- CountryChina
- Language:English
-
Abstract:
OBJECTIVE:To evaluate the effects of auricular acupoint bloodletting (AB) and auricular acupressure (AA) on sleep quality and the levels of melatonin (MT), glutamic acid (Glu), and γ -aminobutyric acid (GABA) in college students with primary insomnia, and to explore the possible mechanism.
METHODS:Totally 74 college students at Hebei University of Chinese Medicine with primary insomnia were selected from October 2019 to October 2020. All patients were assigned to AB+AA group (37 cases, received combination of AB and AA) and AA group (37 cases, received only AA on the same acupoints) by a random number table. Each group was treated twice a week for 4 weeks. The Pittsburgh Sleep Quality Index (PSQI) score, Chinese medicine (CM) syndrome score, total effective rate, serum concentrations of MT, Glu, and GABA, and Glu/GABA ratio were compared between the two groups after treatment and at follow-up. The safety of therapy was also evaluated.
RESULTS:After 4-week treatment, the total scores of PSQI, each PSQI component score, and the CM syndrome scores in both groups all decreased (P<0.05); the serum MT concentrations in both groups all increased (P<0.05). The concentrations of Glu and GABA in the AB+AA group were significantly higher than those in the AA group after treatment (P<0.05). However, there was no significant difference in the ratio of Glu/GABA in both groups before and after treatment (P>0.05). At follow-up, the CM syndrome score in the AB+AA group was significantly lower than that in the AA group (P<0.05). There was no significant difference between the two groups in total effective rates and adverse events (P>0.05).
CONCLUSIONS:Both AB+AA and AA can relieve insomnia symptoms, but a stronger long-term effect were observed for AB+AA. AB+AA can promote the secretion of MT, increase the levels of Glu and GABA more effective than AA, and regulate their imbalance, and thus it may be benificial for treating insomnia.
