头穴透刺法治疗失眠症的随机对照研究

doi:10.3736/jcim20100206

Abstract

Background

Insomnia has become a threat to public health, and acupuncture has shown an advantage in treatment of insomnia with good efficacy and few side effects.
Objective

To observe the therapeutic effects of scalp penetration acupuncture for insomnia.
Design, setting, participants and interventions

A total of 70 insomnia cases meeting inclusion criteria from Department of Acupuncture and Moxibustion, General Hospital of People's Liberation Army were randomly divided into routine acupuncture group and scalp penetration acupuncture group. There were 32 cases in the scalp penetration acupuncture group, and 34 cases in the routine acupuncture group, for four cases lost to follow-up. The insomnia patients were all treated for four weeks.
Main outcome measures

The therapeutic effects, cumulative scores of Pittsburgh Sleep Quality Index (PSQI) and contents of sleep architecture were compared before and after treatment in the two groups.
Results

The total response rate of 90.6% in the scalp penetration acupuncture group was higher than 73.5% in the routine acupuncture group (P<0.05), and the improvements of PSQI cumulative scores in sleep quality, sleep time and sleep efficiency in the scalp penetration acupuncture group were superior to those in the routine acupuncture group (P<0.05, P<0.01). The total sleep time and deep sleep time of sleep architecture in the scalp penetration acupuncture group significantly increased as compared with those in the routine acupuncture group (P<0.01).
Conclusion

The therapeutic effects of scalp penetration acupuncture are better than those of routine acupuncture, especially for improving sleep quality, sleep time and sleep efficiency.

Key words: Insomnia, Acupuncture and moxibustion, Scalp acupuncture, Randomized controlled trial

Zhang-ling Zhou, Xian Shi, Shao-dan Li, Ling Guan. Scalp penetration acupuncture for insomnia: A randomized controlled trial. Journal of Chinese Integrative Medicine, 2010, 8(2): 126-130.

/ / Recommend

Add to citation manager EndNote| Reference Manager|ProCite|BibTeX|RefWorks

URL: http://www.jcimjournal.com/EN/10.3736/jcim20100206

http://www.jcimjournal.com/EN/Y2010/V8/I2/126

TrendMD

Figures/Tables 3

Figure 1

Table 1

Table 2

References 10

[1]	Fan LF, Wang PR, Lan PM . The study on the sleeping mechanisms[J]. Lin Chuang Nei Ke Za Zhi, 2005,22(10):662-664
	范利锋, 王平仁, 兰培敏 . 睡眠机制的研究概况[J]. 临床内科杂志, 2005,22(10):662-664
[2]	Li SD, Yang MH . Relationship between brain and insomnia in TCM theory[J]. Tianjin Zhong Yi Yao, 2008,25(1):34-36
	李绍旦, 杨明会 . 试论中医“脑”与失眠[J]. 天津中医药, 2008,25(1):34-36
[3]	Society of Psychiatric Diseases, Chinese Medical Association . Classification and diagnostic criteria of psychiatric diseases in China[J].3rd ed. Jinan: Shandong Science and Technology Press, 2001: 87-89
	中华医学会精神科分会. 中国精神疾病分类与诊断标准(CCMD-Ⅲ)[J].第3版. 济南: 山东科学技术出版社, 2001: 87-89
[4]	Ministry of Health of the People's Republic of China. Guidelines for clinical research on Chinese new herbal medicines[J].Beijing: Medical Science and Technology Publishing House of China, 1993
	中华人民共和国卫生部. 中药新药临床研究指导原则[J].北京: 中国医药科技出版社, 1993
[5]	Wang XD, Wang XL, Ma H. Rating scales for mental health[J]. Beijing: Chinese Mental Health Journal Press, 1999: 375-378
	汪向东, 王希林, 马弘 . 心理卫生评定量表手册(增订版)[J].北京: 中国心理卫生杂志社, 1999: 375-378
[6]	Li SD, Yang MH, Liu Y, Zhou DF . Analysis of sleep architecture in sub-healthy people with insomnia[J]. hongguo Zong He Lin Chuang, 2008,24(7):631-633
	李绍旦, 杨明会, 刘毅, 周登峰 . 亚健康失眠人群睡眠结构分析[J]. 中国综合临床, 2008,24(7):631-633
[7]	Expert Consensus Group . A draft for expert consensus in definition, diagnosis and medication treatment of insomnia[J]. Zhonghua Shen Jing Ke Za Zhi, 2006,39(2):141-143
	共识专家组. 失眠定义、诊断及药物治疗专家共识(草案)[J]. 中华神经科杂志, 2006,39(2):141-143
[8]	Zhang Y, Wu XD . Factor analysis and countermeasures of insomnia[J]. Shaanxi Zhong Yi Xue Yuan Xue Bao, 2002,25(5):12-14
	张颖, 吴旭东 . 失眠症因素分析与对策[J]. 陕西中医学院学报, 2002,25(5):12-14
[9]	Ni JX, Zhu WZ . Clinical comparative study of scalp penetration acupuncture in treatment of 76 cases of insomnia[J]. Zhen Jiu Lin Chuang Za Zhi, 2006,22(12):35-36
	倪金霞, 朱文增 . 头穴透刺为主治疗失眠76例患者临床对比研究[J]. 针灸临床杂志, 2006,22(12):35-36
[10]	Tian J . Efficacy observation of scalp penetration acupuncture in treatment of 30 cases of migraine headache[J]. Shi Yong Zhong Yi Nei Ke Za Zhi, 2006,20(6):675-676
	田菁 . 头部透穴疗法治疗偏头痛30例疗效观察[J]. 实用中医内科杂志, 2006,20(6):675-676

Related Articles 15

[1]	Sherman Gu, Arthur Yin Fan. Controversial conclusions from two randomized controlled trials for acupuncture's effects on polycystic ovary syndrome or in vitro fertilization support. Journal of Integrative Medicine, 2020, 18(2): 89-91.
[2]	Gerli E.G. Herr, Fábio Goulart da Silva, Francisco José Cidral-Filho, Fabricia Petronilho, Lucinéia Gainski Danielski, Mariana Pereira de Souza Goldim, Afonso Shiguemi Inoue Salgado, Franciane Bobinski, Daniel Fernandes Martins, Eliane R. Winkelmann. Effects of the use of bioceramic wraps in patients with lower limb venous ulcers: A randomized double-blind placebo-controlled trial. Journal of Integrative Medicine, 2020, 18(1): 27-.
[3]	Xin-yu Yue, Zhuo-qi Feng, Xi-yi Yu, Jia-min Hu, Xiao-Jing He, Shi Shu. Fire-needle acupuncture for upper limb spastic paralysis after stroke: Study protocol for a randomized controlled trial. Journal of Integrative Medicine, 2019, 17(3): 167-172.
[4]	Ya-ru Huangfu, Wei Peng, Bao-jun Guo, Zhi-fu Shen, Li Li, Shi-wei, Liu, Hui Zheng, You-ping Hu. Effects of acupuncture in treating insomnia due to spleen-stomach disharmony syndrome and its influence on intestinal microbiome: Study protocol for a randomized controlled trial. Journal of Integrative Medicine, 2019, 17(3): 161-167.
[5]	Pádraic J.Dunne, Julie Lynch, Lucia Prihodova, Caoimhe O'Leary, Atiyeh Ghoreyshi, Sharee A. Basdeo, Donal J.Cox, Rachel Breen, Ali Sheikhi, Áine Carroll, Cathal Walsh, Geraldine McMahon, Barry White. Burnout in the emergency department: Randomized controlled trial of an attention-based training program. Journal of Integrative Medicine, 2019, 17(3): 173-180.
[6]	Pei Qin, Bruce D. Dick, Ada Leung, Cary A. Brown . Effectiveness of hand self-shiatsu to improve sleep following sport-related concussion in young athletes: a proof-of-concept study. Journal of Integrative Medicine, 2019, 17(1): 24-29.
[7]	J.M. Oliver-Baxter, H.S. Whitford, D.A. Turnbull, M.J. Bond. Effects of vitamin supplementation on inflammatory markers and psychological wellbeing among distressed women: A randomized controlled trial. Journal of Integrative Medicine, 2018, 16(5): 322-328.
[8]	Parunkul Tungsukruthai, Preecha Nootim, Wiwan Worakunphanich, Nareerat Tabtong. Efficacy and safety of herbal steam bath in allergic rhinitis: A randomized controlled trial. Journal of Integrative Medicine, 2018, 16(1): 39-44.
[9]	Zahra Hajmohammadi, Mojtaba Heydari, Majid Nimrouzi, Pouya Faridi, Mohammad Javad Zibaeenezhad, Gholamhossein Ranjbar Omrani, Mesbah Shams . Rhus coriaria L. increases serum apolipoprotein-A1 and high-density lipoprotein cholesterol levels: A double-blind placebo-controlled randomized clinical trial. Journal of Integrative Medicine, 2018, 16(1): 45-50.
[10]	Laura Belland, Laura Rivera-Reyes, Ula Hwang. Using music to reduce anxiety among older adults in the emergency department: A randomized pilot study. Journal of Integrative Medicine, 2017, 15(6): 450-455.
[11]	Hilal Yuksel, Yasemin Cayir, Zahide Kosan, Kenan Tastan. Effectiveness of breathing exercises during the second stage of labor on labor pain and duration: A randomized controlled trial. Journal of Integrative Medicine, 2017, 15(6): 456-461.
[12]	Yoshiharu Motoo, Takashi Hakamatsuka, Nobuo Kawahara, Ichiro Arai, Kiichiro Tsutani. Standards of Reporting Kampo Products (STORK) in research articles. Journal of Integrative Medicine, 2017, 15(3): 182-185.
[13]	Yu-fangLin, Zhi-danLiu, WenMa, Wei-dongShen. Hazards of insomnia and the effects of acupuncture treatment on insomnia. Journal of Integrative Medicine, 2016, 14(3): 174-186.
[14]	Maria T.Chao, AlexandraChang, SanjayReddy, James D.Harrison, JosephAcquah, MiriaToveg, TrilceSantana, Frederick M.Hecht. Adjunctive acupuncture for pain and symptom management in the inpatient setting: Protocol for a pilot hybrid effectiveness-implementation study. Journal of Integrative Medicine, 2016, 14(3): 228-238.
[15]	Nouran A. Aleyeidi, Khaled S. Aseri, Shadia M. Matbouli, Albaraa A. Sulaiamani, Sumayyah A. Kobeisy. Effects of wet-cupping on blood pressure in hypertensive patients: A randomized controlled trial. Journal of Integrative Medicine, 2015, 13(6): 391-399.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[1]	SUN Ming-yu, ZUO Jian, DUAN Ji-feng, HAN Jun, FAN Shi-ming, ZHANG Wei, ZHU Li-fang, YAO Ming-hui. Antitumor activities of kushen flavonoids in vivo and in vitro. Journal of Chinese Integrative Medicine, 2008, 6(1): 51-59
[2]	Xi Lin, Jian-ping Liu. Tai chi for treating rheumatoid arthritis. Journal of Chinese Integrative Medicine, 2008, 6(1): 82
[3]	Guo-hong Yuan, Xiao-jing Pang, He-chao Ma. Synergic effects of Danggui Buxue Decoction in reducing toxicity of cytoxan in tumor-bearing mice. Journal of Chinese Integrative Medicine, 2008, 6(1): 83-88
[4]	Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. Guiding principles of clinical research on mild cognitive impairment (protocol). Journal of Chinese Integrative Medicine, 2008, 6(1): 9-14
[5]	Daniel Weber, Janelle M Wheat, Geoffrey M Currie. Inflammation and cancer: Tumor initiation, progression and metastasis,and Chinese botanical medicines. Journal of Chinese Integrative Medicine, 2010, 8(11): 1006-1013
[6]	Yan-bo Zhu , Qi Wang, Cheng-yu Wu, Guo-ming Pang, Jian-xiong Zhao, Shi-lin Shen, Zhong-yuan Xia , Xue Yan . Logistic regression analysis on relationships between traditional Chinese medicine constitutional types and overweight or obesity. Journal of Chinese Integrative Medicine, 2010, 8(11): 1023-1035
[7]	Bing Hu , Hong-mei An , Ke-ping Shen , Qin Du. Senescence-inducing effects of Chinese herbal medicine Tenglong Buzhong Decoction on human colon carcinoma LS-174-T cells and the mechanism. Journal of Chinese Integrative Medicine, 2010, 8(11): 1048-1052
[8]	Ya-bing Zhou, Jian-er Yu, Jie Wu, Li Bai, Li-li Huo, Xin-guang Zhang, Li-qing Li . Effects of Chinese herbal medicine Bushen Gubiao Recipe on toll-like receptor 4 and CD4 ⁺CD25 ⁺foxp3 ⁺regulatory T cells in mice with recurrent respiratory tract infections. Journal of Chinese Integrative Medicine, 2010, 8(11): 1053-1059
[9]	Chan Chen, Yong-mei Meng , Peng Zhang, Juan Wang, Hui-hui Zhao, Shu-zhen Guo , Wei Wang. Diagnosis and treatment rule of traditional Chinese medicine for syndrome factors of chronic congestive heart failure: a study based on Shannon entropy method. Journal of Chinese Integrative Medicine, 2010, 8(11): 1080-1084
[10]	You-hua Wang , Shang Li , Bin-rui Yang , Lun-qing Zhang , Xin Zhou , Bei-wen Xu, Ming-yuan Li . Use of zebrafish models for the research of traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2012, 10(11): 1189-1197

	Routine acupuncture group (n=34)			Scalp penetration acupuncture group (n=32)
PSQI component	Before treatment	After treatment	Difference	Before treatment	After treatment	Difference
Sleep quality	2.69±0.48	1.23±0.55^**	1.45±0.72	2.84±0.37	0.90±0.60^**	1.94±0.91^△
Time of getting to sleep	2.09±0.78	1.08±0.75^**	1.01±0.57	2.39±0.56	1.16±0.45^**	1.23±0.76
Sleep time	2.94±0.48	1.68±1.18^**	1.26±0.81	2.94±0.25	1.19±0.60**	1.75±0.88^△
Sleep efficiency	2.81±0.41	1.65±0.85^**	1.16±0.55	2.90±0.40	0.81±0.65^**	2.09±0.32^△△
Sleep disorders	1.58±0.48	1.04±0.48^**	0.54±0.30	1.52±0.63	1.10±0.47^**	0.42±0.22
Hypnotic drug	1.62±0.51	0.88±0.57^**	0.75±0.61	2.03±1.17	0.65±0.55^**	1.38±0.94
Daytime function	2.64±0.82	1.42±1.21^**	1.22±0.73	2.33±1.15	1.26±0.96^**	1.18±0.78
PSQI cumulative score	16.37±3.11	8.78±3.92^**	7.59±3.01	16.97±2.33	7.16±2.22^**	9.81±4.03^△**

Component of sleep architecture	Routine acupuncture group (n=34)			Scalp penetration acupuncture group (n=32)
Component of sleep architecture	Before treatment	After treatment	Difference	Before treatment	After treatment	Difference
Total sleep time	393.40±26.78	409.07±33.17^*	15.66±5.31	411.22±68.02	442.78±40.50^*	31.49±11.09^△△
Deep sleep time	17.36±10.08	22.18±10.84	4.86±2.24	21.09±16.28	38.09±14.60^**	17.05±9.37^△△
Total time of awakening	36.72±20.15	23.50±11.07^**	13.27±8.65	33.04±27.47	18.39±16.15^*	14.71±7.34

Scalp penetration acupuncture for insomnia: A randomized controlled trial

RichHTML

PDF (PC)

Like