Objective

To observe the effects of acupoint sticking therapy of different dosages and durations on the subjective and objective sleep indicators in insomnia patients.

Methods

Ninety-six patients with insomnia due to liver-Qi stagnation and spleen deficiency were divided into a high-dosage 7 d group (25 cases), a high-dosage 14 d group (22 cases), a low-dosage 7 d group (21 cases), and a low-dosage 14 d group (28 cases) using the random numbers generated in a stratified and stage-by-stage manner in combination with the visiting sequence. The four groups all received the same acupuncture treatment, but acupoint sticking therapy varied in dosage and duration. Before and after treatment, the actigraphic readings (total time in bed, total sleep time, sleep efficiency, number of wake bouts, length of wakes after asleep, and sleep latency), Pittsburgh sleep quality index (PSQI) score, and symptoms score of traditional Chinese medicine (TCM) were observed. A correlation analysis was conducted among the subjective and objective indicators.

Results

The PSQI score was positively correlated with the total time in bed and total sleep time (P<0.05). After treatment, the sleep latency, PSQI scores, and TCM symptoms scores changed significantly in the four groups (P<0.05). The total sleep time and sleep efficiency gained improvements after treatment in the high-dosage 14 d and low-dosage 14 d groups (P<0.05). The high-dosage acupoint sticking groups had longer total sleep time compared with the low-dosage groups of the same treatment duration (P<0.05). After treatment, the length of wakes after asleep, PSQI scores, and TCM symptoms scores were better in the 14 d groups than in the 7 d groups of the same acupoint sticking dosage (P<0.05).

Conclusion

Given the same acupuncture treatment, acupoint sticking therapy of different treatment durations produces different effects on the length of wakes after asleep, PSQI score, and TCM symptoms score in insomnia patients, and the 14-day acupoint sticking treatment is superior to the 7-day treatment.

中文翻译：

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针刺配合穴位贴敷治疗失眠症的临床观察及对主客观睡眠指标的影响

客观的

观察不同剂量和时长穴位贴敷对失眠患者主客观睡眠指标的影响。

方法

将96例肝郁脾虚失眠患者分为高剂量7 d组（25例）、高剂量14 d组（22例）、低剂量7 d组。 21 例），低剂量 14 d 组（28 例）使用分层、分阶段生成的随机数并结合就诊顺序。四组均接受相同的针灸治疗，但穴位贴敷的剂量和持续时间不同。治疗前后的活动记录读数（总卧床时间、总睡眠时间、睡眠效率、醒来次数、入睡后醒来时长和睡眠潜伏期）、匹兹堡睡眠质量指数（PSQI）评分和症状评分观察中药（TCM）。

结果

PSQI评分与总卧床时间、总睡眠时间呈正相关（P <0.05）。治疗后，四组患者的睡眠潜伏期、PSQI评分、中医症状评分均有显着性差异（P <0.05）。高剂量14 d组和低剂量14 d组治疗后总睡眠时间和睡眠效率均有改善（P <0.05）。相同疗程的穴位贴敷高剂量组总睡眠时间长于低剂量组（P <0.05）。治疗后14 d组睡醒时长、PSQI评分、中医症状评分均优于相同穴位贴敷剂量的7 d组（P <0.05）。

结论

在相同的针灸治疗下，不同疗程的穴位贴敷对失眠患者入睡时长、PSQI评分、中医症状评分的影响不同，穴位贴敷14天优于7天。治疗。