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Acupuncture for insomnia attention deficit and the influence of nerve electrophysiology

ABSTRACT

Objective
To test the neural electrophysiological basis of acupuncture treatment on attention deficit of insomnia patients.

Methods
Thirty insomnia attention deficit patients were enrolled as the patient group in this study, and 30 normal people were collected as the normal group as the compare. In patient group, acupuncture was adopted and the acupoints were Bǎihuì (百会GV20), Shéntíng (神庭GV24), Sìshéncōng (四神聪EX-HN1), Shénmén(神门HT7) and Sānyīnjiāo(三阴交SP6), even reinforcing and reducing method, once a day, 10 times as a course and totally 2 courses. There was no intervention for the normal group. Pittsburg Sleep Quality Index (PSQI) for assessing the sleep quality, Schulte grid scale and the event-related potential (ERP) for assessing the attention deficit were evaluated before the treatment, 10 days after the treatment and after the treatment. The normal group were taken evaluation at the same time point.

Results
1.PSQI. the PSQI score in the patient group before the treatment was (16.20±2.02) and was (4.20±1.64) after the treatment. The difference was statistically significant (P <0.05). The normal group was (4.00±1.52) at the same point after the treatment, and the differences was not statistically significant (P>0.05). 2 Schulte grid scale. The Schulte grid scale rating score was decrease from (32.87±6.71) s before the treatment to (12.82±3.40) s after the treatment, and the difference was statistically significant (P <0.05). The normal group was (12.29±3.47) s at the same point after the treatment, and the differences was not statistically significant (P>0.05). 3.ERP. (1)P300: in the patient group, the latency of P3a decreased from (316.60±18.42) ms before the treatment to (300.10±12.03) ms after the treatment; the latency of P3b decreased from(328.32±16.32) ms before the treatment to (304.63±13.248) ms after the treatment; the amplitude of P3a increased from(5.501.16) μV before the treatment to (15.20±2.12)μV after the treatment; the amplitude of P3b increased from(5.76±1.87)μV before the treatment to (16.76±2.37) μV after the treatment, and the differences were statistically significant (all P<0.05). (2)CNV: in the patient group, the latency of point A decreased from(404±129) ms before the treatment to (369±105) ms after the treatment; the latency of point C decreased from(2584±563)ms before the treatment to (2308±369) ms after the treatment; the amplitude of A-B increased from(10.3±17.4) μV before the treatment to (13.7±24.8) μV after the treatment, and the differences were statistically significant(all P <0.05).

Conclusion
Acupuncture can improve the sleep quality and the attention deficit condition of insomnia attention deficit patients by regulating the nerve electrophysiology of the brain.

Authors: Ze-qinREN(任泽琴)a1 XuYUAN(袁旭)RongZHAO(赵荣)Jin-longXU(徐金龙)Ze-guanYANG(杨泽冠)JianAI(艾健)Zhi-xiongZUO(左志雄)Ding-junCAI(蔡定均)e

Published in: World Journal of Acupuncture – Moxibustion

Available online 21 September 2018

Quelle: www.sciencedirect.com

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