KMCRIC

Intradermal Acupuncture on Shen-Men and Nei-Kuan Acupoints Improves Insomnia in Stroke Patients by Reducing the Sympathetic Nervous Activity: A Randomized Clinical Trial.

Lee SY, Baek YH, Park SU, Moon SK, Park JM, Kim YS, Jung WS.

Am J Chin Med.

2009

37(6)

1013-1021.

10.1142/S0192415X09007624

19938212

http://www.ncbi.nlm.nih.gov/pubmed/19938212

Acupuncture Points*
Acupuncture Therapy/methods*
Aged
Blood Pressure
Circadian Rhythm
Double-Blind Method
Female
Heart Rate
Humans
Male
Middle Aged
Severity of Illness Index
Sleep Initiation and Maintenance Disorders/etiology
Sleep Initiation and Maintenance Disorders/therapy*
Stroke/complications
Stroke/physiopathology*
Sympathetic Nervous System/physiology*

Insomnia; Stroke; Intradermal Acupuncture; Shen-Men; Nei-Kuan; Blood Pressure; Heart Rate Variability

불면; 뇌졸중; 피내침; 신문혈; 내관; 혈압; 심박변이도

없음

Y

This study is a double-blind randomized controlled trial on the effect of intradermal acupuncture on insomnia after stroke. Hospitalized stroke patients with insomnia were enrolled in the study and were randomly assigned to either a real intradermal acupuncture group (RA group) or a sham acupuncture group (SA group). The RA group received intradermal acupuncture on Shen-Men (He-7) and Nei-Kuan (EH-6) for three days, and the SA group received sham acupuncture on the same points. The effect of acupuncture on insomnia was measured using Insomnia Severity Index (ISI) and Athens Insomnia Scale (AIS) at baseline and three days after treatment. To assess the effect of acupuncture on the autonomic nervous function, the subjects' blood pressure and heart rate variability were monitored. Fifty-two subjects (27 in the RA group and 25 in the SA group) were included in the final analysis. The insomnia-related scales ISI and AIS showed greater improvement of insomnia in the RA group than in the SA group. Moreover, there is a greater reduction of the number of non-dippers and a greater decrease of the LF/HF ratio (heart rate variability) in the RA group than in the SA group. These results indicate that sympathetic hyperactivities were stabilized in the RA group. It can thus be concluded that intradermal acupuncture on Shen-Men and Nei-Kuan is a useful therapeutic method for post stroke-onset insomnia as it reduces sympathetic hyperactivities.

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