| Summary: | 碩士 === 長庚大學 === 傳統中國醫學研究所 === 95 === This study aims to observe the effect of ear acupressure on primary insomnia. Forty-seven primary insomnia patients were randomized into 2 groups with single blind method, an ear acupressure group and control group. In order to evaluate patent’s quality of sleep and of life completely, all subject were screened by PSG. Their autonomic nerve activity were evaluated objectively by HRV. Both sleep and life quality were assessed by sleep diary, Pittsburgh sleep quality index, Beck Anxiety Inventory (BAI), Beck Depression Inventory second edition (BDI-II) , SF-36 questionnaires and actigraphy during the 6 weeks. Finally the improvements of patients were determined.
From October 2005 to May 2007, One hundred and seventeen insomnia patents were screened .Fifty-nine among them signed the inform consent forms and join the experiment, 47 patents were diagnosed by psychiatrists and inspected by PSG as primary insomnia. Five cases dropped out during the study. In total, 42 primary insomnia completed the course of treatment and curative effect evaluation, among which 20 were in acupressure group and 22 were in control group.
The result shows that the acupressure group’s social function concept of SF-36 were improved and superior to the control group’s significantly (p<0.05). The PSQI score of the acupressure group shows remarkable improvement and excels than of the control group (p<0.05). Moreover, the HRV result shows decreased LF/HF ratio and increased HF norm in acupressure group than control group significantly (p<0.01). According to the result, ear acupressure increased parasympathetic nerve activity, decreased sympathetic nerve activity, and improved the quality of life and of sleep on primary insomnia patents significantly.
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