Effect of Acupuncture Cooperated with Low-frequency Repetitive Transcranial Magnetic Stimulation on Chronic Insomnia： A Randomized Clinical Trial

作     者：Yang-pu ZHANG Wei-jing LIAO Wen-guang XIA 

作者机构：Department of Physical Medicine and Rehabilitation Zhongnan Hospital of Wuhan University Wuhan 430071 China Department of Physical Medicine and Rehabilitation Hubei Provincial Hospital of Integrated Chinese and Western Medicine Wuhan 430015 China 

出 版 物：《Current Medical Science》 (当代医学科学（英文）)

年 卷 期：2018年第38卷第3期

页      面：491-498页

核心收录：

学科分类：1006[医学-中西医结合] 1002[医学-临床医学] 100204[医学-神经病学] 100602[医学-中西医结合临床] 10[医学] 

主　　题：acupuncture low-frequency repetitive transcranial magnetic stimulation insomnia 

摘      要：The effect of acupuncture cooperated with low-frequency repetitive transcranial magnetic stimulation （rTMS） on chronic insomnia was explored. Seventy-eight patients with chronic insomnia were randomly allocated into two groups： treatment group and control group. In the treatment group, the patients received acupuncture combined with rTMS treatment, and those in the control group were given acupuncture cooperated with sham rTMS treatment, 3 days per week for 4 weeks. Before and after treatment, the primary outcomes including the scores on Insomnia Severity Index （ISI） and Pittsburgh Sleep Quality Index （PSQI） and the secondary outcomes including total sleep time （TST）, sleep onset latency （SOL）, wake after sleep onset （WASO）, sleep efficiency （SE%） recorded by sleeping diary and actigraphy were observed in both groups. Seventy-five participants finished the study （38 in treatment group and 37 in control group respectively）. After treatment, the scores in the two groups were improved significantly, more significantly in the treatment group than in the control group. It can be inferred that acupuncture cooperated with rTMS can effectively improve sleep quality, enhance the quality of life of patients and has less side effects.