Acupuncture Improves Peri-menopausal Insomnia: A Randomized Controlled Trial.

Author: Cong F1, Na Z1, Zhen L1, Lu-Hua Y2, Chen X3, Wen-Jia Y1, Xin-Tong Y1, Huan Y2, Yun-Fei C1
Affiliation:
1Laboratory Center of Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
2Sleep and Wake Disorders Center and Department of Neurology, Huashan Hospital, Fudan University, Shanghai 200040, China.
3Editorial Department of Journal of Acupuncture and Tuina Science, Shanghai Research Institute of Acupuncture and Meridian, Shanghai University of Traditional Chinese Medicine, Shanghai 200030, China.
Conference/Journal: Sleep.
Date published: 2017 Sep 22
Other: Special Notes: doi: 10.1093/sleep/zsx153. [Epub ahead of print] , Word Count: 237


Study Objective: To evaluate the short-term efficacy of acupuncture for the treatment of peri-menopausal insomnia (PMI).

Methods: Design: A randomized, participant-blind, placebo-controlled trial consisted of the acupuncture group (n=38) and placebo-acupuncture group (n=38). Setting: A tertiary teaching and general hospital. Participants: 76 peri-menopausal women with insomnia disorder based on the International Classification of Sleep Disorders, third Edition. Interventions: A 10-session of acupuncture at bilateral Shenshu (BL 23) and Ganshu (BL 18) with unilateral Qimen (LR 14) and Jingmen (GB 25) or Streitberger needles at the same acupoints was performed for over 3 weeks. Measurements: Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) with over-night polysomnography (PSG) exam were completed at baseline and post-treatment.

Results: After the treatments, the decrease from baseline in PSQI score was 8.03 points in acupuncture group and 1.29 points in placebo-acupuncture group. The change from baseline in ISI score was 11.35 points in acupuncture group and 2.87 points in placebo-acupuncture group. In PSG data, acupuncture significantly improved the sleep efficiency and total sleep time, associated with less wake after sleep onset and lower percent stage 1 after the treatment. No significant differences from baseline to post-treatment were found in placebo-acupuncture group.

Conclusions: Acupuncture can contribute to a clinically relevant improvement in the short-term treatment of PMI, both subjectively and objectively.

Clinical Trial Registration: Acupuncture for peri-menopause Insomnia: a randomized controlled trial, http://www.chictr.org.cn/showproj.aspx?proj=12118, ChiCTR-IPR-15007199, China.

KEYWORDS: Acupuncture; Clinical Trials Research; Insomnia; Menopause

PMID: 29029258 DOI: 10.1093/sleep/zsx153

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