The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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The Effect of Intradermal Acupuncture on The Patients suffering from Insomnia after Stroke

중풍환자(中風患者)의 불면증(不眠症)에 피내침(皮內針)의 유효성(有效性) 및 적응증(適應證) 평가(評價)

  • Lee Sang-Ho (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Kim Eun-Ju (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Kim Lee-Dong (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Yun Sang-Pil (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Lee Cha-Ro (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Hong Jin-Woo (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Jeong Dong-Won (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Moon Sang-Kwan (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Cho Ki-Ho (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University) ;
  • Kim Young-Suk (Department of Cardiovascular and Neurologic Diseases(Stroke Center), College of Oriental Medicine, KyungHee University)
  • 이상호 (경희대학교 한의과대학 2내과학교실) ;
  • 김은주 (경희대학교 한의과대학 2내과학교실) ;
  • 김이동 (경희대학교 한의과대학 2내과학교실) ;
  • 윤상필 (경희대학교 한의과대학 2내과학교실) ;
  • 이차로 (경희대학교 한의과대학 2내과학교실) ;
  • 홍진우 (경희대학교 한의과대학 2내과학교실) ;
  • 정동원 (경희대학교 한의과대학 2내과학교실) ;
  • 문상관 (경희대학교 한의과대학 2내과학교실) ;
  • 조기호 (경희대학교 한의과대학 2내과학교실) ;
  • 김영석 (경희대학교 한의과대학 2내과학교실)
  • Published : 2004.12.01
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Abstract

Objective : Insomnia is the disorder of initiation or maintenance in sleeping that results in daytime sleepiness and dysfunction, and it arises from multiple psychological, physiological and environmental factors. A number of stroke patients suffer from insomnia are classified as sleep disorder patients with physical illness. In addition, insomnia may have profound deleterious effects on the natural course of stroke. We are to assess the effectiveness of intradermal acupucture on stroke combined with insomnia. Methods : We recruited hospitalized patients with insomnia after stroke. Then, the subjects were allocated into a treatment group and a control group by randomization. The treatment group received intradermal acupuncture therapy at He-7(神門), EH-6(內關) correctly. However in control group, intradermal acupuncture were just attached to He-7(神門), EH-6(內關) without insertion. Treatment over time at first day and second day a various indexes were repeatedly checked such as sleep latency, total sleep time, sleep quality, condition on awakening, ability of concentration, morning sleepiness, Insomnia Severity Index, and Athens Insomnia Scale. In the second analysis, we divided the treatment group into a response and a non-response group by their response to intradermal acupuncture. With the acupuncture treatment, accompanied symptoms were checked Results : Among thirty two subjects, two of them were dropped out: One complained the pain from needle insertion, and the other underwent the change of his herbal medication. At baseline investigation with the residual 30 subjects, the control and the treatment group were assessed to have an equal comparability. In the treatment group, sleep latency, total sleeping time, a number of awakenings, sleep quality and ability of concentration showed improvement significantly compared with the control group. The non-response Group showed symptoms such as nausea and halitosis, belching and acid regurgitation, abundant expectoration, while Responder Group showed palpitation, oppressed feelings in chest and sleep disorder. Conclusions: The result of this clinical study suggests that the intradermal acupuncture at He-7(神門), EH-6(內關) is one of the effective treatments for the insomnia after stroke.

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