Departments of Physical Medicine and Rehabilitation & Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
J Head Trauma Rehabil. 2012 Mar-Apr;27(2):135-42. doi: 10.1097/HTR.0b013e3182051397.
: To assess the efficacy of acupuncture in treating insomnia in traumatic brain injury (TBI) survivors as compared to medication, to determine whether acupuncture has fewer cognitive and affective adverse effects than does medication.
: Twenty-four adult TBI survivors, randomized to acupuncture or control arms.
: Outpatient rehabilitation clinic.
: Insomnia Severity Index (degree of insomnia); actigraphy (sleep time); Hamilton Depression Rating Scale (depression); Repeatable Battery for the Assessment of Neuropsychological Status and Paced Auditory Serial Addition Test (cognitive function) administered at baseline and postintervention.
: Sleep time did not differ between the treatment and control groups after intervention, whereas cognition improved in the former but not the latter.
: Acupuncture has a beneficial effect on perception of sleep or sleep quality and on cognition in our small sample of patients with TBI. Further studies of this treatment modality are warranted to validate these findings and to explore factors that contribute to treatment efficacy.
评估与药物治疗相比，针刺治疗创伤性脑损伤（TBI）幸存者失眠的疗效，以确定针刺是否比药物治疗产生更少的认知和情感不良反应。
24 名成年 TBI 幸存者，随机分为针刺组或对照组。
门诊康复诊所。
失眠严重程度指数（失眠程度）；活动记录仪（睡眠时间）；汉密尔顿抑郁评定量表（抑郁）；在基线和干预后进行的重复神经心理评估电池和 paced 听觉连续加法测试（认知功能）。
干预后治疗组和对照组的睡眠时间无差异，而前者的认知功能有所改善，后者则没有。
在我们的小样本 TBI 患者中，针刺对睡眠或睡眠质量的感知以及认知都有有益的影响。需要进一步研究这种治疗方式，以验证这些发现，并探讨有助于治疗效果的因素。
