Deng Jianya, Liu Xinyan, Wang Yiming, Fan Jieyang, Yang Li, Duan Jiamin, Yuan Yongfang, Lan Peishu, Shan Zhuoxuan, Xiong Junfeng, Peng Wenyu, He Qingfeng, Chen Yajie, Fu Xiaoxu
School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Front Psychiatry. 2022 Aug 10;13:961513. doi: 10.3389/fpsyt.2022.961513. eCollection 2022.
Sleep health is an important part of health and has become a common concern of society. For anxiety insomnia, the commonly used clinical therapies have limitations. Alternative and complementary therapy is gradually rising and showing remarkable effect in clinical practice. This is the first study to evaluate the therapeutic effect of Taijiquan combined with acupoint pressing in the treatment of anxiety insomnia in college students and to compare the difference in intervention before and after sleep, to choose the best treatment time.
This is a multicenter, single-blind, randomized controlled trial. A total of 126 eligible subjects who have passed the psychological evaluation and met inclusion criteria by completing a psychometric scale will be randomly divided into treatment group A (treat before sleep), treatment group B (treat after sleep) and control group C (waiting list group) in a ratio of 1:1:1. All the three groups will receive regular psychological counseling during the trial, and the treatment groups will practice 24-style Taijiquan and do meridian acupuncture at Baihui (DU20), Shenting (DU24), Yintang (EX-HN3), Shenmen (HT7) and Sanyinjiao (SP6). This RCT includes a 2-week baseline period, a 12-week intervention period, and a 12-week follow-up period. The main results will be measured by changes in the Pittsburgh sleep quality index (PSQI) and Hamilton anxiety scale (HAMA). The secondary results will be measured by the generalized anxiety scale (GAD-7) and insomnia severity index (ISI). The safety of the intervention will be evaluated at each assessment. The statistical analysis of data will be carried out by SPSSV.26.0 software.
We expect this trial to explore the effectiveness of Taijiquan combined with acupoint pressing in the treatment of anxiety insomnia in college students and choose the best treatment time by comparison.
[www.ClinicalTrials.gov], identifier [ChiCTR2200057003].
睡眠健康是健康的重要组成部分，已成为社会普遍关注的问题。对于焦虑性失眠，常用的临床治疗方法存在局限性。替代和补充疗法正在逐渐兴起，并在临床实践中显示出显著效果。这是第一项评估太极拳结合穴位按压治疗大学生焦虑性失眠的疗效，并比较睡眠前后干预差异以选择最佳治疗时间的研究。
这是一项多中心、单盲、随机对照试验。通过心理测评量表通过心理评估并符合纳入标准的126名合格受试者将按1:1:1的比例随机分为治疗组A（睡前治疗）、治疗组B（睡后治疗）和对照组C（候补名单组）。在试验期间，所有三组都将接受定期心理咨询，治疗组将练习24式太极拳，并在百会（督脉20）、神庭（督脉24）、印堂（经外奇穴）、神门（心经7）和三阴交（脾经6）进行经络针刺。这项随机对照试验包括2周的基线期、12周的干预期和12周的随访期。主要结果将通过匹兹堡睡眠质量指数（PSQI）和汉密尔顿焦虑量表（HAMA）的变化来衡量。次要结果将通过广泛性焦虑量表（GAD-7）和失眠严重程度指数（ISI）来衡量。每次评估时将评估干预的安全性。数据的统计分析将使用SPSSV.26.0软件进行。
我们期望这项试验能够探索太极拳结合穴位按压治疗大学生焦虑性失眠的有效性，并通过比较选择最佳治疗时间。
