Observation on the Effect of Auricular Acupoint Pressing on Insomnia and Adverse Events in MHD

Overview

Maintenance hemodialysis (MHD) is one of the most important treatments for patients with end-stage renal failure. Studies have found that insomnia is widespread in MHD patients, affecting their quality of life. Auricular acupoint pressing is an effective traditional Chinese medicine treatment for insomnia. This study compared the effects of auricular acupoint pressing and oral estazolam on insomnia in patients with MHD, and evaluated the possibility of auricular acupoint pressing to reduce the incidence of adverse events by improving insomnia in patients with MHD, and to explore the insomnia of MHD patients treated with TCM characteristics. The role and efficacy provide a basis for the treatment of sleep disorders by Chinese medicine.

Full Title of Study: “The First Affiliated Hospital of Guangzhou University of Chinese Medicine”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: June 1, 2020

Interventions

  • Other: Auricular point pressure therapy
    • Use a hard and smooth pill to adhere to the center of the 0.7×0.7cm tape. Hold the puncture clip on the part of the ear which is selected, and give appropriate pressure (揉) to make the patient have heat, hemp, Swelling and painful feeling; patients with sputum press 3-5 times a day, each time 1-2 minutes per hole, and must be pressed once every 15-30 minutes before going to bed every night. Press the point pressure method (press the ear point with a fingertip and press it loosely, each interval is 0.5 seconds. It is better for the patient to feel the swelling and slightly heavy tingling, and the force should not be too heavy. Generally, each time the hole can be pressed 27 times. Each time one side of the ear is selected, the two ear points are used alternately, staying in the summer for 1-3 days, and staying in the winter for 3-7 days.It is not appropriate to have local inflammation of the auricle, frostbite or surface skin ulceration.
  • Drug: Oral estazolam medication
    • The first dose was started from 0.5mg, qn, and taken at 30min-1h before going to bed. If the dose is not effective, gradually increase the amount to 2mg, qn. If the patient has drug-induced liver damage and respiratory depression, it is necessary to stop the drug immediately. Hemorrhoids avoid drinking alcohol during medication.

Arms, Groups and Cohorts

  • No Intervention: Control group
  • Experimental: Auricular acupoint pressing group
  • Active Comparator: Oral estazolam group
  • Active Comparator: Combined treatment group

Clinical Trial Outcome Measures

Primary Measures

  • Pittsburgh sleep quality index(PSQI)score
    • Time Frame: June 1, 2019 to June 1, 2021
  • Mortality rate
    • Time Frame: June 1, 2019 to June 1, 2021

Secondary Measures

  • Incidence of cardiovascular events
    • Time Frame: June 1, 2019 to June 1, 2021
  • Cerebrovascular accident rate
    • Time Frame: June 1, 2019 to June 1, 2021
  • Gastrointestinal bleeding rate
    • Time Frame: June 1, 2019 to June 1, 2021

Participating in This Clinical Trial

Inclusion Criteria

1.Age 18-90 years old,received maintenance hemodialysis treatment for more than 1 year, no history of surgical trauma, infection, trauma in the past 3 months; 2.the current condition is stable, the heart function is grade I, no limb paralysis, speech disadvantages and other sequelae; 3.Informed consent volunteer to participate in this experiment. Exclusion Criteria:

1. At present, dialysis is inadequate, water and sodium retention is severe; 2. combined with severe cardiovascular disease, sequelae of cerebral infarction or history of cerebral hemorrhage, history of COPD, history of myasthenia gravis, history of angle-closure glaucoma, blood system disease, mental system disease or other systemic The disease can not be matched with the experimenter; 3. poor compliance or poor medical attitude; 4. severe hearing or vision loss, or a very low level of education, can not match the experiment.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 90 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine
  • Provider of Information About this Clinical Study
    • Principal Investigator: Haitao Tu, Principal Investigator – The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine

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