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

Sleep Initiation and Maintenance Disorders Clinical Trial

Official title:

The First Affiliated Hospital of Guangzhou University of Chinese Medicine

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT03997058
• Other study ID #: 20191114
• Status: Active, not recruiting
• Phase: Phase 4
• Start date: March 1, 2019
• Est. completion date: January 1, 2021

Study information

• Verified date: December 2020
• Source: The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 120
• Est. completion date: January 1, 2021
• Est. primary completion date: June 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 90 Years

Eligibility

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.

Related Conditions & MeSH terms

• Renal Dialysis
• Sleep Initiation and Maintenance Disorders

Intervention

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 (?) 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.

Locations

Country	Name	City	State
China	The First Affiliated Hospital of Guangzho University of Chinese Medicine	Guangzhou	Guangdong

Sponsors (1)

Lead Sponsor	Collaborator
The First Affiliated Hospital, Guangzhou University of Traditional Chinese Medicine

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Hypersensitive C-reactive protein concentration		June 1, 2019 to June 1, 2021
Primary	Pittsburgh sleep quality index(PSQI)score		June 1, 2019 to June 1, 2021
Primary	Mortality rate		June 1, 2019 to June 1, 2021
Secondary	Incidence of cardiovascular events		June 1, 2019 to June 1, 2021
Secondary	Cerebrovascular accident rate		June 1, 2019 to June 1, 2021
Secondary	Gastrointestinal bleeding rate		June 1, 2019 to June 1, 2021