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Effect of auricular directional magnetotherapy in the treatment of occupational cervical insomnia: a randomized,placebo-controlled trial
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DOI   10.11656/j.issn.1672-1519.2021.04.13
Key Words   occupational cervical spondylosis;insomnia;auricular directional magnetotherapy;randomized controlled trial;placebo effect
Author NameAffiliationE-mail
LIU Bin Traditional Chinese Medicine Department, Tianjin Occupational Diseases Precaution and Therapeutic Hospital, Tianjin 300011, China  
GAO Xiang Traditional Chinese Medicine Department, Tianjin Occupational Diseases Precaution and Therapeutic Hospital, Tianjin 300011, China  
LIU Daoju Traditional Chinese Medicine Department, Tianjin Occupational Diseases Precaution and Therapeutic Hospital, Tianjin 300011, China
Tianjin Occupational Diseases Precaution and Therapeutic Hospital, National Traditional Magnetotherapy Training Base for Intangible Cultural Heritage, Tianjin 300011, China 
huopinfeng@163.com 
Abstract
    [Objective] To observe the effect of auricular directional magnetotherapy on somnipathy and psychosomatic health in patients with occupational cervical insomnia.[Methods] The 90 patients with insomnia were randomly divided into auricular directional magnetotherapy group,auricular non-directional magnetotherapy group,and auricular sham-magnetotherapy group,30 cases in each group. Symptomatic supportive treatment was applied in three groups. Based on above treatment,auricular directional magnetic bead sticking was added in auricular directional magnetotherapy group,and auricular non-directional magnetic bead sticking in auricular non-directional magnetotherapy group,and auricular sham magnetic bead sticking in auricular sham-magnetotherapy group. Following auricular points were selected for all groups:jiaogan(AH6a) and shenmen (TF4),zhen (AT3) and pizhixia (AT4),shen (CO10) andgan (CO12),pi (CO13) andxin (CO15),press 3 times a day and 10~15 minutes at a time,replacement once in 2~3 days and alternate two ears, treating for 30 days and follow-up 3 months later. The scores of Pittsburgh Sleep Quality Index (PSQI) and Short Form 36-item Health Survey (SF-36) were observed before and after treatment and follow-up period in each group. Sleep quality and psychosomatic health were assessed,and clinical efficacy was compared in each group.[Results] Atotal of 84 cases completed the test. After treatment and follow-up,the scores of PSQI decreased in all groups compared with that before treatment (auricular directional magnetotherapy group and auricular non-directional magnetotherapy group:P<0.01,auricular sham-magnetotherapy group:P<0.05). The scores of PSQI in auricular directional magnetotherapy group and auricular non-directional magnetotherapy group were lower than that in auricular sham-magnetotherapy group (P<0.01 or P<0.05). After treatment,the score of PSQI in auricular directional magnetotherapy group was lower than that in auricular non-directional magnetotherapy group (P<0.01). Compared with before treatment,scores of each dimension inside SF-36 in auricular directional magnetotherapy group and auricular non-directional magnetotherapy group,and scores of 5 dimensions except physical function,mental health and general health in auricular sham-magnetotherapy group were improved after treatment(P<0.05). During follow-up period,scores of 7 dimensions except social function in group auricular directional magnetotherapy group,5 dimensions except physical function,social function and body pain in auricular non-directional magnetotherapy group,and 2 dimensions of role physical and role emotional in auricular sham-magnetotherapy group were higher than those before treatment(P<0.05). After treatment,scores of 7 dimensions in auricular directional magnetotherapy group were higher than those in auricular sham-magnetotherapy group except for role emotional(P<0.01 or P<0.05),and group auricular non-directional magnetotherapy group scored higher in mental health dimension than auricular sham-magnetotherapy group (P<0.05),and auricular directional magnetotherapy group scored higher in dimensions of physical function,role physical,social function and vitality than auricular non-directional magnetotherapy group. During follow-up period,scores of 6 dimensions in auricular directional magnetotherapy group were higher than those in auricular sham-magnetotherapy group except for social function and general health(P<0.05 or P<0.01),and group auricular non-directional magnetotherapy group scored higher in physical function,mental health and role emotional than auricular sham-magnetotherapy group (P<0.05),and scores of physical function,body pain and vitality in group auricular directional magnetotherapy group were higher than those in auricular non-directional magnetotherapy group (P<0.05). The total effective rate of auricular directional magnetotherapy group was higher than that of auricular sham-magnetotherapy group after treatment and during follow-up period.[Conclusion] Auricular directional magnetotherapy can effectively improve quality of sleep and life in patients with occupational cervical insomnia.

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