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Transcutaneous Vagus Nerve Stimulation Could Improve the Effective Rate on the Quality of Sleep in the Treatment of Primary Insomnia: A Randomized Control Trial

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机构: [1]Neurology Department, Xuanwu Hospital, Capital Medical University, Beijing 100054, China. [2]Neurology Department, Beijing Tsinghua Changgung Hospital, Beijing 102218, China. [3]Rehabilitation Medicine Center, Fuxing Hospital, Capital Medical University, Beijing 100038, China. [4]Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
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关键词: transcutaneous vagus nerve stimulation primary insomnia Pittsburgh Sleep Index anxiety depression

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(1) Background: The purpose of this study was to investigate the efficacy and safety of transcutaneous vagus nerve stimulation (t-VNS) in the treatment of primary insomnia. (2) Methods: This is a single center, randomized, double-blind study. A total of 30 patients diagnosed with primary insomnia were randomly divided into two groups to receive 20 Hz t-VNS in either the auricular concha area (treatment group) or periauricular area (control group), twice a day for 20 min during a one-month study period. The effective rate of treatment, defined as a ≥50% reduction of the Pittsburgh Sleep Index Scale (PSQI) after treatment, was compared between the two groups as the primary outcome. Response rate (defined as ≥10% change in the PSQI score), and changes in the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores were also assessed. (3) Results: After one month of treatment, the PSQI score of the treatment group decreased significantly (p = 0.001). The effective rate of the treatment group (73% vs. 27%, p = 0.027) was significantly higher than that of the control group. No statistical differences in changes of HAMA and HAMD scores were detected between the two groups. There were no complications in all patients. (4) Conclusion: T-VNS appeared to be a safe and effective treatment for primary insomnia.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
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Q3 NEUROSCIENCES
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Q3 NEUROSCIENCES

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第一作者机构: [1]Neurology Department, Xuanwu Hospital, Capital Medical University, Beijing 100054, China. [2]Neurology Department, Beijing Tsinghua Changgung Hospital, Beijing 102218, China.
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