[1]闫海源 邱筱娜 刘涛涛 郑懿 徐冰.针刺与艾司唑仑调节原发性失眠症患者觉醒状态的差异分析[J].陕西中医药大学学报,2020,(03):085-88.[doi:10.13424/j.cnki.jsctcm.2020.03.022]
 Yan Haiyuan,Qiu Xiaona,Liu Taotao,et al.A Difference Analysis of the Primary Insomnia Treatment by Adjusting the Patients Wakefulness with Acupuncture and Estazolam[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(03):085-88.[doi:10.13424/j.cnki.jsctcm.2020.03.022]
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针刺与艾司唑仑调节原发性失眠症患者觉醒状态的差异分析()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2020年03期
页码:
085-88
栏目:
出版日期:
2020-05-10

文章信息/Info

Title:
A Difference Analysis of the Primary Insomnia Treatment by Adjusting the Patients Wakefulness with Acupuncture and Estazolam
文章编号:
2096-1340(2020)03-0085-04
作者:
闫海源1 邱筱娜1 刘涛涛1 郑懿1 徐冰2
1.榆林市中医医院,陕西榆林719000;
2.陕西中医药大学附属医院,陕西咸阳712000
Author(s):
Yan Haiyuan Qiu Xiaona Liu Taotao Zheng Yi Xu Bing
1. Acupuncture Department of Yulin TCM Hospital, Yulin Shaanxi 719000;
2. Hospital Affiliated to Shaanxi University of Chinese Medicine, Xianyang Shaanxi 712000
关键词:
原发性失眠觉醒状态针刺艾司唑仑神经电生理学
Keywords:
primary insomnia wakefulness acupuncture Estazolam nerve electrophysiology
分类号:
G641
DOI:
10.13424/j.cnki.jsctcm.2020.03.022
文献标志码:
A
摘要:
目的分析探讨针刺与艾司唑仑调节原发性失眠症患者觉醒状态的差异?方法选取126例原发性失眠患者并随机分为对照组和治疗组,其中对照组患者每天服用1次艾司唑仑,持续治疗4周;治疗组患者则给予针刺治疗,每天1次,每周共针刺5次,持续治疗4周?记录两组患者治疗前后的匹兹堡睡眠质量指数,同时观察两组患者在多次睡眠潜伏时间试验中的平均睡眠潜伏时间,分别使用多导睡眠监测仪对两组患者的睡眠结构相关指标进行监测?结果经治疗后对照组和治疗组患者的PSQI评分和MSL均显著低于本组治疗前(均P<0.05),并且治疗组的PSQI评分和MSL改善程度均显著高于同期对照组患者(均P<0.05)?对照组和治疗组患者治疗前的夜间多导睡眠监测指标均无明显差异(均P>0.05);经过治疗后两组患者的SE?TST?WASO?NWAK?SOL等指标均显著优于本组治疗前(均P<0.05);对照组患者治疗前后的REM?N3?N2?N1等指标并无明显差异(均P>0.05);治疗组患者治疗后的REM?N3?N2?N1等指标均显著优于本组治疗前(均P<0.05);治疗组经治疗后的REM?N3?N2?N1?TST?WASO?NWAK?SOL等指标均显著优于同期对照组患者(均P<0.05)?结论对原发性失眠患者采用针刺治疗能够比服用艾司唑仑更为有效地改善其睡眠质量,同时还能够更好地调节患者过度觉醒状态,值得在临床上加以推广运用?
Abstract:
Objective To explore the difference analysis of primary insomnia treated by adjusting the patients wakefulness with acupuncture and Estazolam. Method 126 cases of primary insomnia are randomly divided into control and treatment groups. Among them, patients in the former take Estazolam 1 time everyday for a period of 4 weeks. By contrast, the latter are given the acupuncture 1 time everyday, 5 times for one week for a period of 4 weeks. The PSQI before and after treatment are recorded, while the patients average sleep length in the multiple sleep latency tests in two groups are observed, Polysomnography monitor is used to supervise the relevant indexes of sleep structure in two groups. Result the PSQI and MSL of the control and treatment groups after treatment are significantly lower than before treatment ( P <0. 05) . In addition, the PSQI and MSL and the improvement rate in the treatment group are significantly higher thanthe control group( P <0. 05) . the PSG indexes at night are of no significant difference in the two groups before the treatment( P >0. 05) . The SE? TST? WASO? NWAK? SOL after treatment in the two groups are significantly superior to the indexes before the treatment. The REM? N3? N2? N1 in the control group before and after treatment are of no significant difference( P >0. 05) . The REM? N3? N2? N1 after treatment in the treatment group are superior to the indexes before the treatment( P <0. 05) . The REM? N3? N2? N1? TST? WASO? NWAK? SOL after treatment in the treatment group are superior to the indexes in the control group( P <0. 05) . Conclusion The application of acupuncture treatment can more effectively improve the patients sleep quality than the administration of Estazolam, and adjust the patients excessive wakefulness, thereby it is suggested that the acupuncture treatment be widely used in the clinical practice.

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备注/Memo

备注/Memo:
基金项目:陕西省教育厅专项科研计划项目(12JK0779)通讯作者:徐冰,副主任医师,硕士研究生导师?E-mail:1623953898@qq.com
更新日期/Last Update: 2020-05-22