远红外桑拿对睡眠障碍者干预后中医脾胃区的远红外成像特征研究
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摘要
探讨了远红外桑拿干预对睡眠障碍者的改善效果以及此时中医脾胃区远红外成像特征的变化情况。从本公司员工中选取了受测者,并利用心肺耦合(CardioPulmonary Coupling,CPC)睡眠检测系统筛选出睡眠质量总评分数小于60分的睡眠障碍者纳入标准。其中有7名志愿者接受了10天7次的远红外桑拿睡眠调理干预。通过对干预前后的CPC及远红外成像特征进行对比分析发现,远红外桑拿使这些睡眠障碍者在整夜睡眠质量总评、熟睡总时间以及浅睡总时间等三项睡眠指标方面得到了改善。其中5名受测者脾胃区的凉偏离现象明显改善,说明此区的温差值(△T)变化均有明显上升(p=0.039)。结果表明,远红外桑拿对睡眠障碍者具有改善效力,具体体现在中医脾胃区的温差值变化上。同时,该研究也为中医理论"胃不和则卧不安"提供了一种科学证据。
The improvement of sleep effect of sleep disorders by far infrared ray(FIR)sauna and the changes of FIR imaging characteristics of their spleen-stomach areas in traditional Chinese medicine(TCM)were discussed.Several employees of our company were selected to be subjects.The sleep disorders whose cardiopulmonary coupling(CPC)sleep quality evaluation scores were less than 60 were brought into a standard.Among them,seven subjects accepted FIR sauna sleep intervention seven times in ten days.By comparing the CPC and FIR imaging characteristics obtained before and after FIR sauna intervention,it was found that three sleep specifications such as sleep quality(score),stable sleep duration(h)and unstable sleep duration(h)of the subjects were improved.The cooling-off phenomena of the spleen-stomach areas of five subjects were improved substantially.This indicated that their △T increased significantly(p=0.039).The results showed that FIR sauna intervention could improve the sleep effect of sleep disorders,which was reflected in the variation of temperature difference in the spleen-stomach areas in TCM.Meanwhile,this research also conformed to the "disorder of the stomach leading to insomnia with restlessness" in the theory of TCM.
The improvement of sleep effect of sleep disorders by far infrared ray(FIR)sauna and the changes of FIR imaging characteristics of their spleen-stomach areas in traditional Chinese medicine(TCM)were discussed.Several employees of our company were selected to be subjects.The sleep disorders whose cardiopulmonary coupling(CPC)sleep quality evaluation scores were less than 60 were brought into a standard.Among them,seven subjects accepted FIR sauna sleep intervention seven times in ten days.By comparing the CPC and FIR imaging characteristics obtained before and after FIR sauna intervention,it was found that three sleep specifications such as sleep quality(score),stable sleep duration(h)and unstable sleep duration(h)of the subjects were improved.The cooling-off phenomena of the spleen-stomach areas of five subjects were improved substantially.This indicated that their △T increased significantly(p=0.039).The results showed that FIR sauna intervention could improve the sleep effect of sleep disorders,which was reflected in the variation of temperature difference in the spleen-stomach areas in TCM.Meanwhile,this research also conformed to the "disorder of the stomach leading to insomnia with restlessness" in the theory of TCM.
引文
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[2]郭晓鹤,李贞娟,朱艳丽,等.功能性消化不良与睡眠障碍的相关分析[J].胃肠病学和肝病学杂志,2011,20(9):836--838.
[3]张磊,宋军,侯晓华.脑-肠轴失调在肠易激综合征发病中作用的研究进展[J].胃肠病学,2014,19(11):688--691.
[4]赵忠新.睡眠医学[M].北京:人民卫生出版社,2016.
[5]Thomas R J,Mietus J E,Peng C K,et al.Relationship between Delta Power and the Electrocardiogram--derived Cardiopulmonary Spectrogram:Possible Implications for Assessing the Effectiveness of Sleep[J].Sleep Med,2014,15(1):125--131.
[6]郭丹,马彦,Peng C K,等.心肺耦合(CPC)分析在儿童睡眠中的应用[J].世界睡眠医学杂志,2014,1(2):75--81.
[7]Schramm P J,Thomas R,Feige B,et al.Quantitative Measurement of Sleep Quality Using Cardiopulmonary Coupling Analysis:A Retrospective Comparison of Individuals with and without Primary Insomnia[J].Sleep and Breathing,2013,17(2):713--721.
[8]魏育林,龙杞,陈博,等.基于时辰的CPC睡眠质量测评分析的评价指标研究[J].世界睡眠医学杂志,2016,3(4):204--208.
[9]李洪娟.红外成像检测与中医[M].北京:中医古籍出版社,2015.
[10]李银华,韩秀文,王进.《内经》心生血、血生脾”理论及应用探讨[J].中医药信息,2010,27(2):3--5.
[11]王明蓉.调和胃气法治疗失眠临床体会[J].实用中医药杂志,2005,21(4):228--229.
[12]Ring E F,Ammer K.Infrared Thermal Imaging in Medicine[J].Physiol Meas,2012,33:33--46.
[13]赵尚德,王青山,宋艳红,等.应用热扫描成像技术评价亚健康状态的诊断试验研究[J].疾病监测与控制杂志,2009,3(7):412--414.
[14]Li K,Zhang Z,Liu N F,et al.Efficacy and Safety of Far Infrared Radiation in Lymphedema Treatment:Clinical Evaluation and Laboratory Analysis[J].Lasers Med Sci,2017,32(3):485--494.
[15]Leung T K,Lin Y S,Chen Y C,et al.Immunomodulatory Effects of Far-infrared Ray Irradiation via Increasing Calmodulin and Nitric Oxide Production in Raw 264.7Macrophages[J].Biomedical Engineering:Applications,Basis and Communications,2009,21(5):317--323.
[16]高春芳,高永红.热断层(TTM)技术对睡眠质量的评估与探讨[J].红外,2007,28(3):41--43.
[17]Vatansever F,Hamblin M R.Far Infrared Radiation(FIR):Its Biological Effects and Medical Applications[J].Photonics Lasers Med.2012,1(4):255--266.
[18]李孟霖.生物陶瓷光能量针对睡眠障碍之临床作用评估[D].台北:大同大学,2015.
[19]Su L H,Wu K D,Lee L S,et al.Effects of Far Infrared Acupoint Stimulation on Autonomic Activity and Quality of Life in Hemodialysis Patients[J].Am J Chin Med,2009,37(2):215--226.