重复经颅磁联合五音疗法治疗失眠患者的临床疗效观察
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摘要
目的:比较重复经颅磁(repetitive Transcranial Magnetic Stimulation,rTMS)联合五音疗法与单独使用重复经颅磁治疗慢性失眠患者的临床疗效。方法:将符合《中国成人失眠诊断与治疗指南》中慢性失眠诊断标准的、年龄在22～65岁的100例失眠患者随机分成对照组(50例)和治疗组(50例)。对照组单独应用rTMS治疗,治疗组应用rTMS联合五音疗法治疗,均治疗10 d,治疗前后分别进行匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)评估和多导睡眠监测(Polysomnography,PSG)检查,比较治疗结果,应用统计学方法统计分析。结果:治疗后,治疗组PSQI总分低于对照组,PSG结果中:治疗组的睡眠潜伏期、觉醒次数和觉醒时间均短于对照组,而总睡眠时间长于对照组,睡眠效率也高于对照组,与对照组比较差异有统计学意义(P <0.05或P <0.01)。结论:重复经颅磁联合五音疗法较单独使用复经颅磁治疗失眠患者疗效更优。
Objective: To compare the clinical efficacy of rTMS plus the Wuyin therapy( 五音疗法) and rTMS alone on chronic insomnia. Methods: 100 patients were randomly divided into two groups. The control group was treated by rTMS alone; and the treatment group was given the Wuyin therapy more. Results: The total score of PSQI after treatment in the treatment group was lower. The sleep latency, wake times and wake time in the treatment group were shorter, while the total sleep time was longer, and the sleep efficiency was also higher than the control group(P<0.05 or P<0.01). Conclusion: rTMS plus the Wuyin therapy is more effective on insomnia.
Objective: To compare the clinical efficacy of rTMS plus the Wuyin therapy( 五音疗法) and rTMS alone on chronic insomnia. Methods: 100 patients were randomly divided into two groups. The control group was treated by rTMS alone; and the treatment group was given the Wuyin therapy more. Results: The total score of PSQI after treatment in the treatment group was lower. The sleep latency, wake times and wake time in the treatment group were shorter, while the total sleep time was longer, and the sleep efficiency was also higher than the control group(P<0.05 or P<0.01). Conclusion: rTMS plus the Wuyin therapy is more effective on insomnia.
引文
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[2]许星瑶.浅谈认知行为疗法在心因性失眠中的应用[J].商,2015,(41):291-292.
[3]王影.中医五行音乐疗法辨证治疗失眠症的临床研究[D].长春:长春中医药大学,2010:34-35
[4]王东岩,程巨萍.五音疗法结合头针治疗失眠虚证的临床观察[J].针灸临床杂志,2014,30(07):12-14.
[5]刘贤臣,唐茂芹,胡蕾.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(02):103-107
[6]胡晓辉,邹慧莉,唐宝丽,等.重复经颅磁刺激治疗伴有失眠的焦虑症38例临床观察[J].中华实用诊断与治疗杂志,2014,28(02):158-159.
[7]Codi M,Paten C,Triggs W.Repetitive transcranial magnetic stimulation of motor codex after stroke:a focused review[J].Am J Phys Med Rehabil,2012,91(10):254-270.
[8]Theilig S,Podubecka J,Kathrin B,et a1.Functional neuromuscular stimulation to improve severe hand dysfunction after stroke:does inhibitory rTMS enhance therapeutic efficiency[J].Experimental Neurology,2011,230(01):149-155.
[9]张春华,刘继明.重复经颅磁刺激对失眠症患者睡眠参数的影响[J].中国康复理论与实践,2013,19(06):568-571.
[10]张文静,聂坤,张玉虎,等.重复经颅磁治疗帕金森病失眠患者的效果观察[J].护理学报,2014,21(23):28-30.
[11]刘伟.浅谈五音疗法的理论基础[J].国医论坛,2003,18(05):17.
[12]刘萍,颜红.音乐疗法用治失眠[J].长春中医药大学学报,2011,27(02):270-271.
[13]梁辉,李艳青,李明.五音乐曲疗法治疗耳鸣的临床研究[J].辽宁中医杂志,2010,37(06):1038-1041.
[14]单金龙.《黄帝内经》中“五脏相音”的实践与计算机交互分析[J].歌海,2016,15(03):75-81.