经颅磁刺激治疗慢性失眠的近期疗效观察.docVIP

经颅磁刺激治疗慢性失眠的近期疗效观察 　　【摘要】 目的 评估经颅磁刺激治疗慢性失眠的近期疗效。方法 64例慢性失眠患者， 随机分为治疗组和对照组， 各32例， 均进行睡眠教育， 入睡困难者， 给予艾司唑仑片口服， 治疗组患者给予经颅磁刺激治疗。采用匹兹堡睡眠质量指数（PSQI）评价两组患者睡眠效果并打分。结果 治疗组患者治疗后睡眠质量指数（7.91±3.35）分， 治疗后30 d睡眠质量指数（8.97±2.69）分， 分别低于对照组（17.25±3.32）、（15.66±4.63）分， 差异有统计学意义（P0.05）。结论 经颅磁刺激治疗慢性失眠， 收到了良好的效果， 值得推广应用。 　　【关键词】 经颅磁刺激；慢性失眠；交变磁场 ；匹兹堡睡眠质量指数 　　DOI：10.14163/j.cnki.11-5547/r.2015.29.008 　　Observation of short-term curative effect by transcranial magnetic stimulation in the treatment of chronic insomnia ZHANG Yan-li， YANG Xiao-hua， QI Bao-kui， et al. Teaching and Research Office of Neurology， The First Affiliated Hospital of Qiqihar Medical University， Qiqihar 161041， China 　　【Abstract】 Objective To evaluate short-term curative effect by transcranial magnetic stimulation in the treatment of chronic insomnia. Methods A total of 64 patients with chronic insomnia were randomly divided into treatment group and control group， with 32 cases in each group. They all received sleep education， and those with difficulty in falling asleep received estazolam tablets by oral administration. The treatment group received transcranial magnetic stimulation for treatment. Pittsburgh sleep quality index （PSQI） was applied to evaluate and mark their sleeping quality. Results The treatment group had sleep quality index as （7.91±3.35） points after treatment， and （8.97±2.69） points after 30 d of treatment. The scores were all lower than （17.25±3.32） and （15.66±4.63） points in the control group. Their difference had statistical significance （P0.05）. Conclusion Implement of transcranial magnetic stimulation in the treatment of chronic insomnia provides good effect， and this method is worth promoting and applying. 　　【Key words】 Transcranial magnetic stimulation； Chronic insomnia； Alternating magnetic field； Pittsburgh sleep quality index 　　睡眠占人生1/3的时间， 是维持身体健康必不可少的生理过程， 只有在具有良好睡眠的基础上才能更好地保证生活质量、完成各种社会活动。失眠是一种常见的生理心理疾患， 是以入睡和（或）睡眠维持困难所致的睡眠质量和数量达不到正常生理需求而影响白天社会功能的一种主观体验， 长期失眠会给人的正常生活和工作带来严重的不利影响， 甚