印堂穴和前额贴敷疗法治疗心理生理性失眠症的效果评价.docVIP

印堂穴和前额贴敷疗法治疗心理生理性失眠症的效果评价 乐发国 刘海霞 王彦婷 张婷 蒋成刚 黄庆龄 高东 (400042 重庆，第三军医大学大坪医院野战外科研究所睡眠心理中心) 目的：评价采用利眠贴进行印堂穴和前额贴敷疗法对治疗心理生理性失眠症病人的临床疗效。方法：根据《睡眠障碍国际分类标准第二版》（International Classification of Sleep Disorders-2，ICSD-2）中对于心理生理性失眠症的诊断标准，选取符合该诊断的15名患者。入组后进行整晚多导睡眠（Polysomnography，PSG）监测检查，并完成匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index，PSQI）量表和失眠严重指数（Insomnia severity index，ISI）量表检查。患者每晚睡前将利眠贴水平贴敷于前额，柄向下贴于印堂穴上，次日觉醒时取下弃之。持续治疗两周后再次完成整晚PSG监测及PSQI量表和ISI量表检查。通过配对t检验比较治疗前后患者PSG监测记录的各项睡眠参数的变化以及PSQI量表和ISI量表的得分，以评价贴敷治疗的临床效果。结果：PSG结果表明接受利眠贴治疗后失眠患者的睡眠效率显著提高（t=-3.07,P0.05），夜间总睡眠时间（t=-3.38,P0.01）、快速动眼睡眠期（t=-3.33,P0.01）、非快速动眼睡眠1期（t=-2.78,P0.05）明显增加，入睡后清醒期显著降低（t=2.40,P0.05），而觉醒次数、睡眠潜伏期、快速动眼睡眠潜伏期、非快速动眼睡眠2、3期均无明显变化。同时，PSQI量表和ISI量表的结果提示，持续2周的贴敷治疗使患者的得分明显降低（tPSQI=2.30,PPSQI0.05；tISI=2.58,PISI0.05）。结论：印堂穴贴敷疗法显著改善了失眠患者的客观和主观睡眠质量。 关键词：失眠；贴敷疗法；多导睡眠监测 中图法分类号R453.9；R740.7；R741.05 Clinical evaluation of plaster therapy with the Limiantie on Yingtang hole and forehead of patients with psychophysiological insomnia Yue Faguo, Liu Haixia, Wang Yanting, Zhang Ting, Jiang Chenggang, Huang Qingling, Gao Dong(Department of Sleep and Psychology, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing 400042, China) Objective: To investigate the effects of plaster therapy on yintangxue and forehead of patients with psychophysiological insomnia.Methods:Fifteen patients with diagnosis of psychophysiological insomnia according to International Classification of Sleep Disorders-2 (ISCD-2) were recruited. Sleep quality before treatment was assessed by scales of Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity index (ISI), as well as the overnight polysomnography (PSG) recordings. Patients plastered a Limian/SleepTight paste on the middle of their forehead, named yintangxue in traditional Chinese medicine, with the paste ledge downward before sleep and abandoned it when waking up the next morning. After two weeks of therapy, sleep quality was re-evaluated by PSQI