电针头穴和体穴对慢性失眠患者睡眠结构的影响  

Influence of Electroacupuncture at Head and Body Points on Sleep Structure in Chronic Insomnia Patients

作　　者：阮经文[1] 廖新学[2] 严英硕[3] 胡跃华[1] 饶忠东[1] 温明[1] 曾小香[4] 

机构地区：[1]中山大学附属第一医院针灸科,广州510080 [2]中山大学附属第一医院心内科,广州510080 [3]中山大学附属第一医院呼吸内科,广州510080 [4]珠海市人民医院,广东珠海519000

出　　处：《中国康复》2009年第3期159-161,共3页Chinese Journal of Rehabilitation

基　　金：广东省科技计划项目(2004B3300102);广东省中医药局基金(1040058)

摘　　要：目的:探讨电针头穴和体穴对慢性失眠患者睡眠结构的影响,以阐明针灸改善睡眠质量的可能机制。方法:41例慢性失眠患者均选取头穴四神聪、印堂及太阳等,体穴内关、神门、三阴交、太溪、照海及申脉等加接KWD-808Ⅰ型脉冲电疗仪治疗,每天1次,30min。治疗前后利用多导睡眠呼吸监测分析系统检测患者睡眠结构的变化。结果:经过40d的治疗,41例患者与治疗前比较夜间觉醒次数明显减少、睡眠潜伏期缩短,慢波睡眠的时间和快动眼睡眠时间延长(均P<0.05)。结论:针刺疗法能够修复睡眠结构,重构睡眠的连续性,提高失眠患者的睡眠质量。Objective： In order to explain the underlying mechanisms of improving sleep quality by acupuncture, we investigated the influence of electroacupuneture at head and body points on sleep structure in chronic insomnia patients. Methods： All patients were treated by electroacupuncture therapeutic meter on the same main points for 30 rain, once ev- ery day, and then adjunct points were chosen based on syndrome differentiation of traditional Chinese medicine （TCM） without electroacupuneture. There were 10 days during a course of treatment. After 4 courses, the change of patients＇ sleep structure before and after trea{ment was tested by polysomnography. Self-control statistical methods were used to analyze the data. Results： Acupuncture had certain effects on the improvement of falt and broken sleep structure, and al- so absolutely or relatively lengthened the time of slow-wave sleep and rapid eye movement sleep （P〈0.05）. Conclusion： Acupuncture can repair the sleep structure, remold its continuity to a certain extent, and lengthen the time of slow-wave sleep and rapid eye movement sleep, which is the main mechanism of improving sleep quality by acupuncture.

关 键 词：针灸 慢性失眠症 睡眠结构 

分 类 号：R246.1[医药卫生—针灸推拿学]