经皮穴位电刺激治疗慢性疲劳综合征睡眠障碍临床观察  

Clinical Observation of Transcutaneous Electrical Acupoint Stimulation for Sleep Disorders in Chronic Fatigue Syndrome

作　　者：郭小青[1] 李金霞[1] 谢晶军[2] 李烨[1] 傅瑞阳 GUO Xiao-qing;LI Jin-xia;XIE Jing-jun;LI Ye;FU Rui-yang(Huzhou Hospital of Traditional Chinese Medicine,Huzhou 313000,China;The No.1 People＇s Hospital of Huzhou,Huzhou 313000,China)

机构地区：[1]湖州市中医院,湖州313000 [2]湖州市第一人民医院,湖州313000

出　　处：《上海针灸杂志》2018年第8期847-851,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医药管理局"十二五"重点建设专科(ZJ1101TN010);浙江省中医药科技研究项目(2013ZST003);湖州市科技局项目(2015GYB09);傅瑞阳全国中老中医药专家学术经验继承工作建设项目[国医药人教发(2017)29号]

摘　　要：目的观察经皮穴位电刺激治疗慢性疲劳综合征患者睡眠障碍的临床疗效。方法将96例慢性疲劳综合征患者随机分成对照组(48例,脱落5例)和治疗组(48例,脱落2例)。治疗组采用经皮穴位电刺激大椎与命门、神阙与关元[电流强度(12±2)m A],对照组进行同穴位模拟经皮穴位电刺激(电流强度1 m A),每次30 min,每日1次,每周5次,4周为1个疗程,共观察1个疗程。治疗前及1个疗程结束后,采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评价患者的睡眠质量,健康状况调查简表(Short Form-36 Health Survey,SF-36)评价生活质量,并进行疗效评价。结果治疗后,对照组PSQI各维度分值、PSQI总分及SF-36评分与治疗前比较差异无统计学意义(P>0.05),治疗组PSQI中睡眠质量、入睡时间、日间功能障碍、睡眠效率、睡眠障碍、催眠药物各维度分值及PSQI总分均有不同程度的下降(P<0.01),SF-36评分显著上升(P<0.01);两组治疗前后差值比较,治疗组PSQI评分中睡眠质量、入睡时间、日间功能障碍、睡眠效率、睡眠障碍、催眠药物各维度的分值及PSQI总分下降值明显大于对照组(P<0.01,P<0.05),睡眠时间无明显差异(P>0.05),治疗组SF-36评分上升值显著大于对照组(P<0.01);治疗组总有效率明显高于对照组(P<0.01)。结论经皮穴位电刺激能改善慢性疲劳综合征患者睡眠障碍,提高生活质量。Objective To observe the clinical efficacy of transcutaneous electrical acupoint stimulation（TEAS） in treating sleep disorders in chronic fatigue syndrome（CFS）. Method Ninety-six CFS patients were randomized into a control group（48 cases, drop out 5 cases） and a treatment group（48 cases, drop out 2 cases）. The treatment group was intervened by TEAS at Dazhui（GV14） and Mingmen（GV4）, Shenque（CV8） and Guanyuan（CV4） with current intensity（12±2）m A, while the control group received simulant TEAS at the same groups of acupoints with current intensity 1 m A, 30 min each time, once a day, 5 sessions each week and 4 weeks making up a course of treatment. One treatment course was observed in total. Before and after one treatment course, Pittsburgh Sleep Quality Index（PSQI） was used to evaluate the patient＇s sleep quality and the Short Form-36 Health Survey（SF-36） was used to measure the patient＇s quality of life. The therapeutic efficacy was also estimated. Result After the treatment, the component score and total score of PSQI and SF-36 score did not show significant changes in the control group（P0.05）; in the treatment group, the component scores of PSQI including sleep quality, sleep latency, daily dysfunction, sleep efficiency, sleep disturbance and use sleep medication and the total score of PSQI dropped after the treatment（P0.01） and the score of SF-36 significantly increased（P0.01）. In comparing the changes between the two groups, the decreases in the scores of sleep quality, sleep latency, daily dysfunction, sleep efficiency, sleep disturbance and use of sleep medication and the total score of PSQI in the treatment group were more significant than those in the control group（P0.01, P0.05）; there was no significant difference in the score of sleep duration（P0.05）; the increase in the score of SF-36 in the treatment group was more significant than that in the control group（P0.01）. The total effective rate in the treatment group was significantly

关 键 词：慢性疲劳综合征 穴位疗法 经皮神经电刺激 睡眠障碍 匹兹堡睡眠质量指数 健康状况调查简表 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]