基于神经电生理和导电量探讨耳穴电针对慢性失眠患者的影响  

Effects of auricular electroacupuncture on patients with chronic insomnia based on electrophysiology and electrical conductivity

作　　者：马剑然 胡倩 胡庆 万骐 李智杰[1] MA Jianran;HU Qian;HU Qing;WAN Qi;LI Zhijie(Department of Encephalopathy,Wuhan Traditional Chinese Medicine Hospital,Wuhan 430014,China;Department of Medicine,the First Hospital of Wuhan,Wuhan 430022,China;Department of Traditional Chinese Medicine,the Sixth People′s Hospital of Nanning,Nanning 530000,China)

机构地区：[1]武汉市中医医院脑病科,武汉430014 [2]武汉市第一医院医务科,武汉430022 [3]南宁市第六人民医院中医科,南宁530000

出　　处：《新疆医科大学学报》2021年第1期110-113,共4页Journal of Xinjiang Medical University

基　　金：国家科技部重点研发计划-中医药现代化研究重点专项(SQ2018YFC175600)。

摘　　要：目的通过夜间多导睡眠检测(PSG)和经络能量分析仪观察耳穴电针对慢性失眠患者的治疗效果。方法选取52例武汉市中医医院脑病科确诊的慢性失眠患者,随机分为对照组和治疗组,各26例。对照组予以苯二氮卓类药物艾司唑仑口服(1 mg/每晚)。治疗组予以苯二氮卓类药物艾司唑仑口服(1 mg/每晚),同时予以针刺双侧耳屏上的脑穴、肾穴、心穴、交感穴、皮质下穴以及神门穴,得气后将SDZ-11电子针疗仪的电极接在双侧肾穴及心穴上,将工作模式设定为连续波工作模式,并将输出脉冲频率设定为20 Hz,通电20 min。每周5次,每天1次,连续治疗1个月。比较2组患者1月后的睡眠进程、睡眠结构、快速动眼(REM)测量值及治疗组前后各耳穴导电量的变化。结果治疗组与对照组比较:记录时间(TRT)无明显变化,差异无统计学意义(P>0.05),睡眠潜伏期(SL)、醒觉次数(AT)、睡眠效率(SE)、N1%、N2%、N3%、REM%、REM睡眠潜伏期(RL)、REM睡眠次数(NRP)、REM睡眠时间(RT)差异均有统计学意义(P<0.05)。治疗组治疗前后比较:双侧脑穴、肾穴、心穴以及神门穴导电量差异均有统计学意义(P<0.05)。结论苯二氮卓类药物艾司唑仑联合耳穴电针能够更好地改善慢性失眠患者的睡眠质量。Objective To observe the effects of auricular electroacupuncture on patients with chronic insomnia by night polysomnography(PSG)and meridian energy analyzer.Methods A total of chosen 52 patients with confirmed chronic insomnia were randomly divide them into two groups:treatment group and control group with 26 cases in each.They were evaluated on the changes of sleep progression,sleep structure,rapid eye movement(REM)measurement and au⁃ricular electrical conductivity of patients before and after 1 month of continuous treatment by PSG and meridian energy analyzer.Results In addition to the total recording time,there are statistical significance between the treatment group and the control group in other sleep indicators(P<0.05).There are statistical significance on the electrical conductivity of these four acupoints:brain point,heart point,kidney point and shenmen point between the groups(P<0.05),except for the remaining points(P>0.05).Conclusion Auricular electroacupuncture can improve the sleep quality of patients with chronic insomnia to some extent.

关 键 词：慢性失眠 神经电生理 导电量 耳穴电针 

分 类 号：R246[医药卫生—针灸推拿学]