脉冲电磁场治疗原发性失眠临床疗效分析  

Clinical effect analysis of pulsed electromagnetic fields on primary insomnia

作　　者：田亚云 李刚 王铭维[1] 余启军 曹凯 马芹颖[1] TIAN Ya-yun;LI Gang;WANG Ming-wei;YU Qi-jun;CAO Kai;MA Qin-ying(Department of Neurology,The First Hospital of Hebei Medical University,Brain Aging and Cognitive Neuroscience Key Laboratory of Hebei Province,Shijiazhuang 050000,Hebei,China;Department of Neurology,Qinhuangdao Traditional Chinese Medicine Hospital,Qinhuangdao 066003,Hebei,China;Qinhuangdao Huisianpu Medical Systems Inc,Qinhuangdao 066000,Hebei,China)

机构地区：[1]河北医科大学第一医院神经内科,河北省脑老化与认知神经科学重点实验室,石家庄050000 [2]河北省秦皇岛市中医医院脑病科,066003 [3]河北省秦皇岛市惠斯安普医学系统股份有限公司,066000

出　　处：《中国现代神经疾病杂志》2023年第8期709-715,共7页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：河北省自然科学基金资助项目(项目编号:H2021206325);河北省老年病防治项目(项目编号:LNB201807)。

摘　　要：目的 探讨脉冲电磁场(PEMFs)治疗原发性失眠的疗效。方法 纳入2021年1-12月河北医科大学第一医院收治的120例原发性失眠患者,随机予以常规治疗合并假刺激(对照组)和常规治疗联合脉冲电磁场刺激(PEMFs组),治疗前和治疗后2周采用匹兹堡睡眠质量指数(PSQI)评价睡眠质量、失眠严重程度指数(ISI)评价失眠严重程度。结果 PEMFs组总有效率高于对照组[81.67%(49/60)对41.67%(25/60);χ^(2)=20.306,P=0.000]。两组患者治疗后PSQI总评分(F=228.729,P=0.000)及睡眠质量(F=87.291,P=0.000)、入睡时间(F=181.842,P=0.000)、睡眠时间(F=143.355,P=0.000)分评分,ISI评分(F=361.348,P=0.000)均低于治疗前;治疗后PEMFs组PSQI总评分(F=13.297,P=0.000)及睡眠质量(F=7.573,P=0.007)、入睡时间(F=9.776,P=0.002)、睡眠时间(F=8.566,P=0.004)分评分,ISI评分(F=5.350,P=0.022)均低于对照组。结论 脉冲电磁场治疗原发性失眠安全、有效,可显著改善睡眠质量,可以作为原发性失眠的非药物治疗方法。Objective:To investigate the therapeutic effect of pulsed electromagnetic fields(PEMFs)on primary insomnia.Methods:A total of 120 patients with primary insomnia admitted to the The First Hospital of Hebei Medical University from January to December 2021 were randomly divided into conventional treatment and sham stimulation group(control group)and conventional treatment and PEMFs stimulation group(PEMFs group),with 60 patients in each group.Before and after 2 weeks of treatment,Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality,and Insomnia Severity Index(ISI)was used to evaluate the severity of insomnia.Results:The total effective rate of PEMFs group was higher than that of control group[81.67%(49/60)vs.41.67%(25/60);χ^(2)=20.306,P=0.000].After treatment,the total PSQI score(F=228.729,P=0.000),sleep quality(F=87.291,P=0.000),time to fall asleep(F=181.842,P=0.000),sleep time(F=143.355,P=0.000)and ISI score(F=361.348,P=0.000)of the 2 groups were significantly lower than those before treatment.PSQI total score(F=13.297,P=0.000),sleep quality(F=7.573,P=0.007),time to fall asleep(F=9.776,P=0.002),sleep time(F=8.566,P=0.004),and ISI score(F=5.350,P=0.000)in PEMFs group after treatment were significantly lower than those of the control group.Conclusions:PEMFs are safe and effective in the treatment of patient with primary insomnia,which can significantly improve the sleep quality,and can be used as a non-drug treatment for patients with primary insomnia.

关 键 词：入睡和睡眠障碍 电磁场 电刺激疗法 

分 类 号：R740[医药卫生—神经病学与精神病学]