经颅磁刺激结合健康教育治疗大学生原发性失眠的效果及机理  

The effect and mechanism of transcranial magnetic stimulation combined with health education in the treatment of primary insomnia in college students

作　　者：布海力切木·依明艾力 热则耶·艾海提 陈静 Buhailiqiemu Yimingaili;Rezeye Aihaiti;CHEN jing(Hotan College of Xinjiang,Xinjiang Hotan 848000)

机构地区：[1]新疆和田学院,新疆和田848000

出　　处：《新疆维吾尔医学专科学校学报》2024年第4期10-16,共7页

摘　　要：目的探讨经颅磁刺激(rTMS)结合健康教育治疗大学生原发性失眠的效果及机理。方法共筛查新疆和田学院2023年9月至2024年1月的30名原发性失眠大学生,按随机数字表法将其分为对照组和观察组,每组各15名。对照组采取假性rTMS结合健康教育治疗,观察组采取rTMS结合健康教育治疗,治疗4周。对比2组大学生的失眠指数(ISI评分)、睡眠质量(PSQI评分)、血清学指标(皮质醇)。结果2组治疗后的ISI评分均较本组治疗前降低,P<0.05;观察组治疗后的ISI评分低于对照组,P<0.05。2组治疗后的PSQI评分均较本组治疗前降低,P<0.05;观察组治疗后的PSQI评分低于对照组,P<0.05。2组治疗后的皮质醇均较本组治疗前降低,P<0.05;观察组治疗后的皮质醇低于对照组,P<0.05。结论rTMS结合健康教育治疗大学生原发性失眠的效果较好,可减轻大学生的失眠症状,改善睡眠质量及血清学指标,值得推行。Objective To explore the effect and mechanism of transcranial magnetic stimulation(rT-MS)combined with health education in the treatment of primary insomnia in college students.Method A total of 30 primary insomnia college students from September 2023 to January 2024 in our school were screened and randomly divided into a control group and an observation group using a random number ta-ble method,with 15 students in each group.The control group received pseudo rTMS combined with health education treatment,while the observation group of 15 patients received rTMS combined with health education treatment for 4 weeks.Compare the insomnia index(ISI score),sleep quality(PSQI score),and serum indicators(cortisol)of two groups of college students.Result The ISI scores of both groups after treatment decreased compared to before treatment,P<0.05;the ISI scores of the observation group after treatment were lower than those of the control group,P<0.05.The PSQI scores of both groups after treatment decreased compared to before treatment,P<0.05;the PSQI scores of the observation group after treatment were lower than those of the control group,P<0.05.The cortisol levels of both groups after treatment decreased compared to before treatment,P<0.05;the cortisol levels of the observation group af-ter treatment were lower than those of the control group,P<0.05.Conclusion:rTMS combined with health education has a good effect on treating primary insomnia in college students,can alleviate insomnia symp-toms,improve sleep quality and serological indicators,and is worth promoting.

关 键 词：经颅磁刺激 健康教育 大学生 原发性失眠 睡眠质量 

分 类 号：R331[医药卫生—人体生理学]