星状神经节阻滞治疗新型冠状病毒感染后失眠和原发性失眠的疗效  

Efficacy of stellate ganglion block in the treatment of insomnia after corona virus disease 2019 and primary insomnia

作　　者：李亚峰 张桦 李晴 罗佛全 LI Yafeng;ZHANG Hua;LI Qing;LUO Foquan(Zhejiang Provincial People's Hospital,Graduate Training Base of Jinzhou Medical University,Hangzhou 310014,CHINA)

机构地区：[1]锦州医科大学浙江省人民医院研究生培养基地,浙江杭州310014 [2]南昌市洪都中医院麻醉科

出　　处：《江苏医药》2025年第1期29-32,共4页Jiangsu Medical Journal

基　　金：江西省中医药科技计划项目(2023A0261)。

摘　　要：目的 观察星状神经节阻滞(SGB)治疗新型冠状病毒感染后失眠和原发性失眠的临床疗效。方法 新型冠状病毒感染后失眠患者60例(A组)和原发性失眠患者60例(B组)均行SGB治疗6周,共12次。比较两组治疗前和治疗后的匹兹堡睡眠质量指数(PSQI)评分、失眠严重程度指数(ISI)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分和自律神经偏向正常率。结果 与治疗前比较,两组治疗后PSQI评分、ISI评分、HAMA评分、HAMD评分均降低(P<0.05),自律神经偏向正常率升高(P<0.05)。治疗后两组PSQI评分、ISI评分、HAMA评分、HAMD评分和自律神经偏向正常率相仿(P>0.05)。结论 SGB可有效治疗新型冠状病毒感染后失眠和原发性失眠,两者临床疗效相仿。Objective To observe the clinical efficacy of stellate ganglion block(SGB)in the treatment of insomnia after corona virus disease 2019 and primary insomnia.Methods Sixty patients with insomnia after corona virus disease 2019(group A)and 60 patients with primary insomnia(group B)were treated with SGB for 6 weeks.The scores of Pittsburgh Sleep Quality Index(PSQI),Insomnia Severity Index(ISI),Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD),and autonomic nervous system deviation towards normal before and after treatment were compared between the two groups.Results Compared with before treatment,both groups showed decrease in PSQI score,ISI score,HAMA score and HAMD score after treatment,while the rate of autonomic nervous system deviation towards normal was increased(P<o.05).After treatment,the scores of PSQI,ISI and HAMA and the rate of autonomic nervous system deviation towards normal of two groups were similar(P>0.05).Conclusion SGB can effectively treat the insomnia after corona virus disease 2019 and primary insomnia with similar clinical efficacy.

关 键 词：星状神经节阻滞 新型冠状病毒 失眠 

分 类 号：R459[医药卫生—治疗学]