摘要
目的:探讨电刺激小脑顶核对非器质性失眠症患者睡眠参数的改变,并与健康人数据比较。方法:选择2003-08/2004-05重庆医科大学附属第一医院神经内科收治失眠症患者50例为失眠组,健康体检无失眠症20例为对照组,应用自行研制的ES型失眠治疗仪,在患者睡觉前1h进行30～45min的治疗,3～6d为1个疗程,并用Actiwatch系统记录失眠组和对照组的睡眠数据:总睡眠时间、实际睡眠时间、实际觉醒时间、睡眠效率、平均活动分数、破碎指数,用Actiware-Sleep软件分析数据,记录结束后再询问其睡眠情况。结果:按意向处理分析,两组70例均进入结果分析。①失眠症组治疗前的实际觉醒时间为(0.83±0.44)h,与对照组(0.38±0.41)h相比显著延长(P<0.01);而睡眠效率(76.46±9.43)%与对照组(91.38±3.97)%相比显著降低(P<0.01);同时反映身体活动的参数和睡眠—觉醒节律的总体破碎程度的破碎指数15.84±8.43与对照组8.70±5.04相比显著升高(P<0.05)。②经ES型失眠治疗仪治疗后,失眠症组除了总睡眠时间外,其他的参数改善均显著(P<0.05或0.01)。实际睡眠时间为(6.40±1.04)h,实际觉醒时间为(0.56±0.31)h,睡眠效率为(85.99±5.71)%,平均活动分数为(3.38±2.21)分,破碎指数为9.65±5.01,睡眠和觉醒次数减少,实际睡眠时间延长,身体动度降低,?
AIM:To investigate the influence of fastigial nucleus electrical stimulation o n the changes of sleeping parameters in patients with nonorganic insomnia,and co mpare with the data of healthy people. METHODS:Fifty patients with insomnia,who were treated in the Department of Neu rology,the First Affiliated Hospital of Chongqing Medical University between Aug ust 2003 and May 2004,were selected as the insomnia group,and 20 healthy physica l examinees without insomnia were taken as controls(control group).Patients with insomnia were treated with the self designed ES sleep therapeutic instrument f or 30 to 45 minutes at 1 hour before sleep,and 3 to 6 days as a course.The sleep ing data,including total sleep time,actual sleep time,actual awake time,sleep ef ficiency,average activity score and fragmentation index,were recorded with the A ctivwatch system and analyzed with the Actiware Sleep software.Other sleep cond itions were inquired after record. RESULTS:According to intention to treat analysis,all the 70 cases in both gr oups were involved in the analysis of results.①Before treatment,the actual slee p time in the insomnia group[(0.83±0.44) hours] was significantly prolonged as compared with that in the control group[(0.38±0.41) hours](P< 0.01),but the sle ep efficiency[(76.46±9.43)%] was remarkably decreased as compared with that in the control group[(91.38±3.97)%](P< 0.01),and the fragmentation index,which r eflected the total fragmentation degree of physical activity parameters and slee p awake rhythm,was significantly increased in the insomnia group(15.84±8.43) a s compared with in the control group(8.70±5.04)(P< 0.05).②After the treatment of ES sleep therapeutic instrument,except the total sleep time,other parameters were all significantly ameliorated(P< 0.05 or 0.01).The actual sleep time was (6 .40±1.04) hours,actual awake time was (0.56±0.31) hours,sleep efficiency was ( 85.99±5.71)%,average activity score was (3.38±2.21) points,fragmentation inde x was 9.65±5.01,sleep and awake number of time
出处
《中国临床康复》
CSCD
北大核心
2005年第16期40-41,共2页
Chinese Journal of Clinical Rehabilitation
