摘要
目的观察星状神经节阻滞结合头针治疗原发性顽固失眠症的效果。方法原发性顽固失眠症患者115例，采用星状神经节阻滞结合头针治疗，同时原催眠药物继续服用。于治疗前和治疗后隔2d采用匹兹堡睡眠质量指数及多导睡眠图评估主观与客观睡眠质量。结果治疗结束后6个月时评估治疗效果，痊愈、显效、差效、无效率依次为68．7％（79／115例）、27．8％（32／115例）、3．5％（4／115例）、0％（0／115例）；治疗前后匹兹堡睡眠质量指数及多导睡眠图评估比较差异有统计学意义（P〈0．05），且可达到催眠药物减量的效果。结论星状神经节阻滞结合头针对原发性顽固失眠症具有较好的疗效。
Objective To observe the efficacy of stellate ganglion block combined with scalp acupuncture in the treatment of patients with primary stubborn insomnia. Methods One hundred and fifteen patients with primary stubborn insomnia were treated with stellate ganglion block and scalp acupuncture, and meanwhile continuously taken original hypnotic agents. The subjective and objective sleep qualities were assessed by Pittsburgh sleep quality index and polysomnogram before and two days after the treatment. Results The cured, good, poor and ineffective rates were 68.7% （79/115 cases）, 27.8% （32/115 cases）, 3.5%（4/115 cases） and 0% （0/115 case） respectively at sixth month after the treatment. There were significant differences in Pittsburgh sleep quality index and polysomnogram before and after the treatment （P〈0.05）, and the doses of hypnotic drug were decreased. Conclusion Stellate ganglion block combined with scalp acupuncture is effective in the treatment of patients with primary stubborn insomnia.
出处
《实用疼痛学杂志》
2014年第3期190-193,共4页
Pain Clinic Journal
关键词
入睡和睡眠障碍
星状神经节
神经传导阻滞
针刺疗法
Sleep initiation and maintenance disorders
Stellate ganglion
Nerve block
Acupuncture therapy
