摘要
目的探讨光照疗法在轮班作业致睡眠障碍患者治疗中的应用效果及护理方法。方法 2012年9月至2013年3月,第三军医大学大坪医院野战外科研究所神经三科收治的轮班作业致睡眠障碍患者共60例,按入院先后将其分为对照组和观察组各30例,对照组常规采用苯二氮艹卓类药物治疗,观察组在对照组的基础上采用光照治疗,两组治疗时间均为7d,采用阿森斯失眠量表(Athens insomnia scale,AIS)、多导睡眠监测及治疗不良反应量表(treatment emergent symptom scale,TESS)评估治疗效果。结果治疗后,观察组患者AIS各因子中的入睡潜伏期、睡眠时间、主观睡眠质量、白天身体功能、白天情绪、白天思睡因子评分较对照组明显下降,差异有统计学意义(均P<0.05);多导睡眠监测显示,治疗后观察组Ⅲ期睡眠比例上升(P<0.05),Ⅱ期睡眠比例下降(P<0.05),对照组Ⅲ期睡眠及快动眼期睡眠比例下降(P<0.05),Ⅱ期睡眠比例上升,两组比较,差异均有统计学意义(均P<0.05);治疗后,观察组患者不良反应的发生率为10%。结论光照疗法可调节轮班作业致睡眠障碍患者的睡眠节律系统,使机体内在节律系统与外在生物节律趋向一致,为治疗轮班作业致睡眠障碍提供了一个新的治疗选择。
Objective To explore the therapeutic effect of light therapy for the shift work disorder pa-tients.Methords 60 shift work disorder patients were selected,and randomly divided into two groups.30 patients in control group were given conventional pharmacotherapy with Benzodiazepine azole drugs,while 30 patients in the observation group were given the conventional pharmacotherapy and light therapy.Inter-vention time of two groups was 7 days.Athens Insomnia Scale （AIS）and Polysomnography （PSG）and TESS as the main measures were also detected and compared between the pre-treatment and post-treat-ment of two groups.Results The scores of AIS in observation group were lower than those before the treatment,such as scores on sleep latency,sleep time,sleep quality,emotion,body function,sleepiness.They had statistical significance compared with those before the treatment （P 〈0.05）.PSG showed that after the treatment,in the observation group,stage Ⅲ sleep increased significantly（P 〈 0.05 ）,stage Ⅱ sleep de-creased significantly（P 〈0.05）.In the control group,stage Ⅲ sleep and rapid eye movement decreased sig-nificantly,while stage Ⅱ sleep increased significantly（all P 〈0.05）.The incidence rate of adwerse reaction in observation group was 10% after treatment.Conclusion Light therapy can effectively regulate the sleep rhythm system of shift work disorder patients,make the internal rhythms system and external biological rhythms tend to be consistent,and provide a new treatment option for shift work disorder.
出处
《解放军护理杂志》
CSCD
2014年第19期37-40,共4页
Nursing Journal of Chinese People's Liberation Army
基金
第三军医大学科研资助项目(2008XG77)
