摘要
目的观察体外反搏(external counter pulsation,ECP)辅助治疗初诊失眠症患者的临床效果。方法选取神经内科门诊初诊失眠症患者,排除特殊疾病,随机分为对照组和ECP组。对照组采用常规催眠类药物治疗,ECP组在常规药物基础上辅助体外反搏治疗,疗程1周。分别记录患者治疗前后的血压、双侧颈内动脉血流速度、睡眠质量(athens insomnia scale,AIS)评分。随访3个月,记录患者对催眠类药物的依赖情况。结果治疗前后2组血压无明显变化;治疗后ECP组双侧颈内动脉血流速明显增加,AIS评分明显下降,且对催眠类药物的依赖明显少于对照组,但患者对催眠药物的依赖与否同颈内动脉血流增速及AIS评分变化无明显相关性。结论对初诊失眠的患者在使用催眠类药物治疗的同时辅助体外反搏治疗有助于增加临床疗效,可一定程度上减少患者对药物的依赖。
Objective To observe the effect of the external counter pulsation on patients newly diagnosed as insomnia.Methods Patients with insomnia were newly diagnosed by the specialists.After excluding some other special factors,we randomly divided them into two groups,namely control group and ECP group.Patients in control group received conventional hypnotic drugs,while patients in ECP group were treated by ECP in addition to conventional drugs for one week.We recorded blood pressure,blood velocity of bilateral internal carotid artery before and after treatment and Athens insomnia scale（AIS）scores.After three-month follow-up,we observed the reliance condition of hypnotics.Results No significant difference in terms for MAP was found between the two groups before and after the treatment.The ECP group showed obviously higher blood velocity of bilateral internal carotid artery,lower AIS scores and less reliance for hypnotics than the control group.And the reliance for hypnotics was not associated with both blood velocity and AIS scores.Conclusion Patients newly diagnosed as insomnia may benefit from the combination therapy of hypnotics and external counter pulsation,which can reduce drug reliance to some extent.
出处
《中国实用神经疾病杂志》
2017年第4期6-8,共3页
Chinese Journal of Practical Nervous Diseases
关键词
体外反搏
失眠
AIS评分
External counter pulsation
Insomnia
Athens insomnia scale
