青岛大学学报(医学版)2024,Vol.60Issue(1) :85-89.DOI:10.11712/jms.2096-5532.2024.60.015

针刺对非器质性失眠症病人的镇静作用评价

The sedative effect of acupuncture on patients with nonorganic insomnia

朱婧 朱志博 朱利娟 李鑫 张世平
青岛大学学报(医学版)2024,Vol.60Issue(1) :85-89.DOI:10.11712/jms.2096-5532.2024.60.015

针刺对非器质性失眠症病人的镇静作用评价

The sedative effect of acupuncture on patients with nonorganic insomnia

朱婧 1朱志博 2朱利娟 1李鑫 1张世平1
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作者信息

  • 1. 陕西省人民医院麻醉科,陕西西安 710068
  • 2. 陕西省人民医院医学装备部,陕西西安 710068
  • 折叠

摘要

目的 观察针刺对非器质性失眠症病人的镇静作用,并比较熵指数和脑电双频指数(BIS)在监测针刺镇静效果方面的差异.方法 选取30例非器质性失眠症志愿者为观察组,30例无睡眠问题的健康志愿者为对照组.两组采用了相同的试验方案,均需经历静息态和镇静态两个阶段.从静息态至镇静态,每2.5 min记录1次BIS、状态熵(SE)、反应熵(RE)和警觉/镇静观察评分法(OAA/S)评分,并记录留针至镇静态开始所需要的时间.结果 与对照组相比较,观察组志愿者更早进入镇静态;当达到镇静态时,RE较BIS和SE先降低;进入镇静态后,观察组RE和SE数值均低于对照组,差异均有统计学意义(F=8.967~56.787,F'=10.780~21.833,P<0.05).结论 对于非器质性失眠症病人,针刺能较快达到镇静效果,并可用熵指数和BIS来评价镇静效果,其中RE对镇静的预测更具时效性.

Abstract

Objective To investigate the sedative effect of acupuncture on patients with nonorganic insomnia,and to compare the difference between entropy index and bispectral index(BIS)in monitoring the sedative effect of acupuncture.Me-thods A total of 30 volunteers with nonorganic insomnia were enrolled as observation group,and 30 healthy volunteers without sleep problems were enrolled as control group.The same protocol was used for the two groups,and both groups had to go through the resting state and the sedative state.From the resting state to the sedative state,BIS,state entropy(SE),response entropy(RE),and Observer's Assessment of Alertness/Sedation(OAA/S)score were recorded every 2.5 min,and the time from needle retention to sedation was recorded.Results Compared with the control group,the observation group entered the sedative state earlier.When the sedative state was reached,RE decreased earlier than BIS and SE.Comparedwith the control groupafter entering the sedative state,the observation group had significantly lower SE and RE(F=8.967-56.787,F'=10.780-21.833,P<0.05).Conclusion Acupuncture achieves sedation more quickly in patients with nonorganic insomnia,and the sedative effect can be eva-luated by entropy index and BIS,while RE is more time-sensitive in predicting sedation.

关键词

入睡和睡眠障碍/针刺穴位/意识监护仪//催眠药和镇静药/评价研究

Key words

sleep initiation and maintenance disorders/acupuncture points/consciousness monitors/entropy/hypnotics and sedatives/evaluation study

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基金项目

陕西省科技厅自然科学基础研究计划一般项目(2022JM-526)

西安市创新能力强基计划-医学研究项目(21YX-YJ0093)

陕西省人民医院科技人才支持计划(2022JY-09)

出版年

2024
青岛大学学报(医学版)
青岛大学医学院

青岛大学学报(医学版)

CSTPCD
影响因子:0.8
ISSN:1672-4488
参考文献量36
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