CAJ | 학술논문

目的观察穴位按摩对慢性失眠患者睡眠结构的影响及其治疗效果.方法 45例患者均采用穴位按摩法治疗.穴位取安眠、四神聪、神门、三阴交及太阳穴为主穴,根据中医辩证施治原则,再选择其他辅助穴位按摩.每个穴位按压2～5分钟,按摩天数20 ～ 30天(平均24±5天).治疗前、后使用多道睡眠描记监测分析系统检测患者睡眠结构的变化.结果治疗前,45例患者的睡眠结构均不完整,部分患者S3或S4缺失.治疗30天后,所有患者的睡眠结构得到一定程度的修复和改善；睡眠监测分析显示,患者的睡眠潜伏期缩短,慢波睡眠时间(S+S4)增加,REMS的释放延长,浅睡眠时间(S1+S2期)缩短,NREMS和REMS相对延长(P＜0.05).结论穴位按摩疗法能够修复慢性失眠患者的睡眠结构,重构睡眠的连续性,提高患者的睡眠质量.
목적 관찰혈위안마대만성실면환자수면결구적영향급기치료효과.방법 45례환자균채용혈위안마법치료.혈위취안면、사신총、신문、삼음교급태양혈위주혈,근거중의변증시치원칙,재선택기타보조혈위안마.매개혈위안압2～5분종,안마천수20 ～ 30천(평균24±5천).치료전、후사용다도수면묘기감측분석계통검측환자수면결구적변화.결과 치료전,45례환자적수면결구균불완정,부분환자S3혹S4결실.치료30천후,소유환자적수면결구득도일정정도적수복화개선；수면감측분석현시,환자적수면잠복기축단,만파수면시간(S+S4)증가,REMS적석방연장,천수면시간(S1+S2기)축단,NREMS화REMS상대연장(P＜0.05).결론 혈위안마요법능구수복만성실면환자적수면결구,중구수면적련속성,제고환자적수면질량.
Objective To observe the influence of point massage at head and body points on sleep structure in chronic insomnia patients.Methods 45 patients were treated by point massage on the same main points including Anmian,Sishencong,Shenmen,Sanyinjiao temple for two to five minutes,once every day,abidingly for 20 to 30 days(averaged 24 ± 5 days).The change of patients' sleep structure before and after treatment was tested by poly-somnography analytical system.Self-control statistical methods were used to analyze the data.Results Before treatment,sleep structure of 45 cases were all incomplete; some patients missed S3 or S4.Being treated with point massage for 30 days,all patients got some improvement of falt and broken sleep structure.Sleep Monitoring showed that Point massage shortened latency period of sleep,lengthened the time of slow-wave sleep(S + S4 period),shorten the time of somnolence(S1 + S2 period),and relatively lengthened the time of NREMS and REMS (P＜ 0.05).Conclusion Point massage can repair the sleep structure,remold its continuity to a certain extent,and lengthen the time of slow-wave sleep,which is the main mechanism of improving sleep quality by acupuncture.