中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
4期
317-320
,共4页
马国重%蒋晓江%张远凤%郎莹%钟代曲%刘雅贞%李训军
馬國重%蔣曉江%張遠鳳%郎瑩%鐘代麯%劉雅貞%李訓軍
마국중%장효강%장원봉%랑형%종대곡%류아정%리훈군
光照疗法%轮班睡眠障碍%体温变化曲线%睡眠节律障碍
光照療法%輪班睡眠障礙%體溫變化麯線%睡眠節律障礙
광조요법%륜반수면장애%체온변화곡선%수면절률장애
Light therapy%Shift sleep disorder%Temperature change curve%Sleep dysrhythmia
目的 探讨渐进时相选择性光照疗法(progressive time phase selective light therapy,PTPSL)对轮班睡眠障碍患者临床疗效.方法 采用随机对照方法,将24例轮班睡眠障碍患者按随机数字表法随机分为渐进时相选择性光照组及对照组,两组光照治疗时间均为12 d,包括夜班期间及白班期间各连续光照6d；采用里兹睡眠量表、卡罗林斯卡嗜睡量表及核心体温节律变化曲线评估临床疗效.结果 (1)在夜班治疗期间,渐进时相选择性光照组里兹睡眠量表、卡罗林斯卡嗜睡量表[分别为(39.80 ±2.89)分、(6.59±0.48)分]均优于对照组[分别为(36.86±3.88)分、(6.98±2.03)分],体温曲线峰位相后移幅度[(8.35±0.82)h]大于对照组[(7.45±1.05)h],差异具有统计学意义(P＜0.05).(2)在白班治疗期间,渐进时相选择性光照组里兹睡眠量表、卡罗林斯卡嗜睡量表[分别为(45.57 ±2.77)分、(6.33 ±0.48)分]均优于对照组[分别为(40.35±4.19)分、(6.82±1.03)分],体温曲线峰位相提前幅度[(7.37±0.94)h]大于对照组[(6.31±1.37)h],差异具有统计学意义(P＜0.05).结论 渐进时相选择性光照疗法能调整轮班睡眠障碍患者紊乱的睡眠节律系统,使机体内在节律系统与外在的作息时间趋向一致,为治疗轮班睡眠障碍提供了一个新的治疗选择.
目的 探討漸進時相選擇性光照療法(progressive time phase selective light therapy,PTPSL)對輪班睡眠障礙患者臨床療效.方法 採用隨機對照方法,將24例輪班睡眠障礙患者按隨機數字錶法隨機分為漸進時相選擇性光照組及對照組,兩組光照治療時間均為12 d,包括夜班期間及白班期間各連續光照6d；採用裏玆睡眠量錶、卡囉林斯卡嗜睡量錶及覈心體溫節律變化麯線評估臨床療效.結果 (1)在夜班治療期間,漸進時相選擇性光照組裏玆睡眠量錶、卡囉林斯卡嗜睡量錶[分彆為(39.80 ±2.89)分、(6.59±0.48)分]均優于對照組[分彆為(36.86±3.88)分、(6.98±2.03)分],體溫麯線峰位相後移幅度[(8.35±0.82)h]大于對照組[(7.45±1.05)h],差異具有統計學意義(P＜0.05).(2)在白班治療期間,漸進時相選擇性光照組裏玆睡眠量錶、卡囉林斯卡嗜睡量錶[分彆為(45.57 ±2.77)分、(6.33 ±0.48)分]均優于對照組[分彆為(40.35±4.19)分、(6.82±1.03)分],體溫麯線峰位相提前幅度[(7.37±0.94)h]大于對照組[(6.31±1.37)h],差異具有統計學意義(P＜0.05).結論 漸進時相選擇性光照療法能調整輪班睡眠障礙患者紊亂的睡眠節律繫統,使機體內在節律繫統與外在的作息時間趨嚮一緻,為治療輪班睡眠障礙提供瞭一箇新的治療選擇.
목적 탐토점진시상선택성광조요법(progressive time phase selective light therapy,PTPSL)대륜반수면장애환자림상료효.방법 채용수궤대조방법,장24례륜반수면장애환자안수궤수자표법수궤분위점진시상선택성광조조급대조조,량조광조치료시간균위12 d,포괄야반기간급백반기간각련속광조6d；채용리자수면량표、잡라림사잡기수량표급핵심체온절률변화곡선평고림상료효.결과 (1)재야반치료기간,점진시상선택성광조조리자수면량표、잡라림사잡기수량표[분별위(39.80 ±2.89)분、(6.59±0.48)분]균우우대조조[분별위(36.86±3.88)분、(6.98±2.03)분],체온곡선봉위상후이폭도[(8.35±0.82)h]대우대조조[(7.45±1.05)h],차이구유통계학의의(P＜0.05).(2)재백반치료기간,점진시상선택성광조조리자수면량표、잡라림사잡기수량표[분별위(45.57 ±2.77)분、(6.33 ±0.48)분]균우우대조조[분별위(40.35±4.19)분、(6.82±1.03)분],체온곡선봉위상제전폭도[(7.37±0.94)h]대우대조조[(6.31±1.37)h],차이구유통계학의의(P＜0.05).결론 점진시상선택성광조요법능조정륜반수면장애환자문란적수면절률계통,사궤체내재절률계통여외재적작식시간추향일치,위치료륜반수면장애제공료일개신적치료선택.
Objective To research the effects of progressive time phase selective light (PTPSL)therapy on shift work disorder patients.Methods 24 shift work disorder patients were randomlv divided into PTPSL group and control group.Both groups received treatment for 12 days including 6 days during the night shift time and 6 days during the day shift time continuously.The clinical effects were evaluated by Karolinska Sleepiness Scale (KSS),Leeds sleep evaluation questionnaire (LSEQ) and core body temperature rhythm.Results (1) During the night shift time,PTPSL group patients were better in score LSEQ and KSS(discerned for 39.80 ± 2.89,6.59 ±0.48) than control group' s(discerned for 36.86 ± 3.88,6.98 ± 2.03) ; temperature curve peak phase in PTPSL group moved backward greater than that of control group((8.35 ± 0.82) h vs (7.45 ± 1.05) h) ; and the difference was statistical significance(P ＜ 0.05).During the day shift time,PTPSL group patients were better in score LSEQ and KSS(discerned for 45.57 ± 2.77,6.33 ± 0.48) than control group' s (discerned for 40.35 ± 4.19,6.82 ± 1.03),temperature curve peak phase in PTPSL group moved forward greater than that of control group((7.37 ± 0.94)h vs (6.31 ±1.37)h),and the difference was statistical significance(P＜0.05).Conclusion PTPSL can adjust shift sleep disorder patients' mussily sleep rhythm system in order,and make the inner rhythm svstem and external schedules tend to be consistent,and provides a new treatment choice for shift sleep disorders.
