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睡眠调控技术结合电针在脑外伤康复期并发失眠患者中的应用研究
引用本文:余芳菲,余瑾,杨冬熔. 睡眠调控技术结合电针在脑外伤康复期并发失眠患者中的应用研究[J]. 中国康复, 2017, 32(2): 116-118
作者姓名:余芳菲  余瑾  杨冬熔
作者单位:广州中医药大学针灸康复临床医学院康复基础教研室,广州 510000,广州中医药大学针灸康复临床医学院康复基础教研室,广州 510000,广州中医药大学针灸康复临床医学院康复基础教研室,广州 510000
摘    要:目的:研究对脑外伤(TBI)康复期并发失眠患者给予低阻抗意念导入疗法(TIP)结合电针治疗的临床效果。方法:将195例TBI康复期并发失眠患者随机分为研究组98例与对照组97例,对照组采用西药、电针进行常规治疗,研究组在对照组基础上采用TIP睡眠调控技术联合治疗。结果:治疗6周后,2组匹兹堡睡眠质量指数各项评分及总分均较治疗前明显降低(均P0.05),且研究组各项评分均低于对照组(均P0.05)。治疗后,2组焦虑和抑郁评分均较治疗前明显降低(均P0.05),且研究组2项评分均低于对照组(均P0.05)。结论:TBI康复期并发失眠患者采用TIP睡眠调控技术结合电针治疗,能够明显改善睡眠质量、减少负性情绪。

关 键 词:意念导入;低阻抗疗法;电针治疗;脑外伤;睡眠质量

Application of TIP sleep control technology combined with electroacupuncture in the rehabilitation of traumatic brain injury patients with insomnia
Abstract:Objective: To study the clinical effect of TIP sleep regulation technieque combined with electroacupuncture in the treatment of patients with traumatic brain injury (TBI) in the convalescent stage. Methods: In our hospital from July 2014 to May 2016, the 195 TBI patients with insomnia in the convalescent state were randomly divided into the control group (n=97) and the study group (n=97). The control group and study group were treated with electroacupuncture and conventional therapy, and the study group was given TIP sleep regulation technique additionally. Results: After treatment, the scores of PSQI in the two groups were significantly lower than those before treatment (P<0.05), and the scores in the study group were lower than those in the control group (P<0.05). After treatment, the scores of SAS, SDS and MADRS in the two groups were significantly lower than those before treatment (P<0.05), and the scores in the study group were lower than those in the control group (P<0.05 for all). Conclusion: Electroacupuncture combined with TIP sleep regulation technique in TBI patients with insomnia can not only shorten the sleep latency of patients, reduce the number of awakening and awakening time, prolong the sleep time, at the same time can improve sleep quality and reduce negative emotions.
Keywords:idea introduction   low impedance therapy   electroacupuncture therapy   traumatic brain injury   sleep quality
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