调神针法与重复经颅磁(rTMS)联合治疗失眠的疗效研究OA
The Efficacy Study of Combined Treatment with Acupuncture for Spirit Regulation and Repetitive Transcranial Magnetic Stimulation(rTMS)for Insomnia
目的:探讨调神针法与重复经颅磁(rTMS)联合治疗失眠的疗效.方法:将2023年1月～2024年6月在南昌大学第四附属医院康复医学科治疗的60例失眠患者随机分为两组,每组各30例,对照组使用常规针刺治疗,观察组使用调神针法与rTMS联合治疗,共治疗1个月,对比两组的临床疗效、PSQI评分、PSG等相关指标.结果:观察组治疗有效率为96.67%,高于对照组的70.00%(P<0.05);治疗前,两组的PSQI各项评分及总分差异均无统计学意义(P>0.05),治疗后,观察组各项 PSQI评分及总分均低于对照组(P<0.05);观察组睡眠时长、快速眼动(REM)时长、N1、N2、N3时长等指标均长于对照组(P<0.05).结论:调神针法与rTMS联合治疗失眠的疗效显著,能有效提高睡眠质量.
Objective:To investigate the effect of combined acupuncture for spirit regulation and repetitive transcranial magnetic stimulation(rTMS)in the treatment of insomnia.Methods:Sixty patients with insomnia who were treated in the Department of Rehabilitation Medicine,the Fourth Affiliated Hospital of Nanchang University from January 2023 to June 2024 were randomly divided into two groups,with 30 patients in each group.The control group was treated with conventional acupuncture,while the observation group was treated with conventional acupuncture combined with rTMS,for a total of 1 month.The clinical efficacy,Pittsburgh Sleep Quality Index(PSQI)score,and polysomnography(PSG)index were compared between the two groups.Results:The response rate of the observation group was 96.67%,which was significantly higher than 70.00%of the control group(P<0.05).The PSQI score of the observation group was significantly lower than that of the control group(P<0.05).The sleep duration,rapid eye movement(REM)sleep time,N1,N2,and N3 sleep hours of the observation group were significantly longer than those of the control group(P<0.05).Conclusion:The combination of acupuncture for spirit regulation and rTMS has a significant effect in the treatment of insomnia and can effectively improve the sleep quality of patients.
陈林
南昌大学附属康复医院,江西 南昌 330000
医药卫生
失眠调神针法重复经颅磁刺激疗效睡眠质量
insomniaspirit-regulating acupuncturerepetitive transcranial magnetic stimulation(rTMS)efficacysleep quality
《中医康复》 2026 (5)
44-48,5
江西省中医药管理局科技计划项目(2022A100)
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