摘要
目的:观察五行虚拟现实(VR)技术联合睡眠认知行为疗法(CBT-I)治疗心肾不交证慢性失眠的疗效。方法:选取60例慢性失眠心肾不交证患者,按随机数字表法分别为试验组及对照组各30例。对照组予以CBT-I,试验组在对照组基础上采用五行VR技术治疗。2组均治疗4周。比较2组临床疗效,比较2组治疗前后低频功率(LF)、高频功率(HF)、低频功率与高频功率之比(LF/HF)、匹兹堡睡眠质量指数(PSQI)、中医证候积分、汉密顿抑郁量表-17(HAMD-17)、汉密尔顿焦虑量表(HAMA)评分的变化。结果:试验组总有效率为66.67%,对照组为16.67%,2组比较,差异有统计学意义(P<0.05)。治疗4周后,试验组LF指标值、试验组LF/HF指标值、对照组LF/HF指标值治疗前后比较,差异有统计学意义(P<0.05);治疗后,试验组LF、LF/HF指标值均低于对照组(P<0.05)。治疗4周后,试验组睡眠质量、入睡时间、睡眠效率、催眠药物、日间功能障碍评分及总分低于对照组(P<0.05)。治疗4周后,2组中医证候积分、HAMA、HAMD-17评分均较治疗前下降(P<0.05),试验组中医证候积分、HAMA、HAMD-17评分均低于对照组(P<0.05)。结论:五行VR技术联合CBT-I治疗心肾不交证慢性失眠疗效较好,可改善自主神经中副交感神经及平衡性,提升睡眠质量。
Objective:To observe the curative effect of five-phase virtual reality(VR)technology combined with cognitive-behavioral therapy for insomnia(CBT-I)for chronic insomnia with syndrome of non-interaction between the heart and the kidney.Methods:A total of 60 cases of patients with chronic insomnia with syndrome of non-interaction between the heart and the kidney were selected and divided into the trial group and the control group according to the random number table method,with 30 cases in each group.The control group was treated with CBT-I,and the trial group was additionally treated with five-phases VR technology based on the treatment of the control group.Both groups were treated for four weeks.The clinical effects were compared between the two groups.The changes in low-frequency power(LF),high-frequency power(HF),ratio of low-frequency power to high-frequency power(LF/HF),Pittsburgh Sleep Quality Index(PSQI),traditional Chinese medicine(TCM)syndrome scores,Hamilton Depression Scale-17(HAMD-17),and Hamilton Anxiety Scale(HAMA)index values were compared before and after treatment.Results:The total effective rate was 66.67%in the trial group and 16.67%in the control group,the difference being significant(P<0.05).After four weeks of treatment,the LF index values in the trial group,and the LF/HF index values in the trial group and the control group were compared before and after treatment,the difference being significant(P<0.05).After treatment,the LF and LF/HF index values in the trial group were lower than those in the control group(P<0.05).After foru weeks of treatment,the scores of sleep quality,sleep onset time,sleep efficiency,hypnotic drugs,and daytime dysfunction,and the total score in the trial group were lower than those in the control group(P<0.05).After four weeks of treatment,the TCM syndrome scores,HAMA scores,and HAMD-17 scores in the two groups were decreased when compared with those before treatment(P<0.05),and the TCM syndrome scores,HAMA score,and HAMD-17 score in the trial group were lower than those in the control group(P<0.05).Conclusion:The five-phase VR technology combined with CBT-I has a good curative effect on chronic insomnia with syndrome of non-interaction between the heart and the kidney,which can improve the parasympathetic nervous system and balance in the autonomic nervous system,and enhance the sleep quality.
作者
钟霖
董尚灵
方小玲
张震中
ZHONG Lin;DONG Shangling;FANG Xiaoling;ZHANG Zhenzhong(The Second School of Clinical Medicine of Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China;Tongde Hospital of Zhejiang Province,Hangzhou Zhejiang 310012,China;Zhangzhou Traditional Chinese Medical Hospital,Zhangzhou Fujian 363000,China)
出处
《新中医》
CAS
2024年第11期34-38,共5页
New Chinese Medicine
基金
浙江省中医药管理局基金项目(2021ZB057)。
关键词
慢性失眠
心肾不交证
五行
虚拟现实技术
睡眠认知行为疗法
Chronic insomnia
Syndrome of non-interaction between the heart and the kidney
The five phases
Virtual reality technology
Cognitive-behavioral therapy for insomnia
