【摘要】 失眠指患者對(duì)睡眠時(shí)間和(或)質(zhì)量不滿足并影響白天社會(huì)功能的一種主觀體驗(yàn)。失眠的發(fā)病率很高,影響患者的生存質(zhì)量,同時(shí)造成巨大的經(jīng)濟(jì)損失。失眠治療主要有藥物治療和非藥物治療(包括心理行為治療、物理因子治療等)。藥物治療易產(chǎn)生耐受和依賴,心理行為治療周期較長(zhǎng)。大量的臨床資料表明,物理因子治療失眠有其獨(dú)特之處,現(xiàn)從高壓靜電療法,腦電生物反饋療法,紫外線光量子透氧療法,低能量He-Ne激光治療等方面,對(duì)近年來(lái)國(guó)內(nèi)外臨床對(duì)失眠的治療作一綜述。
引用本文: 劉珂,屈云. 失眠的物理因子治療. 華西醫(yī)學(xué), 2010, 25(11): 2121-2123. doi: 復(fù)制
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1. | Schutte-Rodin S, Broch L, Buysse D, et al. Clinical guideline for the evaluation and management of chronic insomnia in adults[J]. J Clin Sleep Med, 2008, 4(5): 487-504. |
2. | 劉靜. 失眠的治療方法探討[J]. 中國(guó)誤診學(xué)雜志, 2009, 9(28): 6900. |
3. | Kyle SD, Morgan K, Espie CA. Insomnia and health-related quality of life[J]. Sleep Med Rev, 2010, 14(1): 69-82. |
4. | Léger D, Bayon V. Societal costs of insomnia[J]. Sleep Med Rev, 2010 Mar 30. [Epub ahead of print]. |
5. | Bloom HG, Ahmed I, Alessi CA, et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons[J]. J Am Geriatr Soc, 2009, 57(5): 761-789. |
6. | Cervena K, Dauvilliers Y, Espa F, et al. Effect of cognitive behavioural therapy for insomnia on sleep architecture and sleep EEG power spectra in psychophysiological insomnia[J]. J Sleep Res, 2004, 13(4): 385-393. |
7. | Siebern AT, Manber R. Insomnia and its effective non-pharmacologic treatment[J]. Med Clin North Am, 2010, 94(3): 581-591. |
8. | Montgomery P, Dennis J. A systematic review of non-pharmacological therapies for sleep problems in later life[J]. Sleep Med Rev, 2004, 8(1): 47-62. |
9. | 潘瑋, 劉娟, 張信民. 兩種高壓靜電場(chǎng)對(duì)大鼠血細(xì)胞及血清生物化學(xué)指標(biāo)的影響[J]. 中國(guó)組織工程研究與臨床康復(fù), 2008, 12(4): 651-654. |
10. | 余小梅, 韓秀蘭, 吳春妹, 等. 高電位治療儀對(duì)失眠病人睡眠質(zhì)量及心理狀態(tài)的療效分析[J]. 臨床應(yīng)用,2007, 19(5): 66-67. |
11. | 張琴, 鄧興瑞, 萬(wàn)慧, 等. 耳穴貼壓配合高電位治療失眠癥效果觀察[J]. 鄖陽(yáng)醫(yī)學(xué)院學(xué)報(bào), 2009, 28(2): 165-166. |
12. | 徐善恒, 陳貴海. 高電位治療慢性失眠臨床觀察[J]. 安徽醫(yī)學(xué), 2009, 30(4): 428-429. |
13. | 吳淑華, 王彥林, 姜韜. 高壓電位治療失眠50例臨床觀察[J]. 黑龍江醫(yī)藥科學(xué), 2005, 28(5): 44. |
14. | Riemann D, Spiegelhalder K, Feige B, et al. The hyperarousal model of insomnia: a review of the concept and its evidence[J]. Sleep Med Rev, 2010, 14(1): 19-31. |
15. | Cortoos A, Verstraeten E, Cluydts R. Neurophysiological aspects of primary insomnia: Implications for its treatment [J]. Sleep Med Rev, 2006, 10(4): 255-266. |
16. | Kierlin L. Sleeping without a pill: nonpharmacologic treatments for insomnia[J]. J Psychiatr Pract, 2008, 14(6): 403-407. |
17. | 吳綠花, 邱麗興, 肖素瓊. 應(yīng)用腦電生物反饋治療腦卒中患者日間倦睡過(guò)度癥[J]. 中國(guó)實(shí)用神經(jīng)疾病雜志, 2010, 13(12): 75. |
18. | Hauri P. Treating psychophysiologic insomnia with biofeedback[J]. Arch Gen Psychiatry, 1981, 38(7): 752-758. |
19. | 吳洪軍, 徐麗萍, 楊惠君, 等. 腦電生物反饋治療失眠療效評(píng)價(jià)[J]. 臨床心身疾病雜志, 2009, 15(1): 1-2. |
20. | Hauri PJ, Percy L, Hellekson C, et al. The treatment of psychophysiologic insomnia with biofeedback: a replication study. Biofeedback Self Regul 1982, 7(2): 223-235. |
21. | McLay RN, Spira JL. Use of a portable biofeedback device to improve insomnia in a combat zone, a case report[J]. Appl Psychophysiol Biofeedback, 2009 , 34(4): 319-321. |
22. | 馮冬澤.電針、紫外線光量子透氧并西藥內(nèi)服治療腦卒中后抑郁失眠癥52例[J].國(guó)醫(yī)論壇, 2006, 21(2): 36-37. |
23. | 許長(zhǎng)春, 王黎荔, 劉軍方, 等. 低能量He-Ne激光腦定向治療失眠癥[J]. 前衛(wèi)醫(yī)藥雜志, 2001, 18(5): 337-338. |
24. | 王芳. 鼻腔內(nèi)激光照射治療失眠的療效觀察與護(hù)理[J]. 社區(qū)醫(yī)學(xué)雜志, 2006, 4(3): 58. |
25. | 周鵬. 激光穴位照射對(duì)大鼠下丘腦單胺類(lèi)遞質(zhì)和IL-1β的影響[D]. 暨南大學(xué), 2008. |
- 1. Schutte-Rodin S, Broch L, Buysse D, et al. Clinical guideline for the evaluation and management of chronic insomnia in adults[J]. J Clin Sleep Med, 2008, 4(5): 487-504.
- 2. 劉靜. 失眠的治療方法探討[J]. 中國(guó)誤診學(xué)雜志, 2009, 9(28): 6900.
- 3. Kyle SD, Morgan K, Espie CA. Insomnia and health-related quality of life[J]. Sleep Med Rev, 2010, 14(1): 69-82.
- 4. Léger D, Bayon V. Societal costs of insomnia[J]. Sleep Med Rev, 2010 Mar 30. [Epub ahead of print].
- 5. Bloom HG, Ahmed I, Alessi CA, et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons[J]. J Am Geriatr Soc, 2009, 57(5): 761-789.
- 6. Cervena K, Dauvilliers Y, Espa F, et al. Effect of cognitive behavioural therapy for insomnia on sleep architecture and sleep EEG power spectra in psychophysiological insomnia[J]. J Sleep Res, 2004, 13(4): 385-393.
- 7. Siebern AT, Manber R. Insomnia and its effective non-pharmacologic treatment[J]. Med Clin North Am, 2010, 94(3): 581-591.
- 8. Montgomery P, Dennis J. A systematic review of non-pharmacological therapies for sleep problems in later life[J]. Sleep Med Rev, 2004, 8(1): 47-62.
- 9. 潘瑋, 劉娟, 張信民. 兩種高壓靜電場(chǎng)對(duì)大鼠血細(xì)胞及血清生物化學(xué)指標(biāo)的影響[J]. 中國(guó)組織工程研究與臨床康復(fù), 2008, 12(4): 651-654.
- 10. 余小梅, 韓秀蘭, 吳春妹, 等. 高電位治療儀對(duì)失眠病人睡眠質(zhì)量及心理狀態(tài)的療效分析[J]. 臨床應(yīng)用,2007, 19(5): 66-67.
- 11. 張琴, 鄧興瑞, 萬(wàn)慧, 等. 耳穴貼壓配合高電位治療失眠癥效果觀察[J]. 鄖陽(yáng)醫(yī)學(xué)院學(xué)報(bào), 2009, 28(2): 165-166.
- 12. 徐善恒, 陳貴海. 高電位治療慢性失眠臨床觀察[J]. 安徽醫(yī)學(xué), 2009, 30(4): 428-429.
- 13. 吳淑華, 王彥林, 姜韜. 高壓電位治療失眠50例臨床觀察[J]. 黑龍江醫(yī)藥科學(xué), 2005, 28(5): 44.
- 14. Riemann D, Spiegelhalder K, Feige B, et al. The hyperarousal model of insomnia: a review of the concept and its evidence[J]. Sleep Med Rev, 2010, 14(1): 19-31.
- 15. Cortoos A, Verstraeten E, Cluydts R. Neurophysiological aspects of primary insomnia: Implications for its treatment [J]. Sleep Med Rev, 2006, 10(4): 255-266.
- 16. Kierlin L. Sleeping without a pill: nonpharmacologic treatments for insomnia[J]. J Psychiatr Pract, 2008, 14(6): 403-407.
- 17. 吳綠花, 邱麗興, 肖素瓊. 應(yīng)用腦電生物反饋治療腦卒中患者日間倦睡過(guò)度癥[J]. 中國(guó)實(shí)用神經(jīng)疾病雜志, 2010, 13(12): 75.
- 18. Hauri P. Treating psychophysiologic insomnia with biofeedback[J]. Arch Gen Psychiatry, 1981, 38(7): 752-758.
- 19. 吳洪軍, 徐麗萍, 楊惠君, 等. 腦電生物反饋治療失眠療效評(píng)價(jià)[J]. 臨床心身疾病雜志, 2009, 15(1): 1-2.
- 20. Hauri PJ, Percy L, Hellekson C, et al. The treatment of psychophysiologic insomnia with biofeedback: a replication study. Biofeedback Self Regul 1982, 7(2): 223-235.
- 21. McLay RN, Spira JL. Use of a portable biofeedback device to improve insomnia in a combat zone, a case report[J]. Appl Psychophysiol Biofeedback, 2009 , 34(4): 319-321.
- 22. 馮冬澤.電針、紫外線光量子透氧并西藥內(nèi)服治療腦卒中后抑郁失眠癥52例[J].國(guó)醫(yī)論壇, 2006, 21(2): 36-37.
- 23. 許長(zhǎng)春, 王黎荔, 劉軍方, 等. 低能量He-Ne激光腦定向治療失眠癥[J]. 前衛(wèi)醫(yī)藥雜志, 2001, 18(5): 337-338.
- 24. 王芳. 鼻腔內(nèi)激光照射治療失眠的療效觀察與護(hù)理[J]. 社區(qū)醫(yī)學(xué)雜志, 2006, 4(3): 58.
- 25. 周鵬. 激光穴位照射對(duì)大鼠下丘腦單胺類(lèi)遞質(zhì)和IL-1β的影響[D]. 暨南大學(xué), 2008.