摘要
目的:研究采用星状神经节阻滞对原发性睡眠障碍患者进行治疗的临床效果。方法:选取2018年12月至2020年12月厦门弘爱医院收治的原发性睡眠障碍患者84例作为研究对象,随机分为观察组和对照组,每组42例。观察组接受星状神经节阻滞治疗,对照组采用安慰剂治疗。比较2组患者睡眠潜伏期时间、觉醒时间、快波睡眠潜伏期、睡眠总时间、睡眠状况复常时间、住院总时间、不良反应发生率、病情控制总有效率、治疗前后脑部血流动力学相关指标、睡眠质量和生命质量评分。结果:观察组患者睡眠总时间长于对照组;睡眠潜伏期、觉醒时间、快波睡眠潜伏期、睡眠状况复常时间、住院总时间短于对照组;观察组不良反应发生率少于对照组;观察组治疗总有效率达到90.5%,高于对照组的69.0%;观察组治疗后脑部血流动力学相关指标、睡眠质量、生命质量评分水平的改善幅度大于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:采用星状神经节阻滞治疗原发性睡眠障碍,可以延长患者睡眠总时间,减少不良反应,缩短睡眠潜伏期、觉醒时间、快波睡眠潜伏期、睡眠状况复常时间、住院总时间;改善脑部血流动力学相关指标、睡眠质量、生命质量,使治疗效果得到显著提升。
Objective:To study the clinical effect of stellate ganglion block in the treatment of primary sleep disorders.Methods:A total of 84 patients with primary sleep disorders in Xiamen Hongai Hospital were selected and divided into control group and observation group randomly,With 42 patients in each group.The sleep latency time,wake-up time,fast wave sleep latency time,total sleep time,sleep condition normalization time,total hospitalization time,adverse reactions,total effective rate of disease control,cerebral hemodynamics related indexes,sleep quality and quality of life scores before and after treatment were compared between the two groups.Results:The total sleep time of the research group was longer than that of the control group;the sleep latency time,wake-up time,fast wave sleep latency time,sleep condition normalization time and total hospitalization time of the research group were shorter than those of the control group;The incidence of adverse reactions in the observation group was less than that in the control group;the total effective rate of disease control was 90.5%,higher than 69.0%in the control group;the improvement of cerebral hemodynamics related indicators,sleep quality and quality of life score before and after treatment was greater than that in the control group(Ps<0.05).Conclusion:Stellate ganglion block can prolong the total sleep time,reduce the adverse reactions,shorten the sleep latency time,wake-up time,fast wave sleep latency time,sleep status normalization time,total hospitalization time,improve the cerebral hemodynamics related indicators,sleep quality,quality of life,so that the treatment effect is significantly improved up.
作者
邹金木
崔晓
杨华凌
蔡英蔚
ZOU Jinmu;CUI Xiao;YANG Hualing;CAI Yingwei(Xiamen Hongai Hospital,Xiamen 361015,China)
出处
《世界睡眠医学杂志》
2021年第12期2087-2089,共3页
World Journal of Sleep Medicine