经颅微脉冲调节技术改善高原睡眠质量的应用研究

Application of Transcranial Micropulse Regulation in Improving Altitude Sleep Quality

目的:研究经颅微脉冲调节技术对高原(3700m以上)睡眠质量的改善效果,为高原卫生勤务提供保障手段。方法:在平原和高原地区分别采用经颅微脉冲调节技术对40名有失眠症状的志愿者进行治疗,每天1次,每次15min,持续1个月。采用匹兹堡睡眠质量指数评价量表评定治疗前后的睡眠质量。结果:志愿者初进高原时的各项睡眠质量指标与平原地区比较无显著差异。而进驻高原1个月,经过治疗均得到改善。主观睡眠质量:SSQ平原:1.63±0.81,SSQ高原治疗前:1.57±0.84,SSQ高原治疗后:1.13±0.56,F=7.845,P=0.001;入睡时间:SL平原:1.58±0.78,SL高原治疗前:1.65±0.80,SL高原治疗后:1.10±0.49,F=7.120,P=0.001;睡眠时间:ST平原:1.58±0.84,ST高原治疗前:1.55±0.64,ST高原治疗后:1.15±0.53,F=4.859,P=0.009;睡眠效率:SE平原:0.98±0.62,SE高原治疗前:0.98±0.69,SE高原治疗后:0.58±0.64,F=5.020,P=0.008;睡眠障碍:SD平原:1.65±0.77,SD高原治疗前:1.60±0.78,SD高原治疗后:1.15±0.58,F=5.935,P=0.004;日间功能障碍:DD平原:2.38±0.54,DD高原治疗前:2.40±0.71,DD高原治疗后:0.83±0.71,F=75.061,P=0.000。以上6项指标均较治疗前有显著差异,PSQI由高原治疗前的10.20±1.62下降至6.05±1.48,也低于进高原前在平原时的10.35±1.61,F=96.314,P=0.000,睡眠质量得到提高。结论:经颅微脉冲调节技术可有效改善久居高原期间的失眠。

Objective:This research is aimed to observe the effects of transcranial micropluse regulation(TMR)on altitude(More than 3700 m)sleep quality to provide a tool for altitude service.Methods:In plain and plateau areas,40 volunteers with insomnia were treated with transcranial micropulse adjustment technology for 15 minutes every day,lasting for 1 month.The Pittsburgh sleep quality index was used to assess the sleep quality before and after the treatment.Results:There was no significant difference in sleep quality in the volunteers on the plain area.After being stationed on the plateau for 1 month,the treatment was improved.Subjective sleep quality:SSQplain:1.63±0.81,SSQplateau treatment before:1.57±0.84,SSQplateau treatment after:1.13±0.56,F=7.845,P=0.001.Sleep time:SLplain:1.58±0.78,SLplateau treatment before:1.65±0.80,SLplateau treatment after:1.10±0.49,F=7.120,P=0.001;Sleep time:STplain:1.58±0.84,STplateau treatment before:1.55±0.64,STplateau treatment after:1.15±0.53,F=4.859,P=0.009.Sleep efficiency:SEplain:0.98±0.62,SEplateau treatment beforer:0.98±0.69,SEplateau treatment after:0.58±0.64,F=5.020,P=0.008.Sleep disorders:SDplain:1.65±0.77,SDplateau treatment before:1.60±0.78,SDplateau treatment after:1.15±0.58,F=5.935,P=0.004.Daytime dysfunction:DDplain:2.38±0.54,DDplateau treatment before:2.40±0.71,DDplateau treatment after:0.83±0.71,F=75.061,P=0.000,6 indicators of which were significantly different from those before treatment.PSQI decreased from 10.20±1.62 before plateau treatment to 6.05±1.48,which was lower than that before entering the plateau PSQI 10.35±1.61,F=96.314,P=0.000.Meanwhile,the sleep quality was improved.Conclusion:TMR can effectively improve insomnia residing on altitude for a long time.