失眠的物理因子治疗_West China Medical Journal

Authors：

刘珂 ,  屈云

Corresponding author：

屈云, Email: fangke889@163.com

Keywords：

失眠; 物理治疗

Video：

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【摘要】　失眠指患者对睡眠时间和（或）质量不满足并影响白天社会功能的一种主观体验。失眠的发病率很高，影响患者的生存质量，同时造成巨大的经济损失。失眠治疗主要有药物治疗和非药物治疗（包括心理行为治疗、物理因子治疗等）。药物治疗易产生耐受和依赖，心理行为治疗周期较长。大量的临床资料表明，物理因子治疗失眠有其独特之处，现从高压静电疗法，脑电生物反馈疗法，紫外线光量子透氧疗法，低能量He-Ne激光治疗等方面，对近年来国内外临床对失眠的治疗作一综述。

Citation： 刘珂,屈云. 失眠的物理因子治疗. West China Medical Journal, 2010, 25(11): 2121-2123. doi: Copy

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17.	吴绿花, 邱丽兴, 肖素琼. 应用脑电生物反馈治疗脑卒中患者日间倦睡过度症[J]. 中国实用神经疾病杂志, 2010, 13(12): 75.
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19.	吴洪军, 徐丽萍, 杨惠君, 等. 脑电生物反馈治疗失眠疗效评价[J]. 临床心身疾病杂志, 2009, 15(1): 1-2.
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23.	许长春, 王黎荔, 刘军方, 等. 低能量He-Ne激光脑定向治疗失眠症[J]. 前卫医药杂志, 2001, 18(5): 337-338.
24.	王芳. 鼻腔内激光照射治疗失眠的疗效观察与护理[J]. 社区医学杂志, 2006, 4(3): 58.
25.	周鹏. 激光穴位照射对大鼠下丘脑单胺类递质和IL-1β的影响[D]. 暨南大学, 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. 　刘静. 失眠的治疗方法探讨[J]. 中国误诊学杂志, 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. 　潘玮, 刘娟, 张信民. 两种高压静电场对大鼠血细胞及血清生物化学指标的影响[J]. 中国组织工程研究与临床康复, 2008, 12(4): 651-654.
10. 　余小梅, 韩秀兰, 吴春妹, 等. 高电位治疗仪对失眠病人睡眠质量及心理状态的疗效分析[J]. 临床应用，2007, 19(5): 66-67.
11. 　张琴, 邓兴瑞, 万慧, 等. 耳穴贴压配合高电位治疗失眠症效果观察[J]. 郧阳医学院学报, 2009, 28(2): 165-166.
12. 　徐善恒, 陈贵海. 高电位治疗慢性失眠临床观察[J]. 安徽医学, 2009, 30(4): 428-429.
13. 　吴淑华, 王彦林, 姜韬. 高压电位治疗失眠50例临床观察[J]. 黑龙江医药科学, 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. 　吴绿花, 邱丽兴, 肖素琼. 应用脑电生物反馈治疗脑卒中患者日间倦睡过度症[J]. 中国实用神经疾病杂志, 2010, 13(12): 75.
18. 　Hauri P. Treating psychophysiologic insomnia with biofeedback[J]. Arch Gen Psychiatry, 1981, 38(7): 752-758.
19. 　吴洪军, 徐丽萍, 杨惠君, 等. 脑电生物反馈治疗失眠疗效评价[J]. 临床心身疾病杂志, 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. 　冯冬泽．电针、紫外线光量子透氧并西药内服治疗脑卒中后抑郁失眠症52例[J]．国医论坛, 2006, 21(2): 36-37.
23. 　许长春, 王黎荔, 刘军方, 等. 低能量He-Ne激光脑定向治疗失眠症[J]. 前卫医药杂志, 2001, 18(5): 337-338.
24. 　王芳. 鼻腔内激光照射治疗失眠的疗效观察与护理[J]. 社区医学杂志, 2006, 4(3): 58.
25. 　周鹏. 激光穴位照射对大鼠下丘脑单胺类递质和IL-1β的影响[D]. 暨南大学, 2008.

West China Medical Journal

失眠的物理因子治疗

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