心率变异性生物反馈干预不同类型失眠障碍的比较

发布时间：2018-03-06 10:06

本文选题：心率变异性　切入点：生物反馈　出处：《中国康复理论与实践》2017年06期 　论文类型：期刊论文

【摘要】：目的探究心率变异性(HRV)生物反馈训练对不同类型失眠障碍患者的影响。方法 2016年6月至2017年3月,对17例单纯性失眠患者、19例失眠伴焦虑患者及19例失眠伴抑郁患者均进行HRV生物反馈训练及相同的药物治疗(酒石酸唑吡坦,每晚服用10 mg),训练前后采用匹兹堡睡眠质量指数(PSQI)、症状自评量表(SCL-90)、汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)进行评估并进行HRV数据采集。结果 HRV生物反馈训练后,三类失眠患者PSQI、SCL-90、HAMA、HAMD评分及低频段功率/高频段功率(LF/HF)均降低(t1.446,P0.05)。训练后,三组PSQI评分有显著性差异(F=3.537,P=0.038)。失眠伴焦虑、失眠伴抑郁组训练前后PSQI评分差值、LF/HF差值大于单纯性失眠组(P0.05),失眠伴焦虑与失眠伴抑郁组间差值无显著性差异(P0.05)。结论 HRV生物反馈训练对三种类型失眠患者均有改善作用,其中,对失眠伴焦虑及失眠伴抑郁组患者睡眠质量改善程度优于单纯性失眠患者。
[Abstract]:Objective to investigate the effect of biofeedback training on different types of insomnia in patients with heart rate variability (HRV). Methods from June 2016 to March 2017, HRV biofeedback training and the same drug therapy (zolpidem tartrate, Zolpidem tartrate) were performed in 17 patients with simple insomnia, 19 patients with insomnia and anxiety and 19 patients with insomnia and depression. Before and after training, the Pittsburgh Sleep quality Index (PSQI), symptom Checklist-90 (SCL-90), Hamilton anxiety scale (Hama) and Hamilton Depression scale (Hamd) were used to evaluate and collect HRV data before and after training. The scores of Hama Hamd and low frequency power / high frequency power LF / HF decreased in three types of insomnia patients (PSQI / SCL-90). After training, there was a significant difference in PSQI scores among the three groups (P = 3.537a, P = 0.038). The difference of PSQI score before and after training in insomnia with depression group was higher than that in simple insomnia group (P 0.05). There was no significant difference between insomnia with anxiety and insomnia with depression. Conclusion HRV biofeedback training can improve all three types of insomnia. Among them, the sleep quality of insomnia with anxiety and insomnia with depression was better than that of simple insomnia.
【作者单位】：首都医科大学康复医学院;中国康复研究中心北京博爱医院;
【基金】：国家自然科学基金项目(No.81341044) 中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-49) 中国康复研究中心项目(No.2016ZX-14)
【分类号】：R740

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