摘要
目的研究经皮穴位电刺激(transcutaneous electrical acupoint stimulation,TEAS)治疗对轮班制失眠护士睡眠质量及昼夜节律的影响作用。方法在200名轮班护士中,筛选出30例失眠护士,对其进行14 d的TEAS干预治疗,采用腕式睡眠健康记录仪对受试者的睡眠质量进行监测,并检测其唾液褪黑素和皮质醇的变化,采用余弦法分析其昼夜节律的周期、相位、中值、振幅的变化。结果受试者治疗前的平均入睡潜伏期为37.72 min,平均睡眠效率79.48%,唾液褪黑素节律中值(626.98±157.47)nmol/L,峰值相位时间(24.03±0.83)h,唾液皮质醇节律中值(1088.39±297.43)nmol/L,峰值相位时间(9.04±0.64)h;而治疗14 d后,平均入睡潜伏期缩短至13.44 min,平均睡眠效率达到86.37%,唾液褪黑素节律中值升高至(835.36±160.23)nmol/L,峰值相位时间提前至(23.35±0.56)h,唾液皮质醇节律中值降低至(902.65±208.50)nmol/L,峰值相位时间提前至(8.10±1.20)h,TEAS治疗前后比较差异均具有统计学意义(P均<0.05)。结论TEAS治疗可调节褪黑素和皮质醇昼夜节律,从而改善轮班制失眠护士睡眠质量。
Objective To study the effect of transcutaneous electrical acupoint stimulation(TEAS)on sleep quality and circadian rhythm of shift insomnia nurses.Methods 30 insomnia nurses were selected from 200 shift nurses and treated with teas for 14 days.The sleep quality of the subjects was monitored by wrist sleep health recorder,and the changes of salivary melatonin and cortisol were detected.The changes of cycle,phase,median value and amplitude of circadian rhythm were analyzed by Cosine method.Results The average sleep latency before treatment was 37.72 min,the average sleep efficiency was 79.48%,the median of salivary melatonin rhythm was(626.98±157.47)nmol/L,the peak phase time was(24.03±0.83)h,the median of salivary cortisol rhythm was(1088.39±297.43)nmol/L,and the peak phase time was(9.04±0.64)h;After 14 days of treatment,the average sleep latency was shortened to 13.44 min,the average sleep efficiency was 86.37%,the median of salivary melatonin rhythm increased to(835.36±160.23)nmol/L,the peak phase time was advanced to(23.35±0.56)h,the median of salivary cortisol rhythm decreased to(902.65±208.50)nmol/L,and the peak phase time was advanced to(8.10±1.20)h.There were significant differences before and after TEAS treatment(P<0.05).Conclusion TEAS treatment can regulate the circadian rhythm of melatonin and cortisol,so as to improve the sleep quality of shift insomnia nurses.
出处
《中国疗养医学》
2022年第2期185-187,共3页
Chinese Journal of Convalescent Medicine
关键词
经皮穴位电刺激
失眠
褪黑素
皮质醇
昼夜节律
Transcutaneous electrical acupoint stimulation(TEAS)
Insomnia
Melatonin
Cortisol
Circadian rhythm
作者简介
通信作者:景华,13641918290@163.com。
