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| 经皮穴位电刺激对老年患者慢性失眠的影响 |
| Effect of transcutaneous electrical acupoint stimulation on chronic insomnia in elderly patients |
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| DOI：10.12089/jca.2026.02.007 |
| 中文关键词: 经皮穴位电刺激 失眠 老年 认知功能 |
| 英文关键词: Transcutaneous electrical acupoint stimulation Insomnia Aged Cognitive function |
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| 中文摘要: |
目的：观察经皮穴位电刺激（TEAS）对慢性失眠老年患者睡眠质量与认知功能的影响。
方法：选择慢性失眠老年患者，年龄65～80岁，BMI 18.5～28.0 kg/m2。采用随机数字表法将患者分为两组：TEAS组和对照组。TEAS组行经皮穴位电刺激治疗，选穴为双侧安眠穴、神门穴、内关穴、三阴交穴，频率2/100 Hz，疏密波，持续时间30 min，每日2次，每周5日，连续治疗8周；对照组除电流强度0 mA外，其余操作同TEAS组。主要指标为治疗结束后次日失眠治疗临床有效率。次要指标包括治疗结束后12周的临床疗效，治疗前、治疗结束后次日及治疗结束后12周匹兹堡睡眠质量指数（PSQI）、蒙特利尔认知评估（MoCA）量表评分、健康状况调查简表（SF-36）评分。
结果：共纳入患者59例，TEAS组29例，对照组30例。与治疗前比较，治疗结束后次日及治疗结束后12周TEAS组失眠治疗临床有效率明显升高，PSQI总分、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍及日间功能障碍各维度分值明显降低，MoCA和SF-36评分明显升高（P<0.05）。与对照组比较，治疗结束后次日及治疗结束后12周TEAS组临床有效率明显升高，PSQI总分及上述各维度分值均明显降低，MoCA和SF-36评分明显升高（P<0.05）。
结论：经皮穴位电刺激持续治疗8周能改善慢性失眠老年患者夜间睡眠质量及认知功能，提高生活质量。 |
| 英文摘要: |
Objective: To observe the effects of transcutaneous electrical acupoint stimulation (TEAS) on sleep and cognitive function in elderly patients with chronic insomnia.
Methods: Elderly patients with chronic insomnia, aged 65-80 years, BMI 18.5-28.0 kg/m2, were selected and randomly divided into a transcutaneous electrical acupoint stimulation group (TEAS group) and a control group using a random number table. The TEAS group received TEAS at bilateral Anmian (AN), Shenmen (HT7), Neiguan (PC6), and Sanyinjiao (SP6) with a frequency of 2/100 Hz, alternating dense and sparse waves, with each session lasting 30 minutes, twice daily, five days per week, and 8 weeks making up a course of treatment. In the control group, the current intensity was set to 0 mA, while other parameters remained unchanged. The primary outcome was the clinical effective rate on the day following treatment completion. Secondary outcomes included the clinical efficacy at 12 weeks after treatment, as well as scores of the Pittsburgh sleep quality index (PSQI), Montreal cognitive assessment (MoCA), and the 36-item short form health survey (SF-36) assessed before treatment, on the day following treatment completion and at 12 weeks after treatment.
Results: Fifty-nine patients were included in the final analysis, 29 patients in the TEAS group and 30 patients in the control group. Compared with before treatment, the TEAS group showed a significantly higher clinical effective rate on the day following treatment completion and at 12 weeks after treatment. PSQI total scores and scores for sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, and daytime dysfunction were significantly reduced, while MoCA and SF-36 scores were significantly increased (P < 0.05). Compared with the control group, the TEAS group demonstrated significantly higher clinical effective rates at both post-treatment time points, significantly lower PSQI total and subscale scores, and significantly higher MoCA and SF-36 scores (P < 0.05).
Conclusion: Transcutaneous electrical acupoint stimulation for 8 consecutive weeks can improve nocturnal sleep quality and cognitive function in elderly patients with chronic insomnia, thereby enhancing their quality of life. |
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