| 钟霖,张震中,方小玲,董尚灵.五行VR技术治疗慢性失眠症肝郁证患者的临床观察[J].浙江中西医结合杂志,2024,34(2): |
| 五行VR技术治疗慢性失眠症肝郁证患者的临床观察 |
| Clinical observation of five elements VR technology in treating chronic insomnia patients with liver depression syndrome |
| 投稿时间：2023-08-13 修订日期：2023-10-11 |
| DOI： |
| 中文关键词: 慢性失眠症 五行 VR 肝郁证 |
| 英文关键词:Chronic insomnia Five elements VR Liver-depression syndrome |
| 基金项目:浙江省中医药管理局基金 |
|
| 摘要点击次数: 435 |
| 全文下载次数: 7 |
| 中文摘要: |
| 目的：初步验证五行虚拟现实（Virtual reality，VR）技术治疗慢性失眠症肝郁证患者的临床疗效。
方法：选取浙江省立同德医院 2022年1月-2022年12月就诊于睡眠医学中心门诊的慢性失眠症肝郁证患者64例，随机分组分别为试验组和对照组。对照组予睡眠认知行为疗法（Cognitive Behavioral Therapy for Insomnia，CBT-I），试验组采用五行VR技术治疗。比较两者匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)中的睡眠时间、效率等睡眠结构。同时评估中医症候积分、HAMD-17、HAMA和比较两组有效率。
结果：治疗4周后，两组PSQI总分均下降，试验组总分较对照组低（P＜0.01）；比较两组睡眠结构，试验组睡眠时间和效率优于对照组（P＜0.05）。同时两组中医症候积分、HAMD-17、HAMA均下降，且试验组优于对照组（P＜0.05）；试验组有效率高于对照组，差异有统计学意义（P＜0.05）；8周后随访各量表积分均较前有所降低，且试验组下降幅度大于对照组（P＜0.05）。
结论：五行VR技术治疗慢性失眠症肝郁证患者有着明显效果，且优于单用CBT-I，安全性高，未来可作为慢性失眠症肝郁证重要的治疗手段。 |
| 英文摘要: |
| Objective: To verify the clinical efficacy of five elements Virtual reality (VR) technology in the treatment of chronic insomnia patients with liver depression syndrome.
Methods: 64 patients with chronic insomnia and liver depression who were admitted to the outpatient department of Sleep Medicine Center from Tongde Hospital of Zhejiang Province from January 2022 to December 2022 were selected and randomly divided into experimental group and control group, respectively. The control group was treated with Cognitive Behavioral Therapy for Insomnia (CBT-I), while the experimental group was treated with five-element VR technology. Compare the two Pittsburgh sleep quality index (PSQI) research structure, efficiency and so on sleep. And evaluation of traditional Chinese medicine symptom integral, HAMD-17，HAMA and compare two groups of efficient.
Results: After 4 weeks of treatment, the total score of PSQI decreased in both groups, and the total score of experimental group was lower than that of control group (P < 0.01). In terms of sleep structure, sleep time and efficiency of experimental group were better than the control group, and the difference was statistically significant (P < 0.05). Traditional Chinese medicine symptom integral, HAMD-17 and HAMA were decreased in them, and the test group was better than the control group, the difference was statistically significant (P < 0.05). And The effective rate of experimental group was higher than control group (P < 0.05). After 8 weeks of follow-up, the scores of all scales were decreased, and the decrease rate of experimental group was greater than the control group (P < 0.05).
Conclusion: Wuxing VR technology has obvious effect in the treatment of chronic insomnia patients with liver depression, and is better than CBT-I, with high safety, and can be used as an important treatment for chronic insomnia liver depression in the future. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
