| 周瑛 谭昌金 吴娜 余昳 方烨.不同方法治疗飞行人员慢性失眠症的疗效比较[J].,2014,14(30):5907-5906 |
| 不同方法治疗飞行人员慢性失眠症的疗效比较 |
| Clinical Efficacy of Different Methods in Treatmentof Pilots with Chronic Insomnia |
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| DOI： |
| 中文关键词: 飞行人员 失眠 治疗 |
| 英文关键词: Aviation Insomnia Therapy |
| 基金项目: |
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| 中文摘要: |
| 目的：飞行人员中睡眠问题发生率高，影响白天工作效能，危及飞行安全，寻找安全有效治疗方法为保证飞行十分必要，本
实验观察不同治疗方法在治疗飞行人员慢性失眠的临床疗效，为飞行人员慢性失眠的临床治疗提供一种安全有效的措施。方法：
将我院自2007 年至2013 年收治的52 例飞行人员中的慢性失眠患者，排除严重影响睡眠的器质性疾病，随机分为舒乐安定组、
中药治疗组和耳针及生物反馈联合治疗组。分别在治疗前、治疗结束后第2 天采用匹兹堡睡眠质量指数(PSQI)对患者的睡眠质量
进行评价。结果：治疗结束后3 组PSQI均较治疗前均有所改善，其中舒乐安定治疗组优于中成药及耳针及生物反馈联合治疗组,
差别有统计学意义(P<0.05)，中成药物治疗组与耳针及生物反馈联合治疗组无明显统计学差异(P>0.05)。但对于重度的睡眠障碍，
单独采用舒眠胶囊或生物反馈治疗，治疗效果欠佳。结论：舒乐安定治疗失眠疗效确切，但由于其影响工作效能，危及飞行安全较
少使用，中成药物、耳针及生物反馈治疗安全有效，病人易于接受，是较好的治疗飞行人员慢性失眠的方法。 |
| 英文摘要: |
| Objective:The sleeping problem which decreases the efficacy of operation and makes the aviation safety in danger, is
normal in pilots. To find an effective therapy to solve this problem is very important. This experiment observes the therapeutic effect of
different methods on pilots with chronic insomnia.Methods:Fifty-two pilots with chronic insomnia admitted to our hospital from 2007 to
2013, were randomly assigned into estazolam treatment group, traditional Chinese medicine treatment group and acupuncture and
biofeedback combined treatment group. With pre-treatment and post-treatment self-control statistical method, Pittsburgh sleep quality
index (PSQI) was used to evaluate the sleep quality.Results:All of 3 treatment groups enjoyed considerably improved PSQI, the
improvement in estazolam treatment group was significantly more obvious than that in traditional Chinese medicine treatment group and
combined treatment group (P<0.05). There were no significant difference between traditional Chinese medicine treatment group and
combined treatment group (P>0.05). While the improvement of severe patients in traditional Chinese medicine treatment group and
combined treatment group was limited.Conclusion:Estazolam has certain efficacy in curing chronic insomnia, but it was seldom used in
pilots, considering its critical effect on aviation safety. Traditional Chinese medicine treatment and acupuncture and biofeedback
treatment are also effective and can easily be accepted by the pilots, could be an alternative methods in the treatment of pilots with
chronic insomnia． |
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