医用免疫三氧自血疗法治疗睡眠障碍的疗效调查(1)
摘要 目的：研究醫用免疫三氧自血疗法对康复科患者睡眠障碍的疗效，为临床医师采用医用免疫三氧自血疗法治疗睡眠障碍及进一步实验研究提供参考依据。方法：采用自制睡眠障碍分析量表、匹兹堡睡眠质量指数量表(PSQI)对2014年10月～2017年3月在广州医科大学附属第五医院接受医用免疫三氧自血疗法的702名康复科患者进行问卷调查。结果：702例康复科患者中，失访478例，纳入分析224例，其中合并睡眠障碍者为118例，占52.68%。医用免疫三氧自血疗法治疗睡眠障碍患者118例中，有效62例，有效率为52.54%。性别、治疗次数对疗效无显著性影响(P>0.05)。治疗有效的62例患者中，21例完成PSQI量表，治疗前总分为10.94±2.388，治疗后总分为3.72±2.052，有显著性差异(P<0.01)，其中主观睡眠质量、睡眠持续性、习惯性睡眠效率、白天功能紊乱、睡眠潜伏期、睡眠紊乱等因子治疗前后比较，均有明显改善。结论：康复科患者睡眠障碍的类型以失眠为主，采用医用免疫三氧自血疗法治疗康复科睡眠障碍患者存在明显有效和完全无效并存的矛盾现象，今后的研究应进一步分析有效和无效人群的差异，为精准治疗提供参考。
关键词 医用免疫三氧自血疗法；睡眠障碍；失眠
中图分类号：R256.23文献标识码：Adoi：10.3969/j.issn.2095-7130.2018.09.019
Abstract Objective：To study the effect of medical immune ozone self-blood therapy on sleep disorders of patients in rehabilitation department，and to provide reference for clinical doctors to treat sleep disorders by it and to provide reference for further researches.Methods：A self-made sleep disorder scale and Pittsburgh Sleep Quality Index(PSQI)was used to investigate 702 patients in rehabilitation department who have received medical immune ozone self-blood therapy from October 2014 to March 2017 in the Fifth affiliated Hospital of Guangzhou Medical University.SPSS software package was used for statistical analysis.The count data were analyzed by χ2 test，T test and nonparametric rank sum test are used for comparing curative effect before and after treatment.Results：Among the 702 patients in rehabilitation department，478 cases were lost and 224 cases were included，among which 118 cases(52.68%)suffered with sleep disorder.They were treated by medical immune ozone self-blood therapy，and 62 cases were effective and the effective rate was 52.54%.Gender and times of treatment had no significant influence on the curative effect(P>0.05).The total score of PSQI was 10.94±2.388 before treatment and 3.72±2.052 after treatment.The difference was statistically significant.Among them，the subjective sleep quality，sleep persistence，habitual sleep efficiency，daytime dysfunction，sleep latency and sleep disorder were significantly improved after the treatment(P<0.01).Conclusion：Insomnia is the main type of sleep disorder in patients in rehabilitation department.It has a contradiction using medical immune ozone self-blood therapy to treat them.The future research should further analyze the difference between effective and ineffective population and provide reference for accurate treatment.
Key Words Ozone；Sleep disorders；Insomnia；Rehabilitation department；PSQI scale, http://www.100md.com(何昭瑶 周文舒 邓新云 许颖颖 高升 李星儿)
关键词 医用免疫三氧自血疗法；睡眠障碍；失眠
中图分类号：R256.23文献标识码：Adoi：10.3969/j.issn.2095-7130.2018.09.019
Abstract Objective：To study the effect of medical immune ozone self-blood therapy on sleep disorders of patients in rehabilitation department，and to provide reference for clinical doctors to treat sleep disorders by it and to provide reference for further researches.Methods：A self-made sleep disorder scale and Pittsburgh Sleep Quality Index(PSQI)was used to investigate 702 patients in rehabilitation department who have received medical immune ozone self-blood therapy from October 2014 to March 2017 in the Fifth affiliated Hospital of Guangzhou Medical University.SPSS software package was used for statistical analysis.The count data were analyzed by χ2 test，T test and nonparametric rank sum test are used for comparing curative effect before and after treatment.Results：Among the 702 patients in rehabilitation department，478 cases were lost and 224 cases were included，among which 118 cases(52.68%)suffered with sleep disorder.They were treated by medical immune ozone self-blood therapy，and 62 cases were effective and the effective rate was 52.54%.Gender and times of treatment had no significant influence on the curative effect(P>0.05).The total score of PSQI was 10.94±2.388 before treatment and 3.72±2.052 after treatment.The difference was statistically significant.Among them，the subjective sleep quality，sleep persistence，habitual sleep efficiency，daytime dysfunction，sleep latency and sleep disorder were significantly improved after the treatment(P<0.01).Conclusion：Insomnia is the main type of sleep disorder in patients in rehabilitation department.It has a contradiction using medical immune ozone self-blood therapy to treat them.The future research should further analyze the difference between effective and ineffective population and provide reference for accurate treatment.
Key Words Ozone；Sleep disorders；Insomnia；Rehabilitation department；PSQI scale, http://www.100md.com(何昭瑶 周文舒 邓新云 许颖颖 高升 李星儿)