经皮穴位电刺激改善大学生失眠的效果研究
The Effect of Transcutaneous Electrical Acupoint Stimulation on Improving Insomnia in College Students
DOI: 10.12677/tcm.2025.149550, PDF,    科研立项经费支持
作者: 吴晓洲, 杨 妍, 何伯锋：广州医科大学卫生管理学院，广东 广州
关键词: 经皮穴位电刺激；大学生；睡眠障碍；失眠；TEAS； College Students； Sleep Disorders； Insomnia
摘要: 目的：探讨经皮穴位电刺激(TEAS)对大学生亚临床失眠的改善效果。方法：采用随机对照试验，以40名亚临床失眠的大学生为受试，采用实验组对照组实验设计，通过匹兹堡睡眠质量指数(PSQI)和失眠严重程度指数量表(ISI)评估睡眠质量。实验组接受真实TEAS干预，对照组接受假刺激，实验干预持续14天。结果：(1) 经过14天的TEAS干预后，实验组PSQI、ISI得分显著低于对照组；(2) 重复测量方差分析显示，实验组在TEAS干预过程中，PSQI和ISI得分均显著降低；对照组除ISI得分在TEAS过程中先升高后降低外，其他指标无明显变化。结论：TEAS能改善大学生的睡眠质量和失眠问题。
Abstract: Objective: To investigate the therapeutic effect of Transcutaneous Electrical Acupoint Stimulation (TEAS) on subclinical insomnia among college students. Methods: A randomized controlled trial was conducted with 40 college students with subclinical insomnia. A two-group randomized controlled design (intervention group and control group) was adopted. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI). The intervention group received real TEAS treatment, while the control group received sham TEAS. The intervention lasted for 14 consecutive days. Results: (1) After 14 days of TEAS intervention, the PSQI and ISI scores of the intervention group were significantly lower than those of the control group; (2) Repeated measures ANOVA showed that the PSQI and ISI scores of the intervention group decreased significantly during the TEAS intervention. In the control group, no significant changes were observed in most indicators, except for the ISI score, which increased initially and then decreased during the intervention period. Conclusion: TEAS can effectively improve sleep quality and alleviate insomnia symptoms in college students.
文章引用：吴晓洲, 杨妍, 何伯锋. 经皮穴位电刺激改善大学生失眠的效果研究[J]. 中医学, 2025, 14(9): 3775-3781. https://doi.org/10.12677/tcm.2025.149550

参考文献

[1] WHO. 全球睡眠障碍调查报告[R]. 2021.
[2] 李蕤. 大学生睡眠质量调查研究——以陕西师范大学为例[J]. 新西部, 2019(2): 53-54+37.
[3] 刘梦姣, 付伟, 胡永恒, 等. 中西医治疗失眠的研究进展[J]. 医药导报, 2022, 41(5): 684-686.
[4] 周水秀. 在校大学生睡眠障碍影响因素分析[J]. 基层医学论坛, 2020, 24(31): 4486-4487.
[5] 郑景娥, 郑金炽. 某校大学生睡眠质量的相关影响因素分析[J]. 河南医学高等专科学校学报, 2023, 35(1): 69-72.
[6] 张敬锋, 殷海波. 中医治疗失眠的现状[J]. 中国临床康复, 2005(36): 114-116.
[7] 晁敏, 梁丰, 王尊, 等. 经皮穴位电刺激在慢性病中的临床应用研究进展[J]. 中国康复医学杂志, 2016, 31(6): 710-714.
[8] 冒金锋, 叶吴洁, 王照钦, 等. 针灸治疗失眠障碍: 理论解构[J]. 世界科学技术-中医药现代化, 2024, 26(11): 2815-2821.
[9] 冯欣夷, 周春清, 马小琴. 不同针灸疗法治疗心脾两虚型失眠症的网状Meta分析[J]. 浙江中医药大学学报, 2025, 49(2): 241-248.
[10] 黄晶. 一项经皮穴位电刺激对妇科腹腔镜术后患者睡眠质量的随机对照研究[D]: [硕士学位论文]. 西安: 西安医学院, 2025.
[11] 张凤姣. 经皮穴位电刺激对麻醉住院医师镇静状态的影响[D]: [硕士学位论文]. 石家庄: 河北医科大学, 2019.
[12] 马玥涵, 朱爱华, 赵晓东, 等. 针刺治疗失眠症伴焦虑的Meta分析[J]. 云南中医中药杂志, 2025, 46(7): 68-77.
[13] 顾平, 何金彩, 刘艳骄, 等. 中国失眠障碍诊断和治疗指南[C]//中国睡眠研究会学术年会论文集. 中国睡眠研究会: 中国失眠障碍诊断和治疗指南编写组, 2019: 77-86.
[14] 美国医师学会(ACP). 成人慢性失眠障碍管理指南[Z]. 2016.
[15] 董莉, 戚晓霞, 杨莹, 等. 经皮穴位电刺激对轮班制失眠护士睡眠质量及昼夜节律的影响[J]. 中国疗养医学, 2022, 31(2): 185-187.
[16] 赵梦, 马田田, 王茜娜, 等. 针灸治疗失眠临床效果的Meta分析[J]. 中国中医药现代远程教育, 2023, 21(7): 143-145.
[17] Fei, H., Xie, G.X. and Han, J.S. (1987) Low and High Frequency Electroacupuncture Stimulation Release Met-Enkephalin and Dynorphin A in Rat Spinal Cord. Chinese Science Bulletin, 32, 1496-1501.
[18] Wang, J., Lu, F., Ge, M., Wang, L., Wang, G., Gong, G., et al. (2023) Transcutaneous Electrical Acupoint Stimulation Improves Postoperative Sleep Quality in Patients Undergoing Laparoscopic Gastrointestinal Tumor Surgery: A Prospective, Randomized Controlled Trial. Pain and Therapy, 12, 707-722. [Google Scholar] [CrossRef] [PubMed]