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Effects of deep-brain magnetic stimulation on sleep quality of plain officers and soldiers after entering plateau |
WANG Yiru1, HAO Xuemei1, XIAO Lijun2, GUO Hang1 |
1. Department of Anesthesiology, the Seventh Medical Center of PLA General Hospital, Beijing 100007,China; 2. Department of Medical Psychology, the Third Medical Center of PLA General Hospital, Beijing 100039,China |
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Abstract Objective To analyze the effects of deep-brain magnetic stimulation on sleep quality of plain officers and soldiers after entering plateau.Methods A prospective trial was performed on 50 officers and soldiers from the Seventh Medical Center of PLA General Hospital who entered plateau (4300 m) from plain in July 2020, and 25 received deep-brain magnetic stimulation (magnetic stimulation group) and 25 did not receive deep-brain magnetic stimulation (control group). The vital signs, sleep quality, altitude sickness, emotional state and cognitive function of the two groups were compared.Results Heart rate of the magnetic stimulation group[(91.8±12.8) beats/min]on the plateau was faster than that of the control group[(85.3±9.9) beats/min](t=-2.024, P=0.049). Sleep disturbance of the magnetic stimulation group[1.0(0.0,1.0)]on the plateau was milder than that of the control group[1.0(1.0,1.0)] (U=228.500, P=0.048). Daytime dysfunction of the magnetic stimulation group[1.0(0.0,1.5)]on the plateau was milder than that of the control group[1.0(1.0,2.0)] (U=211.500, P=0.033). Daytime dysfunction of the magnetic stimulation group[0.0(0.0,0.5)] after returning to plain was milder than that of the control group[1.0(0.0,1.5)] (U=207.000, P=0.018). There was no significant difference of blood pressure, oxygen saturation, altitude sickness, emotional state or cognitive function between the two groups (P>0.05).Conclusions Deep-brain magnetic stimulation can improve the sleeping condition of the officers and soldiers stationed in the plain after entering the plateau.
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Received: 12 February 2023
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[1] |
Kong F Y, Liu G Y, Xu J J. Pharmacological agents for improving sleep quality at high altitude: a systematic review and meta-analysis of randomized controlled trials[J]. Sleep Med, 2018, 51: 105-114.
|
[2] |
孟晴晴, 詹 皓, 张 熙. 高原军事作业人员睡眠障碍干预的研究进展[J]. 中华保健医学杂志, 2020, 22(2): 226-228.
|
[3] |
Weil J V. Sleep at high altitude[J]. High Alt Med Biol, 2004, 5(2): 180-189.
|
[4] |
肖 乐, 冯 媛, 丰 雷, 等. 深部经颅磁刺激对难治性抑郁症患者的疗效及对血清脑源性神经营养因子的影响[J]. 临床精神医学杂志, 2015, 25(6): 361-364.
|
[5] |
彭丹涛, 朱 瑞, 袁欣瑞, 等. 深部脑磁刺激技术治疗阿尔茨海默病的临床研究[J]. 中华老年医学杂志, 2012, 31(11): 929-931.
|
[6] |
高毅东, 黄俊山, 张 瑜, 等. 重复经颅磁刺激对失眠患者睡眠参数影响的Meta分析[J]. 中国中医基础医学杂志, 2018, 24(2): 503-506.
|
[7] |
白天山, 黄 平, 寇绍杰. 深部经颅磁刺激治疗难治性抑郁症的疗效及对其睡眠质量、负性情绪的影响[J]. 哈尔滨医药, 2017, 37(2): 175-176.
|
[8] |
周凯丽, 杜雪云, 万亚会,等. 昼夜节律失调性睡眠-觉醒障碍伴抑郁焦虑患者经颅磁刺激治疗的神经心理及睡眠微结构变化的研究[J]. 中国康复医学杂志, 2021, 36(10): 1287-1291.
|
[9] |
肖 英, 闫丽敏, 陈 斌. 颅磁刺激联合艾司唑仑治疗脑卒中睡眠障碍[J]. 长春中医药大学学报, 2022, 38(8): 906-909.
|
[10] |
Leuchter A F, Cook I A, Feifel D, et al. Efficacy and safety of low-field synchronized transcranial magnetic stimulation (sTMS) for treatment of major depression[J]. Brain Stimul, 2015, 8(4): 787-794.
|
[11] |
郑云峰. 中枢神经磁刺激装置: CN201810253246.8[P]. 2019-10-22.
|
[12] |
Buysse D J, Reyndds C F 3rd, Monk T H, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research[J]. Psychiat Res, 1989, 28(2): 193-213.
|
[13] |
尹昭云, 谢印芝, 牛文忠,等. 急性高原反应的诊断和处理原则[J]. 解放军预防医学杂志, 1997, 15(6): 395-397.
|
[14] |
迟 松, 林文娟. 简明心境量表(BPOMS)的初步修订[J]. 中国心理卫生杂志, 2003, 17(11): 767-770.
|
[15] |
胡文东, 王 涛, 李晓京,等. 计算机多媒体群体心理测量系统研制[J]. 第四军医大学学报, 1999, 20(3): 1-5.
|
[16] |
曹军胜, 满长富, 梁爱堂,等. 驻高原某部官兵睡眠质量状况及相关因素分析[J]. 西北国防医学杂志, 2018, 39(10): 648-652.
|
[17] |
何 锋, 李素芝, 郑必海,等. 高原低氧对常住较高海拔地区平原移居人群睡眠质量的影响调查[J]. 现代医药卫生, 2013, 29(24): 3716-3717.
|
[18] |
陈勇胜, 王生成. 高原低氧环境对睡眠和脑功能的影响[J]. 空军医学杂志, 2012, 28(3): 150-158.
|
[19] |
Nussbaumer-Ochsner Y, Ursprung J, Siebenmann C, et al. Effect of short-term acclimatization to high altitude on sleep and nocturnal breathing[J]. Sleep, 2012, 35(3): 419-423.
|
[20] |
Wang H, Parker J D, Newton G E, et al. Influence of obstructive sleep apnea on mortality in patients with heart failure[J]. J Am Coll Cardiol, 2007, 49(15): 1625-1631.
|
[21] |
孔繁一, 刘诗翔, 张 皓,等. 脑内谷氨酸和5-羟色胺增高是高原睡眠障碍的独立预测因素[J]. 疑难病杂志, 2013, 12(11): 843-847.
|
[22] |
廉靖靖, 颜玲娣, 周培岚,等. 组胺H3受体参与低氧调控的研究进展[J]. 中国药理学与毒理学杂志, 2016, 30(4): 369-374.
|
[23] |
Lemos Vde A, dos Santos R V, Lira F S, et al. Can high altitude influence cytokines and sleep?[J]. Mediat Inflamm, 2013, 2013: 279365 .
|
[24] |
马 舒, 孔繁一, 符丽艳,等. 高原睡眠障碍者脑血流变化的临床研究[J]. 西南国防医药, 2019, 29(7): 784-786.
|
[25] |
Bustamante-Sánchez Á, Delgado-Terán M, Clemente-Suárez V J. Psychophysiological response of different aircrew in normobaric hypoxia training[J]. Ergonomics, 2019, 62(2): 277-285.
|
[26] |
安花花, 李晓云, 王东红,等. 心理应激、焦虑、抑郁对急进高原官兵睡眠质量的影响[J]. 华南国防医学杂志, 2015, 29(7): 534-536.
|
[27] |
吴任钢, 王 铮. 失眠症患者的认知行为特征[J]. 中国心理卫生杂志, 1999, 13(6): 377-378.
|
[28] |
Romanella S M, Roe D, Paciorek R, et al. Sleep, noninvasive brain stimulation, and the aging brain: challenges and opportunities[J]. Ageing Res Reviews, 2020, 61(8):101067.
|
[29] |
蒋 磊, 胡学军. 高原环境与睡眠[J]. 西藏医药杂志, 2007, 28(2): 24-28.
|
[30] |
杨永勤, 李素芝, 田德元. 高原睡眠障碍的危害[J]. 西藏科技, 2004(5): 26.
|
[31] |
Barker A T, Jalinous R, Freeston I L. Non-invasive magnetic stimulation of human motor cortex[J]. Lancet, 1985, 1(8437): 1106-1107.
|
[32] |
Pascual-leone A, Valls-solé J, Wassermann E M, et al. Responses to rapid-rate transcranial magnetic stimulation of the human motor cortex[J]. Brain, 1994, 117(4): 847-858.
|
[33] |
Cohen D A, Freitas C, Tormos J M, et al. Enhancing plasticity through repeated rTMS sessions: the benefits of a night of sleep[J]. Clin Neurophy, 2010, 121(12): 2159-2164.
|
[34] |
Zhang Q, Fu C, Huang L, et al. Efficacy of extracorporeal shockwave therapy on pain and function in myofascial pain syndrome of the trapezius: a systematic review and meta-analysis[J]. Archiv Phys Med Rehab, 2020, 101(8): 1437-1446.
|
[35] |
张 玥, 董丽萍, 李进春,等. 重复经颅磁刺激对急进高原失眠官兵血清中GABA的影响[J]. 西北国防医学杂志, 2020, 41(9): 570-573.
|
[36] |
Jiang C G, Zhang T, Yue F G, et al. Efficacy of repetitive transcranial magnetic stimulation in the treatment of patients with chronic primary insomnia[J]. Cell Biochem Biophys, 2013, 67(1): 169-173.
|
[37] |
Tian J, Liu C, Yang Y, et al. Effects of baseline heart rate at sea level on cardiac responses to high-altitude exposure[J]. Int J Cardiov Imag, 2020, 36(5): 799-810.
|
[38] |
Iaccarino H F, Singer A C, Martorell A J, et al. Gamma frequency entrainment attenuates amyloid load and modifies microglia[J]. Nature, 2016, 540(7632): 230-235.
|
|
|
|