CN206518757U - A kind of transcutaneous electrostimulation Shenmen point treatment insomnia and the device of anxiety - Google Patents
A kind of transcutaneous electrostimulation Shenmen point treatment insomnia and the device of anxiety Download PDFInfo
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Abstract
一种经皮电刺激神门穴治疗失眠和焦虑的装置,属于康复医学物理治疗仪器,包括单穴位电极和电刺激发生器,单穴位电极包括皮肤贴片、正电极和负电极,其中,正电极为环形,设置于皮肤贴片上,通过正极导线与电刺激发生器的正极连接,负电极位于正电极的中心位置,通过负极导线与电刺激发生器的负极连接,电刺激发生器包括一个频率发生器,频率发生器的输出信号经过低通滤波器后输出正极信号,低通滤波器同时向积分电路传递信号,积分电路输出负极信号;利用本实用新型,能够有效改善患者的睡眠障碍和焦虑症状,还可开发出睡眠障碍治疗仪、手环、腕表等,为睡眠障碍和抑郁焦虑人群提供一种方便、有效、安全的辅助治疗设备。
A device for treating insomnia and anxiety by percutaneous electrical stimulation of Shenmen points, which belongs to rehabilitation medical physical therapy equipment, includes a single acupoint electrode and an electric stimulation generator, and the single acupoint electrode includes a skin patch, a positive electrode and a negative electrode, wherein the positive The electrode is ring-shaped, set on the skin patch, connected to the positive pole of the electrical stimulation generator through the positive wire, the negative electrode is located in the center of the positive electrode, connected to the negative pole of the electrical stimulation generator through the negative wire, and the electrical stimulation generator includes a A frequency generator, the output signal of the frequency generator passes through a low-pass filter to output a positive signal, and the low-pass filter transmits a signal to the integrating circuit at the same time, and the integrating circuit outputs a negative signal; the utility model can effectively improve the patient's sleep disorder and For anxiety symptoms, we can also develop sleep disorder treatment instruments, bracelets, watches, etc., to provide a convenient, effective and safe auxiliary treatment equipment for people with sleep disorders and depression and anxiety.
Description
技术领域technical field
本实用新型属于康复医学物理治疗装置技术领域,特别涉及一种经皮电刺激神门穴治疗失眠和焦虑的装置。The utility model belongs to the technical field of physical therapy devices for rehabilitation medicine, in particular to a device for treating insomnia and anxiety by percutaneous electrical stimulation of Shenmen acupoint.
背景技术Background technique
目前尚无经皮电刺激神门穴治疗失眠的装置,现对神门穴与失眠、电刺激治疗失眠焦虑、经皮电极设计方法的现有技术介绍如下:At present, there is no device for percutaneous electrical stimulation of Shenmen acupoint to treat insomnia, and the existing technology of Shenmen acupoint and insomnia, electrical stimulation for insomnia and anxiety, and percutaneous electrode design methods are introduced as follows:
(1)神门穴与失眠(1) Shenmen point and insomnia
神门穴是手少阴心经的穴位之一,位于腕部,腕掌侧横纹尺侧端,尺侧腕屈肌腱的桡侧凹陷处。神门穴是针灸经常取用的穴位之一,传统上认为,该穴能够宁心安神,静心调气。神门对精神方面的疾病的治疗效果明显,在临床对睡眠障碍和焦虑抑郁情绪的针灸治疗取穴中,失眠取穴主穴选用频率最高的是神门,选用频率达69.16%。李小敏等认为穴位按压虽然不是侵入性的操作,但同样起到类似针灸治疗的效果。杨晓梅等报道,按摩神门穴可以改善冠心病住院患者的不良情绪,明显提高患者的睡眠质量。Shenmen acupoint is one of the acupoints of the Heart Meridian of Hand Shaoyin. It is located on the wrist, at the ulnar end of the transverse crease on the palm side of the wrist, and in the radial depression of the flexor carpi ulnaris tendon. Shenmen acupoint is one of the acupoints often used in acupuncture and moxibustion. It is traditionally believed that this acupoint can calm the mind and calm the mind, calm the mind and regulate qi. Shenmen has obvious therapeutic effects on mental diseases. Among the acupuncture points selected for clinical treatment of sleep disorders, anxiety and depression, Shenmen is the most frequently selected main acupoint for insomnia, with a frequency of 69.16%. Li Xiaomin and others believe that although acupoint pressing is not an invasive operation, it also has the effect similar to acupuncture and moxibustion. Yang Xiaomei et al. reported that massaging Shenmen acupoint can improve the bad mood of hospitalized patients with coronary heart disease and significantly improve the sleep quality of patients.
(2)电刺激治疗失眠(2) Electrical stimulation for insomnia
失眠是最常见的睡眠障碍性疾病,表现难以入睡、熟睡维持困难和醒后不能恢复精力与体力,从而影响正常的工作和生活。长期慢性失眠还可能并发抑郁性情感障碍或导致躯体疾病等,严重影响患者的生活质量。失眠的发病机制尚不明确,一般认为,脑干存在睡眠诱导区,这个区域神经元的抑制性作用减弱或者易化作用增强,都可以导致失眠症的产生。药物是当前治疗失眠的主要方法,但大多数催眠药物都存在耐受性和依赖性,不能长期应用。低频脉冲电刺激具有镇静和催眠的作用,研究表明,通过低频电刺激对督脉及膀胱经的治疗,可以达到宁神安寐的的作用。陈一等研究证实,低频电脉冲对穴位的刺激能通过外周神经、血管的调节作用影响中枢神经的活动和某些化学物质如5-羟色胺、多巴胺的产生,从而达到镇静安神作用。Insomnia is the most common sleep disorder disease, manifested as difficulty in falling asleep, maintaining deep sleep and inability to recover energy and physical strength after waking up, thereby affecting normal work and life. Long-term chronic insomnia may also be complicated by depressive affective disorder or lead to physical diseases, etc., seriously affecting the quality of life of patients. The pathogenesis of insomnia is still unclear. It is generally believed that there is a sleep-inducing area in the brainstem, and the weakening of inhibitory effect or enhanced facilitative effect of neurons in this area can lead to insomnia. Drugs are currently the main method for the treatment of insomnia, but most hypnotic drugs have tolerance and dependence, and cannot be used for a long time. Low-frequency pulse electrical stimulation has the effect of sedation and hypnosis. Studies have shown that the treatment of Du Channel and Bladder Meridian through low-frequency electrical stimulation can achieve the effect of calming the mind and sleeping. Research by Chen Yi and others confirmed that the stimulation of acupoints by low-frequency electrical pulses can affect the activity of the central nervous system and the production of certain chemical substances such as serotonin and dopamine through the regulation of peripheral nerves and blood vessels, thereby achieving a calming and tranquilizing effect.
(3)经皮电极设计方法(3) Design method of percutaneous electrode
经皮穴位电刺激法(TEAS)是将现代医学的经皮电神经刺激疗法(TENS)与针灸穴位相结合,通过皮肤特定的低频电流输入给人体以达到与针灸相似的效果。经皮电刺激客服了针刺的某些缺点,如针刺时的疼痛、患者畏针、易发感染等。经皮电刺激波形为单相方波、双向方波、不对称方波等,其特点是瞬间通电和断电不易造成极化状态,而且机体适应很慢。电极一般为圆形或方形的无纺布材料,皮肤面为导电硅胶,接线面为金属材料,与电线连接。进行电刺激治疗时,一对电极贴附在皮肤表面相应部位,设置好电刺激参数,就可以实施治疗。Transcutaneous Electrical Acupoint Stimulation (TEAS) is a combination of modern medical transcutaneous electrical nerve stimulation (TENS) and acupuncture points, through the skin-specific low-frequency current input to the human body to achieve similar effects to acupuncture. Transcutaneous electrical stimulation overcomes some of the disadvantages of acupuncture, such as pain during acupuncture, fear of needles, and susceptibility to infection. The waveforms of transcutaneous electrical stimulation are single-phase square wave, bidirectional square wave, asymmetrical square wave, etc., which are characterized in that instantaneous power-on and power-off are not easy to cause polarization, and the body adapts very slowly. The electrodes are generally made of round or square non-woven materials, the skin surface is made of conductive silica gel, and the wiring surface is made of metal materials, which are connected with wires. When performing electrical stimulation therapy, a pair of electrodes are attached to the corresponding parts of the skin surface, and after setting the electrical stimulation parameters, the treatment can be implemented.
综上,现有技术中已经表明刺激神门穴对睡眠障碍和焦虑抑郁有治疗作用,相对于针刺、按摩、电针等方法,经皮穴位电刺激法是最方便、有效、安全的穴位刺激方式。但是,现有技术也有一定局限性:一是电极导电面积大,刺激部位不够精准;二是没有专门治疗失眠和焦虑的电刺激发生器。To sum up, it has been shown in the prior art that stimulating Shenmen acupoint has a therapeutic effect on sleep disorders, anxiety and depression. Compared with acupuncture, massage, electroacupuncture and other methods, transcutaneous acupoint electrical stimulation is the most convenient, effective and safe acupoint Stimulus way. However, the existing technology also has certain limitations: one is that the electrodes have a large conductive area, and the stimulation site is not precise enough; the other is that there is no electrical stimulation generator specifically for the treatment of insomnia and anxiety.
发明内容Contents of the invention
为了克服上述现有技术的缺点,本实用新型的目的在于提供一种经皮电刺激神门穴治疗失眠和焦虑的装置,可以对目标穴位进行精准刺激,通过将单穴位电极贴附在人体神门穴表面皮肤,通过电刺激发生器发出脉冲方波,即可有效改善失眠和焦虑症状;根据本实用新型提供的方案,可开发出物理治疗仪、电子手环等医疗设备,用于治疗失眠和焦虑。In order to overcome the shortcomings of the above-mentioned prior art, the purpose of this utility model is to provide a device for treating insomnia and anxiety by percutaneous electrical stimulation of Shenmen acupoints, which can precisely stimulate the target acupoints, and attach a single acupoint electrode to the nerves of the human body. The skin on the surface of the door point can effectively improve the symptoms of insomnia and anxiety by sending out pulse square waves through the electric stimulation generator; according to the scheme provided by the utility model, medical equipment such as physical therapy instruments and electronic bracelets can be developed for the treatment of insomnia and anxiety.
为了实现上述目的,本实用新型采用的技术方案是:In order to achieve the above object, the technical solution adopted by the utility model is:
一种经皮电刺激神门穴治疗失眠和焦虑的装置,包括单穴位电极7和电刺激发生器8,所述单穴位电极7包括皮肤贴片1、正电极5和负电极4,其中,正电极5为环形,设置于皮肤贴片1上,通过正极导线2与电刺激发生器8的正极连接,负电极4位于正电极5的中心位置,通过负极导线3与电刺激发生器8的负极连接,所述电刺激发生器8包括一个频率发生器,频率发生器的输出信号经过低通滤波器后输出正极信号,低通滤波器同时向积分电路传递信号,积分电路输出负极信号。A device for treating insomnia and anxiety by percutaneous electrical stimulation of Shenmen acupoint, comprising a single acupoint electrode 7 and an electrical stimulation generator 8, the single acupoint electrode 7 comprising a skin patch 1, a positive electrode 5 and a negative electrode 4, wherein, The positive electrode 5 is ring-shaped, arranged on the skin patch 1, and connected to the positive electrode of the electrical stimulation generator 8 through the positive electrode wire 2, the negative electrode 4 is located at the center of the positive electrode 5, and connected to the electrical stimulation generator 8 through the negative electrode wire 3. Negative connection, the electrical stimulation generator 8 includes a frequency generator, the output signal of the frequency generator outputs a positive signal after passing through a low-pass filter, and the low-pass filter transmits the signal to the integrating circuit at the same time, and the integrating circuit outputs a negative signal.
所述皮肤贴片1为圆形,正电极5为圆环形,负电极4为圆形,三者同心设置。The skin patch 1 is circular, the positive electrode 5 is circular, and the negative electrode 4 is circular, and the three are arranged concentrically.
所述皮肤贴片1为无纺布或PVC材质,直径12~15mm,厚度0.5~2mm,皮肤面涂有医用不干胶。The skin patch 1 is made of non-woven fabric or PVC, with a diameter of 12-15mm and a thickness of 0.5-2mm, and the skin surface is coated with medical adhesive.
所述正电极5为导电硅橡胶材质,直径较皮肤贴片1小5mm,宽度为3mm,厚度为1mm,紧贴于皮肤贴片1的皮肤面。The positive electrode 5 is made of conductive silicone rubber, with a diameter 5 mm smaller than the skin patch 1 , a width of 3 mm, and a thickness of 1 mm, which is closely attached to the skin surface of the skin patch 1 .
所述负电极4直径为3mm,材料和厚度与正电极5一致或者相似。The diameter of the negative electrode 4 is 3mm, and the material and thickness are the same as or similar to the positive electrode 5 .
所述频率发生器输出由多个簇波构成的脉冲方波。The frequency generator outputs a pulsed square wave composed of multiple cluster waves.
所述频率发生器接单片机,由单片机设置所产生方波的参数以及每个方波包含的簇波数量。The frequency generator is connected to a single-chip microcomputer, and the parameters of the generated square wave and the number of cluster waves contained in each square wave are set by the single-chip microcomputer.
所述正负极信号之间设置有频率检测单元、强度检测单元和波宽检测单元,单片机与频率检测单元、强度检测单元和波宽检测单元连接,接收检测的反馈信息,实时对比并调整电刺激以达到设定参数,并将输出方波显示到液晶屏上。A frequency detection unit, an intensity detection unit, and a wave width detection unit are arranged between the positive and negative signals, and the single-chip microcomputer is connected with the frequency detection unit, the intensity detection unit, and the wave width detection unit, receives the detected feedback information, and compares and adjusts the voltage in real time. Stimulate to achieve the set parameters, and display the output square wave on the LCD screen.
与现有技术相比,本实用新型可以对目标穴位进行精准刺激,经皮电刺激神门穴治疗失眠和焦虑。按照本实用新型提供的方案进行电极设计方案和电刺激发生器,可以开发出睡眠障碍治疗仪,也可以通过将电刺激发生装置微型化,从而开发出手环、腕表等可穿戴医疗设备,为睡眠障碍和抑郁焦虑人群提供一种方便、有效、安全的辅助治疗手段。Compared with the prior art, the utility model can accurately stimulate target acupoints, and treat insomnia and anxiety by percutaneous electrical stimulation of Shenmen acupoints. According to the scheme provided by the utility model, the electrode design scheme and the electric stimulation generator can be developed to develop a therapeutic instrument for sleep disorders, and it is also possible to develop wearable medical equipment such as wristbands and watches by miniaturizing the electric stimulation generation device. It provides a convenient, effective and safe auxiliary treatment for people with sleep disorders and depression and anxiety.
附图说明Description of drawings
图1是本实用新型单穴位电极结构示意图。Fig. 1 is a schematic diagram of the structure of a single acupoint electrode of the present invention.
图2是本实用新型电刺激发生器的系统框图。Fig. 2 is a system block diagram of the electrical stimulation generator of the present invention.
图3是本实用新型单穴位电极作用于神门穴的示意图。Fig. 3 is a schematic diagram of a single acupoint electrode of the present invention acting on Shenmen acupoint.
具体实施方式detailed description
下面结合附图和实施例详细说明本实用新型的实施方式。The implementation of the utility model will be described in detail below in conjunction with the accompanying drawings and examples.
一种经皮电刺激神门穴治疗失眠和焦虑的装置,包括单穴位电极7和电刺激发生器8。A device for treating insomnia and anxiety by percutaneous electric stimulation of Shenmen point, comprising a single point electrode 7 and an electric stimulation generator 8 .
单穴位电极7可以精确刺激神门穴,如图1所示,包括圆形的皮肤贴片1、圆环形的正电极5和圆形的负电极4。皮肤贴片1由无纺布或PVC等材质制成,直径12~15mm,厚度0.5~2mm,皮肤面涂有医用不干胶。正电极5材料为导电硅橡胶,直径较皮肤贴片1小5mm,宽度为3mm,厚度为1mm,与皮肤贴片1呈同心圆状组合,紧贴于其皮肤面,通过正极导线2与电刺激发生器8的正极连接。负电极4为圆片状,直径为3mm,材料和厚度与正电极5相似,通过负极导线3与电刺激发生器8的负极连接。The single acupoint electrode 7 can precisely stimulate the Shenmen point, as shown in FIG. 1 , including a circular skin patch 1 , a circular positive electrode 5 and a circular negative electrode 4 . The skin patch 1 is made of materials such as non-woven fabric or PVC, with a diameter of 12-15 mm and a thickness of 0.5-2 mm. The skin surface is coated with medical self-adhesive. The material of the positive electrode 5 is conductive silicone rubber, the diameter is 5mm smaller than that of the skin patch 1, the width is 3mm, and the thickness is 1mm. Stimulus Generator 8 positive connection. The negative electrode 4 is disc-shaped with a diameter of 3 mm, similar in material and thickness to the positive electrode 5 , and is connected to the negative electrode of the electrical stimulation generator 8 through the negative lead wire 3 .
电刺激发生器8可以产生特定参数的脉冲方波,如图2所示,包括一个频率发生器AD9850,频率发生器的输出信号经过低通滤波器后输出正极信号,低通滤波器同时向积分电路传递信号,积分电路输出负极信号。The electrical stimulation generator 8 can generate a pulsed square wave with specific parameters, as shown in Figure 2, including a frequency generator AD9850, the output signal of the frequency generator passes through a low-pass filter and then outputs a positive signal, and the low-pass filter simultaneously contributes to the integral The circuit transmits the signal, and the integrating circuit outputs a negative signal.
电刺激发生器8采用AT89S52单片机作为设置核心,按键控制为输入设备,液晶显示为输出设备。按照电刺激参数按键输入要产生方波参数,以及每个方波包含簇波数量。AT89S52单片机按照上述簇波参数计算方式将方波转化为簇波,输出信号传递给AD9850频率发生器,经过LPF后输出正极信号。LPF同时向积分电路传递信号,从而得到负极信号。Electric stimulation generator 8 adopts AT89S52 single-chip microcomputer as the setting core, the key control is the input device, and the liquid crystal display is the output device. Input the square wave parameters to be generated according to the electric stimulation parameters, and each square wave contains the number of cluster waves. The AT89S52 MCU converts the square wave into a cluster wave according to the calculation method of the above cluster wave parameters, and the output signal is passed to the AD9850 frequency generator, and the positive signal is output after passing through the LPF. At the same time, the LPF transmits a signal to the integrating circuit, thereby obtaining a negative signal.
正负极信号之间设置有频率检测单元、强度检测单元和波宽检测单元,单片机与频率检测单元、强度检测单元和波宽检测单元连接,接收检测的反馈信息,实时对比并调整电刺激以达到设定参数,并将输出方波显示到液晶屏上。正负极分别连接单穴位电极8的正极导线2和负极导线3,正负极之间即可产生由n个簇波构成的脉冲方波。A frequency detection unit, an intensity detection unit and a wave width detection unit are arranged between the positive and negative pole signals. The set parameters are reached, and the output square wave is displayed on the LCD screen. The positive and negative poles are respectively connected to the positive lead wire 2 and the negative lead wire 3 of the single acupoint electrode 8, and a pulse square wave composed of n cluster waves can be generated between the positive and negative electrodes.
本实用新型的用法如下:Usage of the present utility model is as follows:
(1)参照图3,将单穴位电极7贴附于受治疗者神门穴皮肤。(1) Referring to FIG. 3 , stick the single acupoint electrode 7 on the skin of Shenmen acupoint of the subject.
(2)在电刺激发生器8上设定输出脉冲方波的参数。(2) Set the parameters of the output pulse square wave on the electric stimulation generator 8 .
(3)开启仪器进行治疗,每天睡前治疗30分钟,连续10天。(3) Turn on the device for treatment, and treat for 30 minutes before going to bed every day for 10 consecutive days.
使用本实用新型的效果:Use the effect of the utility model:
对上述用法进行实验,以100名焦虑症并伴睡眠障碍的志愿者(汉密尔顿焦虑量表评分≥7分)进行测试,志愿者随机分为治疗组和对照组。治疗组按照上述方式接受神门穴电刺激治疗,对照组也贴电极,但设备并不产生电刺激。于干预前及干预后10天分别进行汉密尔顿焦虑量表评分和睡眠改善情况调查,结果如下:The above-mentioned usage was tested, and 100 volunteers with anxiety and sleep disorders (Hamilton Anxiety Scale score ≥ 7 points) were tested, and the volunteers were randomly divided into a treatment group and a control group. The treatment group received electrical stimulation of Shenmen acupoint according to the above method, and the control group also had electrodes attached, but the equipment did not generate electrical stimulation. Before the intervention and 10 days after the intervention, the Hamilton Anxiety Scale score and sleep improvement survey were conducted, and the results are as follows:
(1)干预前后汉密尔顿焦虑量表评分比较(1) Comparison of Hamilton Anxiety Scale scores before and after intervention
*与干预前比较,P<0.05*Compared with before intervention, P<0.05
(2)干预后睡眠质量改善情况比较(2) Comparison of sleep quality improvement after intervention
*与相应的对照组比较,P<0.05*Compared with the corresponding control group, P<0.05
实验结果表明,本实用新型可以明显缓解焦虑程度,改善睡眠。Experimental results show that the utility model can obviously relieve anxiety and improve sleep.
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