刘艳骄 http://www.haodf.com/zhuanjiaguandian/lyj792_782567317.htm
中国中医科学院广安门医院 北京 100700
关键词:睡眠;睡眠障碍;中国中医科学院
Key Words: sleep; sleep disorders; CACMS
中国中医科学院 (原名中医研究院,中国中医研究院)建于1955年,是国家中医药管理局直属的集科研、医疗和教学为一体的综合性中医药科学研究机构。
China Academy of Chinese Medical Sciences(CACMS),set up in 1955 and located in BeiJing(its former name was Academy of Traditional Chinese Medicine), is a national institute for research, clinical medicine and medical training and education in Traditional Chinese Medicine(TCM) under the State Administration of Traditional Chinese Medicine.
中国中医科学院经过50年的建设与发展,已从建院时的4个研究所和1所附属医院,发展成为拥有13个研究所、6个附属医院、研究生院、2个制药企业、中医古籍出版社、中医杂志社等二级单位的综合性中医药科学研究机构。
Over the past 50 years’ construction and development, CACMS has developed into a national research institute including 13 institutes, 6 hospitals, 2 pharmaceutical enterprises as well as the Graduate School, the Publishing House of Ancient Chinese Medical Books and the Journal of TCM, etc, compared with 4 institutes and 1 hospital when it set up.
1.睡眠研究基本概况
1Basic overview of sleep research
中国中医科学院的睡眠研究开始于20世纪90年代,在1994年,中国中医研究院基础理论研究所的科研人员,在不十分清楚世界睡眠科学发展的情况下,提出了开展中医睡眠医学研究的设想,并举办了首届全国中医睡眠疾病学术研讨会,此后,在与中国从事睡眠研究科学家的帮助下,先后举办了四届全国中医睡眠医学学术研讨会,并在上海成立了全国中医睡眠障碍科研协作网。
In 1994, researches in Institute of Basic Theory of TCM had put forward the assumption of developing sleep research in TCM under the circumstance of not very clearly of the development of sleep science, and had held the first national academic symposium on sleep disorders in TCM. Thereafter, under the help of experts doing research on sleep in China, it has successively held four times’ national academic symposium on sleep medicine in TCM, and has established national cooperation network of scientific research on sleep disorders in TCM in ShangHai.
中国中医研究院研究生院的刘艳骄博士在吸取现代睡眠科学知识的基础上,经过5年的艰苦努力,在许多同仁的支持下,编著了《中医睡眠医学》一书,系统地阐述了中医关于睡眠的基本理论和临床方法,对推动中医睡眠医学的建立,起到抛砖引玉的作用。
Based on adopting modern sleep science knowledge, and after 5 years’ efforts, Doctor Liu Yanjiao in CACMS had written a book named “sleep science in TCM” with the supports of many colleagues. This book systematically expounded the basic theories and clinical methods of sleep in TCM. And play the role of "casting a brick to attract jade" on promoting establishment of sleep medical research in TCM.
中国中医研究院基础理论研究所的科研人员先后面向全国举办了《多导睡眠图技术及临床应用学习班》、《中西医结合睡眠医学新进展研修班》等。
Researches in Institute of Basic Theory of TCM had successively held country-orientated “training course on technology and clinical application of PSG”, and “advanced seminar on latest development of sleep science in integrated traditional and western medicine”,etc.
2005年以后,中国中医科学院的睡眠研究逐渐从以基础研究为重点转向以临床研究为重点,2006年,广安门医院整合心理科、内科、针灸科、气功科等科室建立了睡眠门诊,同时设立睡眠专家门诊,集中优势开始睡眠的临床研究,门诊量由过去的每月200人次猛增加到4000人次,用于睡眠临床的心理测量技术得到广泛应用。
After 2005, the emphasis of sleep research in CACMS had successively transferred from basic theory research to clinical research. In 2006, sleep clinic has been established in Guang An Men Hospital with the department of psychology, internal medicine, acupuncture and moxibustion, and qigong an organic whole. At the same time, sleep specialist clinic has also been established , concentrating advantages in doing clinical research of sleep. Numbers of out patients has increased to 2000 every month from 200 per month in the past. And psychological measurement technique works for sleep clinic has been widely used
2.睡眠与睡眠障碍的基础研究
2 Basic theory researches on sleep and sleep disorders
中医学经典文献中有很多关于睡眠与睡眠障碍的记述,中医睡眠的基础研究旨在挖掘古代中医文献的精华,系统整理中医关于睡眠与睡眠障碍的理论与方法,开展睡眠的基础研究与应用基础。先后发表十几篇中医关于睡眠理论研究的文章,进行了睡眠的实验研究,我们先后进行了“豆腐果苷素胶囊对大鼠自主活动的影响”、“豆腐果苷素胶囊对大鼠脑中NO的影响”、豆腐果苷素胶囊对小鼠睡眠时间的影响”等。
There are many descriptions about sleep and sleep disorders can be found in ancient traditional Chinese medical books. The purpose of the basic theory research on sleep in TCM is to derive essentials from the ancient traditional Chinese medical books, systematic organize theories and methods of sleep and sleep disorders in TCM., and carry on basic and clinical researches in sleep. More than ten papers about theoretical research of sleep in TCM have been published and experimental research has also been developed. We had successively done some researches, such as” effect of hilicidum capsule on NO in brain of rats”, ” effect of hilicidum capsule on locomotor activity of rats”, and “effect of hilicidum capsule on sleep time of younger mouse”, etc.
加强睡眠知识的培训,不仅是患者的需要,而且也是医务人员的需要。我们每月开展一次睡眠医学的培训;每年均举办“世界睡眠日”的大型义诊活动,受到患者的欢迎。
Not only patients but also doctors need to strengthen training of sleep knowledge. We develop a sleep medicine training every month, and activities of diagnosis and treatment for free every year, which are welcomed by patients.
3.睡眠障碍的临床研究
3 Clinical research on sleep disorders
在长期睡眠障碍临床研究中,我们总结了中医关于睡眠障碍的诊断技巧,开展睡眠研究的培训,多次面向全国举办了《多导睡眠图技术及临床应用学习班》、《中西医结合睡眠医学新进展研修班》等。在2007年,中国中医科学院广安门医院牵头主持召开了首届睡眠医学与人类健康生态国际论坛2008年还将举办第二届中医心理学和睡眠医学国际大会,发表睡眠研究方面的论文逐年增加。与此同时,中国中医科学院相关医院开展了睡眠专题门诊,尽管有些还比较分散,但已经在逐渐整合中,为中医睡眠医学科建设奠定了基础。我们先后有多项课题中结合了睡眠研究的内容,通过网络调查,我们对睡眠障碍患者的临床需求有了更加深入的了解,并确定了今后的研究重点。我们与上海市中医医院、湖北中医学院、宁夏医学院、第四军医大学唐都医院、宁波中医医院等单位建立了全国中医药治疗睡眠障碍科研协作网,力争通过全国协作提高睡眠研究的水平。
Based on the long term of clinical research on sleep disorders, we summarized diagnostic skills of sleep disorders in TCM. And then, we developed sleep research trainings and held country-orientated “training course on technology and clinical application of PSG”, and “advanced seminar on latest development of sleep science in integrated traditional and western medicine”, etc. In 2007, Guang An Men Hospital leaded to hold “the forum on sleep medicine and eco-health in modern humankind”. And the “2nd international academic congress of TCM psychology and sleep medicine” will be held in 2008. The number of papers on sleep research increases every year. At the same time, referring hospitals of CACMS have established sleep clinics. Although these sleep clinics were comparatively scattered, and they are gradually integrated now, which laid a foundation for construction of sleep medicine department. We have successively had many projects combined with sleep research. We had a further understand of clinical demands of patients suffering from sleep disorders by internet investigation, and determined research-emphases in future. Cooperated with Shang Hai Hospital of TCM, Hu Bei college of TCM, Ni Xia Hospital, Tang Du Hospital of the fourth military medical university, and Nin Bo Hospital of TCM, we established national cooperation network of scientific research on sleep disorders in TCM, for the purpose of enhancing the sleep research standards throughout the national cooperation.
4睡眠与睡眠障碍的国际合作
4 International cooperation of sleep and sleep disorders
我们先后参加了一些国际会议,如亚洲睡眠大会(中国珠海)、国际睡眠医学学术大会(泰国),ResMan睡眠呼吸会议(悉尼)等,也邀请美国睡眠学会主席海宁先生、日本睡眠研究会主席太田隆郎先生、匈牙利睡眠研究会、泰国睡眠研究会、德国波罗地海大学等国专家来我院进行学术交流,同时进一步吸收中国传统文化的精华,挖掘中医心理治疗方法,提倡非药物治疗睡眠障碍。
We have successively took part in some international conference, such as Asia sleep conference (Zhu Hai, in Bei Jing), 2nd international academic congress of sleep medicine (in Thailand), ResMan sleep apnea congress (in Sydney). We have also invited experts, such as Doctor Wayne Hening , president of American Academy of Sleep Medicine, Doctor TaiTian longLang, president of Japan Sleep Research Society, Hungary Sleep Research Society, Thailand Sleep Research Society, Baltic Sea International Campus, come to our academy to have academic exchanges. At the same time, we have also absorbed traditional culture inheritance of Chinese, looked for methods of psychological treatment in TCM and advocated non-medication of sleep disorders.
由中国中医科学院牵头进行《基于失眠症的传统医学临床实践指南》是WHO西太区传统医学管理部门通过中国、韩国及日本制定基于循证医学证据上的临床实践系列指南的一部分。WHO西太区传统医学临床实践系列指南主要用于西太区国家使用传统治疗疾病进行临床实践的指导性文件,以中医药治疗为主,突出中医药治疗的特色及实用性。
The “TCM clinical practice guidance of insomnia” written by CACMS, is a part of clinical practice guidance series which are established by WHO/WPRO based on evidence of evidence-based medicine. WHO/WPRO clinical practice guidance series of TCM are guide documents mainly applied in countries of WPRO, in which TCM is the chief treatment measure. And TCM treatment is her characteristic and practicability.
5睡眠研究展望
5 Prospect of sleep research
睡眠医学研究与发展正在中国逐渐展开,睡眠医学的专业人员逐年增加,通过吸收、引进现代睡眠医学的理论与方法,实现睡眠障碍的本土化治疗方法的广泛应用是中国中医科学院睡眠研究的方向。
Sleep medicine research is developing in China, and the number of professionals is increasing every year. The sleep research direction of CACMS is to realize widely application of localization of treatment methods through absorbing and introducing modern theory and method of sleep medicine.
与此同时,我们正在建设新的睡眠中心,进一步整个睡眠研究资源,使睡眠的基础研究、临床研究、养生康复研究有机地结合起来。
At the same time, we are constructing new sleep center and further integrating sleep resources, which will make basic research, clinic research , health preservation and rehabilitation research an organic whole.
培养睡眠研究人才是中国中医科学院的一项重要任务,我们已经培养8名睡眠相关专业的硕士生和博士生,今后还将联系多学科培养睡眠专业的研究生,为中国中医单位提供睡眠基础与临床研究的专业人才。
Cultivating sleep research talents is an important task of CACMS. We have cultivated 8 master students and doctor students of specialties related to sleep. And we will cultivate postgraduates sleep major combined with multi subjects in future so as to provide sleep basic and clinic research professional talents for TCM units in China.
现在,中国中医科学院是世界传统与现代睡眠医学会挂靠单位,世界中医学会联合会中医心理学专业委员会挂靠单位,中医睡眠医学专业委员会挂靠单位,中国睡眠研究会中医睡眠医学专业委员会北方组筹备单位,每年有很多科研人员加入中国睡眠研究会等学术组织,进一步提升了中国中医科学院在睡眠研究领域的影响。
At present, CACMS is the cooperation unit of world traditional and modern academy of sleep medicine, speciality committee of TCM psychology of World Federation of Chinese Medicine Societies, speciality committee of China academy of sleep medicine, and north group of speciality committee of TCM sleep medicine of China Sleep Research Society. There are many researches who join in academic organizations such as China Sleep Research Society every year. It further promotes the influence in sleep research field of CACMS.