36岁女子3年没睡过“整觉”，每晚只能睡三四个小时，医生：长期压力大，精神紧绷，使交感神经过度兴奋

“这对常人来说再普通不过的早晨，我等了3年多。”

11月11日，36岁的张女士回忆起终于能一觉睡到清晨7点的那个早上，依然难掩激动。因长期处于工作与家庭的双重高压，她的交感神经持续“卡死”在兴奋状态，三年来没睡过一个“整觉”，安眠药从一片加到三片也毫无起色。所幸，经睡眠门诊的神经调控治疗，这颗过度紧绷的“开关”被成功“调小”，她终于停掉安眠药，找回了正常睡眠。

资料图 图源：VCG

A 36-year-old woman in Hubei province has finally been able to sleep through the night after more than three years of chronic insomnia, following treatment at a hospital in Wuhan.

"I waited more than three years for what most people would consider an ordinary morning," Zhang said on Wednesday, recalling the first time she woke up naturally at 7 am after a full night's sleep.

白天拼业绩，晚上陪作业

她三年没睡过整觉

张女士是一家公司的销售总监，白天带团队拼业绩，压力本就不小；晚上回家，她又操心孩子的养育和学习，努力尽到一个妈妈的责任。这样的“连轴转”让她长期处于精神紧绷的状态，经常出现心慌、胸闷。

睡眠问题随之而来。最开始，只是偶尔翻来覆去睡不着。后来，每晚只能浅睡三四个小时，稍有一点声响就惊醒。为了撑住第二天的节奏，她开始吃安眠药，从一片逐渐增加到三片。可药效越来越差，白天头昏沉、反应慢，情绪也变得易怒焦躁。

为了“好好睡一觉”，张女士尝试过心理咨询，换过五种口服药，可依旧在每一个凌晨的三四点醒来。这种情况，持续了三年。

Zhang, a sales director, had been struggling to balance the demands of a high-pressure job with caring for her child. Over time, she developed heart palpitations and chest tightness, while her sleep dwindled to just three or four hours of light sleep each night.

Sleeping pills brought little relief, even after she increased her dose from one tablet to three. She also tried five different oral medications and psychological counseling, but continued to wake up in the early hours of the morning.

身体很累却睡不着

交感神经让大脑“关不了机”

两个月前，在朋友的推荐下，张女士来到湖北省妇幼保健院麻醉科睡眠门诊。主任医师冷福建接诊后，并没有立刻开药，而是通过详细问诊、多导睡眠监测、睡眠与心理评估来找病因，同时排查妇科、泌尿科等相关躯体疾病。

通过系统检查，病因终于明确：长期的双重压力让她的神经系统过度兴奋——身体明明已经很疲惫，自主神经却无法放松。 睡眠不是大脑“关机”，而是由交感神经和副交感神经的张力变化来调节。张女士的交感神经长期占着上风，再累也很难切换进“睡眠模式”。通俗地说，她的大脑像一台后台开了几十个程序的电脑，你按了“关机”，它却一直卡在“正在关闭”的界面上。

About two months ago, Zhang turned to the sleep clinic at the Maternal and Child Health Hospital of Hubei Province. Examinations found that prolonged stress had left her sympathetic nervous system overactive, making it difficult for her body to relax and fall asleep.

随后，冷福建为张女士制定了个体化综合治疗方案：以星状神经节阻滞神经调控为主，根据她的全身状况和失眠严重程度，每周规范治疗3至5次，联合物理治疗、适时药物调整等协同干预。

两个疗程后，好消息传来。张女士停用安眠药，一觉安稳睡到清晨7点，需要闹钟才能唤醒。她激动地为睡眠门诊送上锦旗。

Doctors devised an individualized treatment plan centered on stellate ganglion block, a nerve-regulation procedure, combined with physical therapy and medication adjustments.

After two courses of treatment, Zhang was able to stop taking sleeping pills and sleep soundly until 7 am. She later presented the clinic with a banner expressing her gratitude.

每周失眠3次以上、持续3个月

就该就医

“星状神经节是人体交感神经（负责紧张、兴奋的神经）的‘总开关’。长期失眠的人，这个开关一直处于‘卡死’状态，导致人极度疲惫却睡不着。用微量的麻药暂时把这个开关‘关小’，让过度紧绷的身体逐步放松下来，恢复自身的调节能力。”冷福建介绍，这项治疗用药量极小，不同于口服安眠药，不会产生药物成瘾与依赖。

Leng Fujian, chief physician at the hospital's anesthesiology department, said the procedure involves injecting a small dose of anesthetic to temporarily reduce sympathetic nervous system activity, helping the body relax and restore its natural regulatory functions.

湖北省妇幼保健院麻醉睡眠门诊里患者正在问诊。 图源：受访单位供图

冷福建提醒，失眠需要早评估、早干预。如果每周失眠达到3次以上、持续3个月以上，就要及时就医治疗。拖延只会让失眠变成“慢性顽固型”，甚至并发情绪、躯体等疾病，治疗周期更长、难度更大。

Leng advised people who experience insomnia at least three times a week for three months or longer to seek medical attention, warning that delaying treatment could allow the condition to become chronic and harder to manage.

来源：湖北日报

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