36歲女子3年沒睡過「整覺」，每晚只能睡三四個小時，醫生：長期壓力大，精神緊繃，使交感神經過度興奮
「這對常人來說再普通不過的早晨，我等了3年多。」
11月11日，36歲的張女士回憶起終於能一覺睡到清晨7點的那個早上，依然難掩激動。因長期處於工作與家庭的雙重高壓，她的交感神經持續「卡死」在興奮狀態，三年來沒睡過一個「整覺」，安眠藥從一片加到三片也毫無起色。所幸，經睡眠門診的神經調控治療，這顆過度緊繃的「開關」被成功「調小」，她終於停掉安眠藥，找回了正常睡眠。
資料圖 圖源：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.
白天拼業績，晚上陪作業
她三年沒睡過整覺
張女士是一家公司的銷售總監，白天帶團隊拼業績，壓力本就不小；晚上回家，她又操心孩子的養育和學習，努力盡到一個媽媽的責任。這樣的「連軸轉」讓她長期處於精神緊繃的狀態，經常出現心慌、胸悶。
睡眠問題隨之而來。最開始，只是偶爾翻來覆去睡不著。後來，每晚只能淺睡三四個小時，稍有一點聲響就驚醒。為了撐住第二天的節奏，她開始吃安眠藥，從一片逐漸增加到三片。可藥效越來越差，白天頭昏沉、反應慢，情緒也變得易怒焦躁。
為了「好好睡一覺」，張女士嘗試過心理諮詢，換過五種口服藥，可依舊在每一個凌晨的三四點醒來。這種情況，持續了三年。
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.
身體很累卻睡不著
交感神經讓大腦「關不了機」
兩個月前，在朋友的推薦下，張女士來到湖北省婦幼保健院麻醉科睡眠門診。主任醫師冷福建接診后，並沒有立刻開藥，而是通過詳細問診、多導睡眠監測、睡眠與心理評估來找病因，同時排查婦科、泌尿科等相關軀體疾病。
通過系統檢查，病因終於明確：長期的雙重壓力讓她的神經系統過度興奮——身體明明已經很疲憊，自主神經卻無法放鬆。 睡眠不是大腦「關機」，而是由交感神經和副交感神經的張力變化來調節。張女士的交感神經長期佔著上風，再累也很難切換進「睡眠模式」。通俗地說，她的大腦像一台後台開了幾十個程序的電腦，你按了「關機」，它卻一直卡在「正在關閉」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.
隨後，冷福建為張女士制定了個體化綜合治療方案：以星狀神經節阻滯神經調控為主，根據她的全身狀況和失眠嚴重程度，每周規範治療3至5次，聯合物理治療、適時藥物調整等協同干預。
兩個療程后，好消息傳來。張女士停用安眠藥，一覺安穩睡到清晨7點，需要鬧鐘才能喚醒。她激動地為睡眠門診送上錦旗。
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、持續3個月
就該就醫
「星狀神經節是人體交感神經（負責緊張、興奮的神經）的『總開關』。長期失眠的人，這個開關一直處於『卡死』狀態，導致人極度疲憊卻睡不著。用微量的麻藥暫時把這個開關『關小』，讓過度緊繃的身體逐步放鬆下來，恢復自身的調節能力。」冷福建介紹，這項治療用藥量極小，不同於口服安眠藥，不會產生藥物成癮與依賴。
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.
湖北省婦幼保健院麻醉睡眠門診里患者正在問診。 圖源：受訪單位供圖
湖北省婦幼保健院麻醉睡眠門診里患者正在問診。 圖源：受訪單位供圖
冷福建提醒，失眠需要早評估、早干預。如果每周失眠達到3次以上、持續3個月以上，就要及時就醫治療。拖延只會讓失眠變成「慢性頑固型」，甚至併發情緒、軀體等疾病，治療周期更長、難度更大。
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.
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