首页|帕金森病患者失眠的治疗研究

帕金森病患者失眠的治疗研究

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目的:辅助应用重复经颅磁刺激(rTMS)技术治疗帕金森病(PD)患者失眠,观察其临床效果及安全性.方法:选取2021年1月—2023年1月漳州市第二医院收治的60例PD合并失眠患者作为研究对象,采用随机数表法将其分为对照组32例和研究组28例.对照组患者采用常规失眠药物治疗,研究组患者在对照组的基础上辅助应用rTMS技术治疗.比较两组患者临床治疗效果、睡眠质量及不良反应发生情况.结果:研究组患者总有效率高于对照组患者,差异有统计学意义(x2=4.39,P<0.05).研究组患者在夜间睡眠质量评价、保持睡眠困难、睡醒时发生震颤、早晨醒来后感觉困倦欲睡方面的评分均高于对照组患者,差异均有统计学意义(t=1.812、1.935、1.812、1.602,P<0.05).两组患者均未发生与治疗相关的不良反应.结论:辅助应用rTMS技术治疗能够提高PD患者的睡眠质量,增加其睡眠时间,改善其临床治疗效果,无明显不良反应发生,从而提高其生活质量.
Treatment of Insomnia in Patients with Parkinson's Disease
Objective:To use repeated transcranial magnetic stimulation(rTMS)to treat insomnia in patients with Parkinson's disease,and observe its clinical effect and safety.Methods:60 patients with insomnia of Parkinson's disease were selected and divided into control treatment group(n=32 cases)and study treatment group(n=28 cases)by random number table method.The control treatment group was treated with the usual drug regimen for insomnia.In the study treatment group,repetitive transcranial magnetic stimulation therapy was used in addition to conventional drug therapy for insomnia.The clinical treatment effect,sleep quality and the occurrence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(x2=4.39,P<0.05).The scores of sleep quality evaluation at night,difficulty in maintaining sleep,tremor when waking up,and feeling sleepy after waking up in the morning were higher in the study group than in the control group,and the differences were statistically significant(t=1.812,1.935,1.812,1.602;P<0.05).No adverse events related to rTMS were reported in either group.Conclusion:The adjuvant application of rTMS therapy can improve the sleep quality of PD patients,increase their sleep time,and improve their clinical treatment effect,with no obvious adverse reactions.So their quality of life is improved.

Parkinson's diseaseInsomniaRepeated transcranial magnetic stimulationQuality of life

杨坤军、林艺凌

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漳州市第二医院神经内科,福建 漳州 363100

帕金森病 失眠 重复经颅磁刺激 生活质量

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(24)