团体失眠认知行为疗法治疗阻塞性睡眠呼吸暂停共病失眠1例
Group cognitive behavioral therapy for insomnia in the treatment of comorbid insomnia and obstructive sleep apnea:a case report
刘敏 1赵瑞 1陈敏 1苏日娜 1魏婉婷 1姚萍 1吕东升1
作者信息
- 1. 内蒙古自治区精神卫生中心,内蒙古 呼和浩特 010010
- 折叠
摘要
本文报道1例以失眠为主诉就诊的患者,多导睡眠监测(PSG)结果显示存在重度阻塞性睡眠呼吸暂停(OSA).患者尝试接受持续气道正压通气治疗(CPAP),因感觉戴带呼吸机后入睡更加困难而放弃,后仅接受团体失眠认知行为治疗(CBT-I),失眠症状得到改善,OSA也由重度降为轻度.这一案例提示:①由于失眠与OSA具有较高的共病率,在失眠障碍患者的临床诊疗过程中,应注意对OSA的评估;②CBT-I能够通过改善失眠,缓解阻塞性睡眠呼吸暂停与失眠共病(COMISA)患者的夜间呼吸暂停和日间嗜睡症状,在对此类患者的治疗中,应重视CBT-I的应用.
Abstract
This article reported a patient who initially presented with insomnia complaints and was subsequently diagnosed with severe obstructive sleep apnea(OSA)on polysomnography(PSG).The patient tried continuous positive airway pressure(CPAP)but gave up because wear the ventilator made it more difficult to fall asleep.Then the patient only received group cognitive behavioral therapy for insomnia(CBT-I),which not only alleviated insomnia severity but also promoted severe OSA into mild status.Such case suggested that,firstly,due to the high comorbidity of insomnia and OSA,evaluation of OSA should be considered a part worth enough attention of the clinical diagnosis and treatment of insomnia patients.Secondly,by relieving insomnia,CBT-I can alleviate both nocturnal apnea and daytime somnolence in patients with comorbid insomnia and sleep apnoea(COMISA),so the application of CBT-I should be emphasized in the treatment of such patients.
关键词
团体失眠认知行为疗法/失眠/阻塞性睡眠呼吸暂停Key words
Group cognitive behavioral therapy for insomnia/Insomnia/Obstructive sleep apnoea引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据