世界睡眠医学杂志2024,Vol.11Issue(4) :717-720.DOI:10.3969/j.issn.2095-7130.2024.04.001

分析右佐匹克隆联合重复经颅磁刺激对脑卒中后焦虑症伴睡眠障碍患者心理状态及睡眠质量的影响

Analysis of the Effects of Right Zopiclone Combined with Repeated Transcranial Magnetic Stimulation on the Psychological Status and Sleep Quality of Patients with Post-stroke Anxiety Disorder and Sleep Disorders

马福兴 孔传祥 张红霞 侯琴霞
世界睡眠医学杂志2024,Vol.11Issue(4) :717-720.DOI:10.3969/j.issn.2095-7130.2024.04.001

分析右佐匹克隆联合重复经颅磁刺激对脑卒中后焦虑症伴睡眠障碍患者心理状态及睡眠质量的影响

Analysis of the Effects of Right Zopiclone Combined with Repeated Transcranial Magnetic Stimulation on the Psychological Status and Sleep Quality of Patients with Post-stroke Anxiety Disorder and Sleep Disorders

马福兴 1孔传祥 1张红霞 1侯琴霞1
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作者信息

  • 1. 青海省西宁市第二人民医院,西宁,810001
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摘要

目的:分析右佐匹克隆联合重复经颅磁刺激对脑卒中后焦虑症伴睡眠障碍患者心理状态及睡眠质量的影响.方法:选取2021年1月至2022年12月青海省西宁市第二人民医院收治的脑卒中后焦虑症伴睡眠障碍患者100例作为研究对象,按照随机数字表法分为观察组和对照组,每组50例.采用焦虑自评量表(SAS)比较2组患者干预前后焦虑状态的改善效果,采用睡眠状况自评量表(SRSS)评估2组脑卒中后焦虑症伴睡眠障碍患者的睡眠质量变化;治疗前后,采取多导睡眠监测仪对2组患者进行监测,观察睡眠质量,并比较2组患者的临床疗效差异.结果:干预后,观察组的有效率显著高于对照组,观察组SAS评分均显著低于对照组,观察组睡眠潜伏期、觉醒次数、睡眠规律均显著低于对照组,观察组睡眠时间、睡眠效率评分均显著高于对照组,SRSS量表中,观察组睡不安稳、很难入睡、多梦易醒、睡眠时间较短、提前醒来、觉醒不足、依赖安眠药、睡眠质量、白天状态和睡眠规律评分均显著低于对照组,差异均有统计学意义(均P<0.05).结论:右佐匹克隆联合重复经颅磁刺激能有效改善脑卒中后焦虑症伴睡眠障碍患者的心理状态及睡眠质量,改善患者的焦虑情绪,值得临床推广使用.

Abstract

Objective:To analyze the effects of right zopiclone combined with repeated transcranial magnetic stimulation on the psychological status and sleep quality of patients with post-stroke anxiety disorder and sleep disorders.Methods:A total of 100 patients with post-stroke anxiety disorder and sleep disorders admitted to the Second People's Hospital of Xining City,Qinghai Province from January 2021 to December 2022 were selected as the study subjects.Using a random number table method,they were randomly divided into an observation group and a control group,with 50 cases in each group.The Self Rating Anxiety Scale(SAS)compares the improvement effect of anxiety status between two groups of patients before and after the intervention,and the Self Rating Sleep Scale(SRSS)evaluates the changes in sleep quality of two groups of post-stroke anxiety patients with sleep dis-orders.Before and after treatment,a multi-channel sleep monitor was used to monitor the sleep quality of two groups of patients,and the clinical efficacy differences between the two groups of patients were compared.Results:After intervention,the effective rate of the observation group was significantly higher than that of the control group,and the SAS score of the observation group was significantly lower than that of the control group.The average sleep latency,number of awakenings,and sleep pattern of the obser-vation group were significantly lower than those of the control group.The observation group's sleep time and efficiency scores were considerably higher than the control group's.In the SRSS scale,the observation group had unstable sleep,difficulty falling asleep,frequent dreaming,short sleep time,early awakening,insufficient awakening,dependence on sleeping pills,sleep quality,daytime state,and sleep pattern scores,which were significantly lower than those of the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:The combination of right zopiclone and repeated transcranial magnet-ic stimulation can effectively improve the psychological state and sleep quality of patients with post-stroke anxiety disorder and sleep disorders and improve their anxiety mood.It is worthy of clinical promotion and use.

关键词

右佐匹克隆/重复经颅磁刺激/脑卒中/焦虑症/睡眠障碍/心理状态/睡眠质量/疗效

Key words

Right Zopiclone/Repetitive transcranial magnetic stimulation/Stroke/Anxiety disorder/Sleep disorders/Psycho-logical state/Sleep quality/Curative effect

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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