首页|药物结合心理疗法在脑卒中后睡眠障碍患者中的应用效果分析

药物结合心理疗法在脑卒中后睡眠障碍患者中的应用效果分析

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目的 分析药物结合心理疗法在脑卒中后睡眠障碍患者中的应用效果。方法 选择 70 例脑卒中后睡眠障碍患者,根据单双数法进行分组,单数分到观察组(n=35),双数分到对照组(n=35)。对照组行常规药物治疗,观察组行药物结合心理疗法。对比两组治疗前后睡眠质量[匹兹堡睡眠质量指数量表(PSQI)评分]、睡眠进程[睡眠潜伏期(SL)、总睡眠时间(TST)、觉醒次数(AT)]及睡眠结构[眼球快速运动睡眠时间(REM)、非眼球快速运动睡眠时间(NREM)]。结果 治疗后,观察组PSQI评分(6。45±0。56)分较对照组的(11。30±2。29)分更低(P<0。05)。治疗后,观察组SL(25。69±7。59)min、AT(4。60±1。07)次短/少于对照组的(41。02±10。06)min、(5。92±1。28)次,TST(360。18±29。98)min较对照组的(309。82±37。86)min更长(P<0。05)。治疗后,观察组REM(114。65±23。20)min及NREM的S2(132。18±27。98)min、S3+S4(31。82±7。29)min较对照组的(95。90±23。09)、(109。82±18。86)、(17。95±5。32)min更长(P<0。05)。结论 脑卒中后睡眠障碍应用药物结合心理疗法,可显著提高患者的睡眠质量,促进睡眠进程与结构的改善,值得推广应用。
Effect analysis of drug combined with psychotherapy in patients with post-stroke sleep disorders
Objective To analyze the practical effect of drug combined with psychotherapy in patients with post-stroke sleep disorders.Methods A total of 70 patients with post-stroke sleep disorders were divided into the observation group(n=35 cases,odd number)and the control group(n=35 cases,even number)according to odd-even number method.The control group received conventional drug treatment,and the observation group received drug combined psychotherapy.Both groups were compared in terms of sleep quality[Pittsburgh sleep quality index(PSQI)score],sleep progress[sleep latency(SL),total sleep time(TST),awake times(AT)]and sleep structure[rapid eye movement(REM),non-rapid eye movement(NREM)]before and after treatment.Results After treatment,PSQI score of(6.45±0.56)points in the observation group was lower than(11.30±2.29)points in the control group(P<0.05).After treatment,the observation group had SL of(25.69±7.59)min and AT of(4.60±1.07)times,which were shorter/less than(41.02±10.06)min and(5.92±1.28)times in the control group;TST of(360.18±29.98)min in the observation group was longer than(309.82±37.86)min in the control group(P<0.05).After treatment,the observation group had REM of(114.65±23.20)min and NREM stage S2 of(132.18±27.98)min,and NREM stage S3+S4 of(31.82±7.29)min,which were longer than(95.90±23.09),(109.82±18.86)and(17.95±5.32)min in the control group(P<0.05).Conclusion The application of drug combined with psychotherapy can significantly improve the sleep quality of patients with post-stroke sleep disorders,and promote the improvement of sleep process and structure,which is worthy of popularization and application.

DrugPsychotherapyStrokeSleep disordersApplication effect

张玉龙

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221300 邳州东大医院神经内科

药物 心理疗法 脑卒中 睡眠障碍 应用效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(22)