药物联合心理干预治疗急性脑卒中后睡眠障碍的临床疗效观察
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摘要
目的:探讨药物联合心理干预治疗急性脑卒中后睡眠障碍的效果。方法:选择2014年2月-2017年2月在我医院进行治疗的急性脑卒中后睡眠障碍的患者60例,按照随机数字的方法将全部患者分为对照组与观察组各30名,对照组患者在常规治疗基础上口服艾司唑仑,观察组患者对照组治疗方法的基础上进行心理干预,对治疗的效果进行对比。结果:完成治疗后,两组患者的睡眠潜伏期,总睡眠时间,觉醒次数,非快速动眼时相时间,快速动眼时相时间,睡眠质量评分神经功能缺损程度评分数据均出现了改善,观察组患者改善的程度大于对照组患者,数据差异均具有统计学意义(t=4.900,-16.615,3.795,3.751,-6.107,-9.081,-2.707,3.910,3.173;P<0.05),观察组患者治疗效果优于对照组患者,数据差异具有统计学意义(Z=2.914,P<0.05)。结论:使用药物联合心理干预治疗急性脑卒中后的睡眠障碍,可以显著改善患者的睡眠质量,提高治疗效果。
Objective:To investigate the effect of drug combined psychological intervention on sleep disorders after acute stroke.Methods:A total of 60 patients with apoplexy after acute stroke were treated in our hospital between February 2014 and February 2017.According to the method of random numbers,all the patients were divided into the control group and the observation group,with 30 patients in each group.Patients in the control group was treated on the basis of oral estazolam,and patients in the observation group were given psychological intervention on the basement of oral estazolam.The efficacy of the treatments in the two groups were compared.Results:After the completion of treatment,sleep latency,total sleep time,awake time,non REM phase time,REM phase time,sleep quality score of neurological impairment score data in all the patients were improved,the improvement degree of the patients in the observation group were larger than those in the control group(t=4.900,-16.615,3.795,3.751,-6.107,-9.081,-2.707,3.910,3.173;P <0.05).The curative effect of the observation group was better than that of the control group,and the difference of data was statistically significant(Z=2.914,P<0.05).Conclusion:The use of drugs combined with psychological intervention in the treatment of sleep disorders after acute stroke can significantly improve the quality of sleep and improve the therapeutic effect of patients.
Objective:To investigate the effect of drug combined psychological intervention on sleep disorders after acute stroke.Methods:A total of 60 patients with apoplexy after acute stroke were treated in our hospital between February 2014 and February 2017.According to the method of random numbers,all the patients were divided into the control group and the observation group,with 30 patients in each group.Patients in the control group was treated on the basis of oral estazolam,and patients in the observation group were given psychological intervention on the basement of oral estazolam.The efficacy of the treatments in the two groups were compared.Results:After the completion of treatment,sleep latency,total sleep time,awake time,non REM phase time,REM phase time,sleep quality score of neurological impairment score data in all the patients were improved,the improvement degree of the patients in the observation group were larger than those in the control group(t=4.900,-16.615,3.795,3.751,-6.107,-9.081,-2.707,3.910,3.173;P <0.05).The curative effect of the observation group was better than that of the control group,and the difference of data was statistically significant(Z=2.914,P<0.05).Conclusion:The use of drugs combined with psychological intervention in the treatment of sleep disorders after acute stroke can significantly improve the quality of sleep and improve the therapeutic effect of patients.
引文
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[15]赵国勇,张琼.右佐匹克隆在脑梗死后失眠患者中的临床效果观察[J].中国处方药,2017,15(10):91-92
[2]房金涛,李文秀,刘学,等.北京市海淀区老年人焦虑抑郁状况及其影响因素[J].中国健康心理学杂志,2015,23(3):447-450
[3]唐开宏,闫妍,李鑫,等.艾司西酞普兰联合认知疗法对脑卒中后抑郁及神经功能的影响[J].中国健康心理学杂志,2014,22(12):1775-1776+1777
[4]皮巧红,于雪飞,刘宏伟,等.点穴疗法及中药足浴护理改善脑卒中后失眠的临床观察[J].湖南中医药大学学报,2017,37(4):406-408
[5]姚新,孟晴,张红石,等.中药药膳配合耳穴压籽对脑卒中患者睡眠障碍的影响[J].长春中医药大学学报,2017,33(1):92-94
[6]李婷,郅文婧,范学文,等.缺血性脑卒中后睡眠障碍患者睡眠参数与生活质量的相关性研究[J].宁夏医学杂志,2016,38(12):1143-1146
[7]张景华.老年缺血性脑卒中患者睡眠障碍相关因素分析[J].中国老年保健医学,2016,14(6):34-35
[8]陈伟群,王新德.全国第五届脑血管病学术会议纪要[J].中华神经科杂志,2000,33(4):252-252
[9]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263
[10]蔡业峰,贾真,张新春,等.美国国立卫生院卒中量表(NIHSS)中文版多中心测评研究——附537例缺血中风多中心多时点临床测评研究[J].北京中医药大学学报,2008,31(7):494-498
[11]李宗国,陶瑞,焦燕,等.曲唑酮对治疗脑卒中后抑郁患者睡眠障碍的临床观察[J].中国健康心理学杂志,2014,22(11):1630-1631
[12]苏文智,彭方,陈森福.90例急性脑卒中睡眠障碍患者心理干预效果评价[J].中国实用神经疾病杂志,2013,15(11):22-31
[13]张朝辉,宋景贵,穆俊林.认知心理疗法合并药物治疗对脑卒中患者抑郁情绪及认知功能的影响[J].新乡医学院学报,2014,28(1):65-70
[14]卢显成.路优泰对脑卒中后抑郁患者神经功能缺损影响的疗效观察[J].中国伤残医学,2015,23(19):136-137
[15]赵国勇,张琼.右佐匹克隆在脑梗死后失眠患者中的临床效果观察[J].中国处方药,2017,15(10):91-92