催眠疗法对老年失眠合并焦虑患者睡眠质量及神经递质的影响

Effect of hypnotherapy on sleep quality and neurotransmitters in elderly patients with insomnia and anxiety

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(4)
作者
作者单位

北京市隆福医院老年病科 ;

摘要
[摘要] 研究催眠疗法对老年失眠合并焦虑患者睡眠质量及神经递质的影响。方法 将我院118例老年失眠合并焦虑患者随机分为对照组(常规治疗手段)和观察组(对照组基础上使用催眠疗法),各59例,持续干预5周。观察干预5周后两组临床疗效、干预前后睡眠质量(PSQI)和焦虑程度(HAMA)、睡眠进程参数指标、神经递质水平[多巴胺(DA)、5-羟色胺(5-HT)、去甲肾上腺素(NE)]以及不良反应发生情况。结果 观察组总有效率为91.53%高于对照组77.97%(P<0.05),观察组PSQI评分、HAMA评分低于本组治前和对照组干预后(P<0.05),干预后观察组睡眠总时间、REM睡眠时间、睡眠效率高于本组干预前和对照组干预后(P<0.05),睡眠潜伏期、觉醒时间低于本组干预前和对照组干预后(P<0.05),DA、5-HT、NE水平高于本组干预前和对照组干预后(P<0.05),两组均未发生明显不良反应。结论 催眠疗法干预失眠合并焦虑患者效果明显,可改善患者睡眠质量,缓解焦虑程度,有利于机体神经递质水平恢复正常。且安全性较高,值得临床推广。
Abstract
[Abstract]Objective:To study the effect of hypnotherapy on sleep quality and neurotransmitters in elderly patients with insomnia and anxiety.methods:118 elderly patients with insomnia and anxiety in our hospital were randomly divided into control group (routine treatment) and observation group (using hypnotherapy on the basis of control group), 59 cases in each group, continuous intervention for 5 weeks.After 5 weeks of intervention, the clinical efficacy, sleep quality (PSQI) and anxiety level (HAMA) of the two groups before and after the intervention were observed.Parameters of sleep process Neurotransmitter levels [dopamine (DA), 5-hydroxytryptamine (5-HT), norepinephrine (NE)]And the occurrence of adverse reactions.Results:The total effective rate of the observation group was 91.53%, which was significantly higher than 77.97% of the control group (P < 0.05),PSQI score and HAMA score in the observation group were significantly lower than those before treatment and after intervention in the control group (P < 0.05),After the intervention, the total sleep time, REM sleep time and sleep efficiency in the observation group were higher than those before and after the intervention in the control group (P < 0.05), and the sleep latency and awakening time were significantly lower than those before and after the intervention in the control group (P < 0.05),The levels of Da, 5-HT and NE were significantly higher than those before intervention and after intervention in control group (P < 0.05),No obvious adverse reactions occurred in both groups.Conclusion:The effect of hypnotherapy on insomnia patients with anxiety is obvious, which can improve the sleep quality of patients, relieve the degree of anxiety, and is conducive to the recovery of neurotransmitters in the body to normal, and high safety, which is worthy of clinical promotion.
关键词
[关键词]催眠疗法;失眠;焦虑;睡眠质量;神经递质
KeyWord
[Keywords]Hypnotherapy;Insomnia;Anxiety;Sleep quality;Neurotransmitters
基金项目
页码 660-663
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陈敏*. 催眠疗法对老年失眠合并焦虑患者睡眠质量及神经递质的影响 [J]. 国际精神病学杂志. 2021; 48; (4). 660 - 663.

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