放松训练用于脑卒中后焦虑抑郁患者合并失眠症状的改善效果评价

Evaluation of the effect of relaxation training on the improvement of insomnia symptoms in postmenopausal and post - stroke patients with depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(2)
作者
作者单位

北京市隆福医院神经内科 ;
首都医科大学附属北京友谊医院 神经内科 ;

摘要
【摘要】目的:探究放松训练用于脑卒中后焦虑抑郁患者合并失眠症状的改善效果。方法:研究对象选取为2010.12~2016.12之间我院收治的150例脑卒中后焦虑抑郁合并失眠患者,采用数字表法随机分为治疗组和对照组各75例,对照组单纯应用帕罗西汀治疗,治疗组则在对照组基础上加用放松训练,两组患者均连续治疗2个月,采用匹兹堡睡眠质量指数(PSQI)和睡眠脑电图对两组患者治疗前(开始治疗前1d)和治疗后(完成治疗后第1d)的睡眠状况进行评价对比。结果:治疗前两组患者的HAMA、HAMD评分对比无显著差异(P>0.05),治疗后研究组的HAMA、HAMD评分均显著低于对照组(P<0.05);治疗前两组患者的PSQI评分对比无显著差异(P>0.05),治疗1个月、治疗2个月时治疗组的PSQI评分均显著低于对照组(P<0.05);治疗前两组患者的各项脑电图参数对比无显著差异(P>0.05),治疗1个月、治疗2个月时治疗组的SL、TSA、AT、ASA与对照组相比差异均具有统计学意义(P<0.05)。结论:放松训练用于脑卒中后焦虑抑郁合并失眠症状患者能够更加有效的改善患者的睡眠状况,值得在临床上推广和应用。
Abstract
[Abstract] Objective: To explore the effect of relaxation training on the improvement of insomnia in patients with post-stroke anxiety and depression. Methods: 150 patients with postmenopausal depression complicated with insomnia were randomly divided into treatment group and control group (n = 75). The control group was treated with paroxetine alone, The patients in the treatment group were treated with relaxation training on the basis of the control group. The two groups were treated continuously for 2 months. The sleep status of the two groups was evaluated by Pittsburgh Sleep Quality Index (PSQI) and sleep electroencephalogram (EEG). Results: There was no significant difference in PSQI score between the two groups before treatment (P> 0.05). The PSQI score of the treatment group was significantly lower than that of the control group (P <0.05) There were no significant differences in the EEG parameters between the two groups (P> 0.05). The differences of SL, TSA, AT and ASA between the two groups were statistically significant (P <0.05). Conclusion: Relaxation training for post-stroke anxiety and depression patients with insomnia can be more effective in improving the patients sleep status, worthy of clinical promotion and application.
关键词
【关键词】脑卒中;焦虑;抑郁;失眠;放松训练
KeyWord
[Key words] Stroke; Anxiety; Depression; Insomnia; Relaxation Training
基金项目
页码 330-333
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高岩*,赵亚明,付晓华,常金玲. 放松训练用于脑卒中后焦虑抑郁患者合并失眠症状的改善效果评价 [J]. 国际精神病学杂志. 2018; 45; (2). 330 - 333.

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