摘要
目的评价高压电位疗法治疗老年人睡眠障碍的临床疗效,初步比较其与短期认知行为治疗的疗效差异。方法选择罹患睡眠障碍的老年患者70例,年龄66-92(81.0±7.4)岁,随机分为2组。高压电位疗法组采用30kV,25-30min/次,1次/d,5次/周,10-15次/疗程;认知行为治疗组采用睡眠卫生指导、睡眠行为干预治疗,疗程为3周。治疗前后采用匹兹堡睡眠质量指数量表(PSQI)进行疗效评价。结果高压电位治疗组治疗后PSQI总分及各项成分评分下降(P<0.01);认知行为治疗组治疗后PSQI总分及主观睡眠质量、入睡时间、睡眠时间的评分下降(P<0.05),而睡眠效率、睡眠障碍、睡眠药物及日间功能障碍评分的降低无统计学意义(P>0.05);高压电位疗法组在PSQI总分和各成分评分的下降程度均高于对照组,除入睡时间(P=0.055 8)外,均存在统计学差异(P<0.05)。结论高压电位疗法有助于改善老年人睡眠质量,其短期疗效优于认知行为疗法。
Objective To compare the short-term effects of high-voltage electrostatic therapy（HVET） and cognitive behavioral therapy（CBT） on sleep disorder in aged patients. Methods Seventy patients with sleep disorders at the age of 66-92 years（mean 81.0 ± 7.4 years） were randomly divided into HVET group（n=35） and CBT group（n=35）. Patients in HVET group were treated with a high-voltage electrostatic therapeutic field（30kV, 25-30min/time, once a day, 10-15times/course） and those in CBT group were treated with CBT for 3 weeks. Their effects on sleep disorder were assessed according to the Pittsburgh sleep quality index （PSQI） before and after treatment. Results The total PSQI score and other PSQI scores were lower in HVET group after treatment than before treatment（P〈0.01）. The total PSQI score was lower, the subjective sleep quality was better, the sleep latency and sleep time were shorter in CBT group after treatment than before treatment（P〈0.05）. However, no significant difference was observed in sleep efficiency, sleep disturbance, sleep medications and daytime dysfunction（P〉0.05）before and after treatment between the two groups. The total PSQI score and other PSQI scores except for sleep latency were higher in HVET group than in CBT group（P〈0.05）. Conclusion HVET can improve the sleep quality of aged people and its short-term effect is better than that of CBT.
出处
《军医进修学院学报》
CAS
2012年第7期730-732,共3页
Academic Journal of Pla Postgraduate Medical School
基金
解放军总医院科技创新基金项目(10KMM38)
关键词
高压电位疗法
认知行为疗法
睡眠障碍
老年人
匹兹堡睡眠质量指数
high-voltage electrostatic therapy
cognitive behavioral therapy
sleep disorder
aged people
Pittsburgh sleep quality index
