摘要
目的分析经颅磁刺激治疗伴有焦虑的失眠症患者的临床效果。方法选取2019年2月至2021年2月茂名市第三人民医院收治的76例伴有焦虑的失眠症患者作为研究对象,根据治疗方法不同分为对照组和试验组,每组各38例。对照组采用盐酸文拉法辛缓释胶囊治疗,试验组采用经颅磁刺激联合盐酸文拉法辛缓释胶囊治疗。比较两组治疗前后焦虑自评表(SAS)、匹兹堡睡眠质量指数量表(PSQI)、多导睡眠图参数(PSG)。结果治疗后,试验组SAS评分低于对照组,差异有统计学意义(P<0.05)。试验组PSQI评分低于对照组,差异有统计学意义(P<0.05)。试验组SOL、WASO、As参数低于对照组,差异有统计学意义(P<0.05)。试验组TST、SE参数高于对照组,差异有统计学意义(P<0.05)。结论经颅磁刺激治疗可有效帮助患者调节焦虑情绪,改善睡眠问题,减少患者助眠药的使用剂量与频率,提高患者的生活质量,促进患者的康复,值得应用与推广。
Objective To analyze the clinical effect of transcranial magnetic stimulation(TMS)in the treatment of insomniacs with anxiety.Methods A total of 76 insomniacs with anxiety admitted to the Third People's Hospital of Maoming City from February 2019 to February 2021 were selected as study subjects and divided into the control group and the experimental group according to different treatment methods,with 38 cases in each group.The control group was treated with venlafaxine hydrochloride sustained-release capsules,while the experimental group was treated with TMS combined with venlafaxine hydrochloride sustained-release capsules.The self rating anxiety scale(SAS),Pittsburgh Sleep Quality Index scale(PSQI),and polysomnographic parameters(PSG)were compared between the two groups after treatment.Results After treatment,the SAS scores of the experimental group were lower than those of the control group,with statistically significant difference(P<0.05).The PSQI scores of the experimental group were lower than those of the control group,with statistically significant difference(P<0.05).The values of SOL,WASO and As parameters in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).The total sleep time(TST)and the value of SE parameter in the experimental group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion TMS is effective in helping patients regulate anxiety,and improving their sleep problems.In addition,it can reduce the dose and frequency of sleeping aids for patients,improve their quality of life,and promote rapid rehabilitation.Therefore,it is worthy of application and promotion.
作者
陈丽雅
CHEN Liya(Rehabilitation Center,the Third People's Hospital of Maoming City,Guangdong,Maoming 525200,China)
出处
《中国医药科学》
2021年第23期199-201,共3页
China Medicine And Pharmacy
基金
广东省茂名市科技计划项目(2019221)。
关键词
中药抗栓胶囊
针药结合治疗
焦虑失眠症
康复治疗
匹兹堡睡眠质量
Antithrombotic capsule
Combined treatment of acupuncture and medicine
Insomnia with anxiety
Rehabilitation therapy
Pittsburgh sleep quality index
