心理干预辅助药物治疗对150例地震后失眠患者的疗效观察  

Therapeutic effects of psychological intervention with medication on 150 patients of severe insomnia in post-earthquake

作　　者：王恒林[1] 米卫东[2] 王卓强[1] 刘秀珍[1] 张斌[1] 王显望[1] 吕宝胜[1] 

机构地区：[1]解放军总医院309临床部麻醉科,北京100091 [2]解放军总医院麻醉科,北京100853

出　　处：《军医进修学院学报》2008年第4期251-253,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的:通过不同治疗方法对地震后严重失眠患者的疗效观察,以指导对地震后严重失眠患者的治疗。方法:选择150例震后严重失眠患者,根据震前是否患有失眠分为两组,组Ⅰ为震前无失眠症而震后失眠患者组,组Ⅱ为震前有失眠症而震后失眠患者组,每组75例,依据不同治疗方法分别分为单纯心理治疗组、药物治疗组及心理治疗辅助药物治疗组。半月后随访,记录治疗前后睡眠时间以及白天的精神状态,以患者的主观感觉为依据判断疗效。结果:组Ⅰ、组Ⅱ通过一定时间心理治疗或单纯药物治疗,失眠症均有一定程度缓解,而心理治疗同时辅以药物治疗则效果更佳,不仅明显增加睡眠时间,而且睡眠质量也显著提高,显著改善第2天的精神状态(与单纯心理或药物治疗组相比,P<0.05)。结论:无论地震前是否患有失眠症,心理干预辅以药物治疗对地震后严重失眠患者具有较好的疗效。Objective： To observe the therapeutic effects of psychological intervention with medication on patients with se- vere insomnia in pest- earthquake. Methods： 150 patients with severe insomnia were equally divided into two groups according to the patients whether they have pre-earthquake insomnia. Group I had no insomnia before earthquake but suffered from it after earthquake; Group 1I had insomnia before earthquake but symptom aggravated after earthquake. And every group was divided e- qually into three groups according to the different therapeutic approach： psychological intervention group, medication group, and psychological intervention with medication group. We talked about the earthquake with the psychological intervention patients face to face, and helped them to conquer the horror, then we provided some knowledge about prevention of mental illness after earth- quake through pamphlet of propaganda. The medication was diazePam 2 mg oral administration before sleep every night. We re- corded the time of sleeping and mental status of the patients every day. Results： In Group I and Group 1I, psychological inter- vention or medication only could take effects in some degrees. However, the therapies of psychological intervention with medica- tion combined treatment had not only increased the time of sleeping but also improved the quality of sleeping, and improved the mental status of the patients （ compared with the mental intervention or medication therapy groups, P 〈 0.05 ）. Conclusion： The psychological intervention combined with medication was the good method to the patients with severe post-earthquake somnia in no matter if they had pre-earthquake insomnia.

关 键 词：自然灾害 睡眠障碍 治疗 心理干预 药用制剂 地震 

分 类 号：R256.23[医药卫生—中医内科学] R493.25[医药卫生—中医学]