老年人慢性失眠症单一疗法及两种疗法联合的疗效  

Cognitive-behavioral therapy and acupuncture therapy in the treatment of senile chronic insomnia

作　　者：许研杰 王锐 杨志强 郭江涛 XU Yanjie;WANG Rui;YANG Zhiqiang;GUO Jiangtao(Department of Neurology,Beijing Longfu Hospital,Beijing 100010,China)

机构地区：[1]北京市隆福医院神经内科,100010

出　　处：《武警医学》2018年第12期1125-1128,共4页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的观察认知行为疗法(cognitive-behavioral therapy,CBT)联合针刺疗法治疗老年人慢性失眠症患者的疗效。方法选择2017-07至2018-05北京市隆福医院及韶九、朝阳门社区老年慢性失眠患者86例,按随机数字表法分为试验组(CBT联合针刺疗法)和对照组(单纯CBT疗法),各43例,干预8周;通过睡眠日志、失眠严重程度指数量表(1SI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评价患者的睡眠、情绪等,并进行统计学分析。结果试验组临床总有效率(74.41%)高于对照组(48.84%),差异有统计学意义(P<0.05)。试验组治疗后的入睡时间[(27.5±9.8) min]、睡眠效率[(80.5±6.6)%]均好于对照组[(38.3±13.1) min,(76.6±5.7)%],差异均有统计学意义(P<0.05)。治疗后,试验组SAS、SDS评分均低于对照组[(54.3±5.5)比(58.9±5.7)分、(55.7±5.0)比(58.2±4.8)分],差异有统计学意义(P<0.05)。结论 CBT联合针刺疗法对老年慢性失眠症具有较好的疗效。Objective To evaluate the efficacy of cognitive-behavioral therapy(CBT) combined with acupuncture therapy in the treatment of senile chronic insomnia.Methods Eighty-six patients with senile chronic insomnia selected from Longfu Hospital,Shaojiu Community and Chaoyangmen Community between July 2017 to May 2018 were randomly divided into two groups:the test group(CBT with acupuncture therapy) and the control group(CBT alone).There were 43 cases in each group.After 8 weeks of treatment,sleep quality,mood and adverse reactions of these patients were evaluated with the sleep diary,Sleep Severity Index Scale(ISI).Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS) respectively.The data was statistically analyzed.Results The total effective rate in the test group was significantly higher than that of the control group(74% vs 49%,P<0.05).Compared to the control group,the sleep onset latency was significantly shortened in the test group [(27.5±9.8) vs(38.3±13.1) min,P<0.05],while sleep efficiency was increased markedly[(80.5±6.6) % vs(76.6±5.7) %,P<0.05].After combined treatment,SAS and SDS scores[(54.3±5.5) vs(58.9±5.7),(55.7±5.0) vs(58.2±4.8),both P<0.05] both decreased more significantly in the test group than those of the control group.Conclusions Acupuncture combined with CBT is more effective in the treatment of senile chronic insomnia.

关 键 词：老年慢性失眠症 认知行为疗法 针刺疗法 

分 类 号：R245[医药卫生—针灸推拿学]