失眠患者晚餐后用药与睡前用药的对比分析  

Comparative analysis of medication after supper and medication before sleep in insomnia patients

作　　者：曾智 佘细虹 ZENG Zhi;SHE Xihong(Guangzhou Zengcheng People's Hospital,Guangzhou,Guangdong 511300,China)

机构地区：[1]广州市增城区人民医院,广东广州511300

出　　处：《中国医学工程》2020年第10期77-79,共3页China Medical Engineering

摘　　要：目的探讨失眠患者晚餐后用药与睡前用药的对比分析。方法选取2018年7月至2019年12月在广州市增城区人民医院治疗的40例失眠患者作为研究对象,采用随机数字表法分为对照组和观察组,每组20例。对照组患者睡前口服米氮平;观察组患者于晚餐后口服米氮平。观察两组治疗后疗效及不良反应发生情况。结果观察组治疗后显效率高于对照组(35.00%vs.15.00%)(P<0.05)。观察组出现6例晕眩、乏力等不良反应;对照组出现7例晕眩、乏力等不良反应,两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论患者晚餐后开始服用安眠药,其在起到助眠作用的同时,有助于缓解患者对失眠的焦虑,减少其对服用安眠药的焦虑和抵触情绪,且容易减少用药。【Objective】To explore the idea of using medicine after supper for insomnia and compare it with that before bed.【Methods】One hundred insomniac patients treated in our hospital from July 2018 to December 2019 were randomly divided into a control group and an observation group with 50 cases in each group.Patients in the control group were given mirtazapine orally before bed,and patients in the observation group were given mirtazapine orally before dinner.The therapeutic effect and adverse reactions of patients in the two groups were compared.【Results】The total effective rate in the observation group was significantly higher than that in the control group(P<0.05).In the observation group,there were 6 patients with adverse reactions such as dizziness and weakness,while in the control group,there were 7 patients with adverse reactions such as dizziness and weakness.There was no statistical difference in the number of adverse reactions between the observation group and the control group.【Conclusion】Taking"sleeping pills"after dinner can not only help sleep,but also relieve patients'anxiety about insomnia,reduce patients'resistance to taking"sleeping pills"and anxiety about the consequences of taking drugs.

关 键 词：入睡和睡眠障碍 药物疗法 治疗结果 疗效比较研究 

分 类 号：R740[医药卫生—神经病学与精神病学]