失眠认知行为治疗对老年慢性失眠患者的疗效  

Effect of Cognitive Behavioral Therapy for Insomnia on Elderly Patients with Chronic Insomnia

作　　者：逯瑞 魏新侠[1] 卜豪英 朱红[1] 岳孟龙 鲁新月 章晓富 LU Rui;WEI Xinxia;BU Haoying;ZHU Hong;YUE Menglong;LU Xinyue;ZHANG Xiaofu(Department of Neurology,Yellow River Central Hospital,Zhengzhou 450000,China;Department of Neurology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,China)

机构地区：[1]黄河中心医院神经内科,河南郑州450000 [2]郑州大学附属郑州中心医院神经内科,河南郑州450007

出　　处：《河南医学研究》2021年第31期5784-5786,共3页Henan Medical Research

基　　金：河南省医学科技攻关计划联合共建项目(20180208881)。

摘　　要：目的探讨失眠认知行为治疗(CBTI)对老年慢性失眠患者的疗效。方法选取2018年9月至2021年3月于黄河中心医院神经内科诊断为慢性失眠的72例患者,根据治疗方案将患者分为CBTI组(25例)、药物组(23例)和联合组(24例)。采用匹兹堡睡眠质量指数(PSQI)、失眠严重指数量表(ISI)评估治疗效果。结果3组治疗前PSQI、ISI评分差异无统计学意义(P>0.05),随着时间的推移,3组PSQI、ISI评分均呈下降趋势。2周末时药物组和联合组PSQI评分低于CBTI组(P<0.05),6、8周末时CBTI组和联合组PSQI评分低于药物组(P<0.05),12周末时CBTI组和联合组ISI评分低于药物组(P<0.05)。结论对于老年慢性失眠患者,药物治疗起效较快,CBTI治疗起效较慢,但后期疗效更好,二者联合可兼顾起效速度与疗效。Objective To explore the effect of cognitive behavioral therapy for insomnia(CBTI)on elderly patients with chronic insomnia.Methods A total of 72 patients who were diagnosed with chronic insomnia in the Department of Neurology of Yellow River Central Hospital from September 2018 to March 2021 were selected.According to the treatment plan,patients were divided into CBTI group(25 cases),drug group(23 cases)and combination group(24 cases).Pittsburgh sleep quality index(PSQI)and insomnia severity index(ISI)were used to evaluate the treatment effect.Results There was no statistical difference in PSQI and ISI scores between the three groups before treatment(P>0.05).With the passage of time,the PSQI and ISI scores of the three groups showed a downward trend.The PSQI scores of drug group and combination group were lower than those of CBTI group at the end of the 2nd week(P<0.05).The PSQI scores of CBTI group and combination group were lower than those of drug group at the end of the 6th and 8th week(P<0.05).At the end of the 12th week,the ISI scores of CBTI group and combination group were lower than those of drug group(P<0.05).Conclusion For elderly patients with chronic insomnia,drug treatment has a faster onset.The onset of CBTI treatment is slower,but the effect is better in the later stage.The combination of the two could take into account the speed of onset and the effect.

关 键 词：失眠 老年人 认知行为治疗 疗效 

分 类 号：R74[医药卫生—神经病学与精神病学]