五音疗法辅助认知、行为治疗亚健康失眠的临床疗效分析  

Clinical efficacy of cognitive and behavioral therapy assisted by five-tone therapy for insomnia in sub-healthy people

作　　者：黎斌[1] 陈凌[1] 陈克龙[1] Bin Li;Ling Chen;Kelong Chen(Department of Neurology,Wenzhou Hospital of Traditional Chinese Medicine,Zhejiang University of Traditional Chinese Medicine,Wenzhou 325000,Zhejiang Province,China)

机构地区：[1]浙江中医药大学附属温州市中医院神经内科,温州325000

出　　处：《中国基层医药》2023年第10期1462-1466,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省温州市基础性科研项目(Y2020896)。

摘　　要：目的探讨基于数字多导睡眠监测(PSG)观察五音疗法辅助认知、行为治疗亚健康失眠的临床疗效。方法回顾性分析2019年6月至2021年6月在浙江中医药大学附属温州市中医院住院治疗的亚健康失眠患者70例的临床资料,根据治疗方式不同,分为对照组(n=35)与观察组(n=35)。两组均给予常规治疗,对照组应用认知、行为疗法,观察组应用五音疗法辅助认知、行为疗法。比较临床疗效、证候积分、睡眠质量、生活质量以及PSG指标水平。结果治疗4周后,观察组有效率为97%(29/35),对照组有效率为83%(34/35),观察组有效率高于对照组(χ^(2)=8.77,P=0.012);观察组证候积分为(3.26±2.12)分,明显低于对照组的(6.00±1.68)分(t=5.99,P<0.001);观察组匹兹堡睡眠质量指数(PSQI)评分为(3.46±2.36)分,低于对照组的(5.60±3.35)分,WHOQOL-BREF评分为(67.00±5.26)分,高于对照组的(61.54±4.63)分(t=3.09、4.61,P=0.003、P<0.001);观察组总睡眠时间(TST)、睡眠效率(SE)、睡眠潜伏时间(SL)指标改善均优于对照组(t=4.56、5.57、3.96,均P<0.05)。结论五音疗法辅助认知、行为治疗亚健康失眠可显著减轻患者失眠程度,改善生活质量,基于PSG指标观察患者失眠状况,能有效对其失眠原因进行客观评价,对指导临床治疗意义重大。Objective To investigate the clinical efficacy of cognitive and behavioral therapy assisted by five-tone therapy for insomnia in sub-healthy people based on digital polysomnography observation.Methods The clinical data of 70 sub-healthy people with insomnia who received treatment in Wenzhou Hospital of Traditional Chinese Medicine,Zhejiang University of Traditional Chinese Medicine from June 2019 to June 2021 were retrospectively analyzed.These patients were divided into a control group and an observation group(n=35 per group)according to different treatment methods.The control group was treated with cognitive and behavioral therapy,while the observation group was treated with cognitive and behavioral therapy assisted by five-tone therapy.Clinical efficacy,syndrome score,sleep quality,quality of life,and digital polysomnography index levels were compared between the two groups.Results After 4 weeks of treatment,the total effective rate in the observation group was 97%(29/35),which was significantly higher than 83%(34/35)in the control group(χ^(2)=8.77,P=0.012).The syndrome score in the observation group was(3.26±2.12)points,which was significantly lower than(6.00±1.68)points in the control group(t=5.99,P<0.001).The Pittsburgh Sleep Quality Index score in the observation group was(3.46±2.36)points,which was significantly lower than(5.60±3.35)points in the control group(t=3.09,P=0.003).The WHOQOL-BREF score in the observation group was(67.00±5.26)points,which was significantly higher than(61.54±4.63)points in the control group(t=4.61,P<0.001).Total sleep time,sleep efficiency,and sleep latency in the observation group were superior to those in the control group(t=4.56,5.57,3.96,all P<0.05).Conclusion Cognitive and behavioral therapy assisted by five-tone therapy can markedly reduce insomnia severity and improve the quality of life in sub-healthy people with insomnia.The evaluation of insomnia status based on digital polysomnography indicators can effectively objectively evaluate the causes of insomnia,which

关 键 词：睡眠障碍 内源性 亚健康 五音疗法 多导睡眠监测 匹兹堡睡眠质量指数 WHOQOL-BREF 总睡眠时间 非动眼睡眠期 

分 类 号：R740[医药卫生—神经病学与精神病学]