妊娠中期孕妇的失眠临床特征及BBTI疗效分析  

Clinical characteristics of insomnia in pregnant women during mid-term pregnancy and analysis of BBTI efficacy

作　　者：宋璇 杨晨光 何军 丁昌红 陈珉 孙红梅 SONG Xuan;YANG Chenguang;HE Jun;DING Changhong;CHEN Min;SUN Hongmei(General Practice Department,Xuancheng People's Hospital,Xuancheng 242099,China;Gynecology and Obstetrics Department,Xuancheng People's Hospital,Xuancheng 242099,China)

机构地区：[1]宣城市人民医院全科医学科,安徽宣城242099 [2]宣城市人民医院妇产科,安徽宣城242099

出　　处：《临床医学研究与实践》2025年第8期45-48,共4页Clinical Research and Practice

基　　金：宣城市人民医院2021年院级科研项目(No.KY202105,No.KY202132)。

摘　　要：目的调查妊娠中期孕妇的失眠临床特征,并分析失眠简明行为疗法(BBTI)的临床疗效。方法将2022年2月至2023年2月在宣城市人民医院门诊就诊的120例妊娠中期孕妇分为健康组(无失眠症状,60例)和失眠组(有失眠症状,60例),比较两组的人口学特征及失眠相关指标。并按照不同治疗方法将60例失眠孕妇随机分为常规健康教育组(常规健康教育治疗,30例)和BBTI组(BBTI治疗,30例),比较两组治疗4周的临床疗效。结果失眠组的≥35岁(高龄)、身体质量指数(BMI)≥28 kg/m^(2)(肥胖)、初产妇、家庭人均月收入≤3500元、居住地为农村、孕早期保胎治疗、夫妻关系较差、待业/家务及有合并症占比高于健康组,差异具有统计学意义(P<0.05);失眠组的匹兹堡睡眠质量指数(PSQI)、爱丁堡产后抑郁量表(EPDS)及妊娠相关焦虑量表(PRAQ)评分高于健康组,总体幸福感量表(GWB)评分低于健康组,差异具有统计学意义(P<0.01)。治疗后,常规健康教育组和BBTI组的PSQI、EPDS及PRAQ评分低于治疗前,GWB评分高于治疗前,差异具有统计学意义(P<0.05);治疗后,BBTI组的PSQI评分低于常规健康教育组,GWB评分高于常规健康教育组,差异具有统计学意义(P<0.05)。结论妊娠中期孕妇失眠受到社会、心理及生理等多重因素影响;BBTI能够有效地改善孕妇睡眠质量,减少焦虑抑郁的发生,提高孕妇的幸福感。Objective To investigate the clinical characteristics of insomnia in pregnant women during mid-term pregnancy,and to analyze the clinical efficacy of brief behavioral therapy for insomnia(BBTI).Methods A total of 120 pregnant women during mid-term pregnancy who were treated in the outpatient department of Xuancheng People's Hospital from February 2022 to February 2023 were divided into healthy group(no insomnia symptoms,60 cases)and insomnia group(insomnia symptoms,60 cases),the demographic characteristics and insomnia-related indicators of the two groups were compared.According to different treatment methods,60 pregnant women with insomnia were randomly divided into routine health education group(routine health education treatment,30 cases)and BBTI group(BBTI treatment,30 cases),the clinical efficacy of the two groups after 4 weeks of treatment was compared.Results The proportion of more than 35 years old(advanced age),body mass index(BMI)≥28 kg/m^(2)(obesity),primipara,family per capita monthly income≤3500 yuan,rural residence,early pregnancy miscarriage treatment,poor marital relationship,unemployment/housework and complications in the insomnia group were higher than those in the healthy group,and the differences were statistically significant(P<0.05);the scores of Pittsburgh Sleep Quality Index(PSQI),Edinburgh Postnatal Depression Scale(EPDS)and Pregnancy-Related Anxiety Questionnaire(PRAQ)in the insomnia group were higher than those in the healthy group,the score of General Well-Being Schedule(GWB)was lower than that in the healthy group,and the differences were statistically significant(P<0.01).After treatment,the PSQI,EPDS and PRAQ scores of the routine health education group and the BBTI group were lower than those before treatment,the GWB score was higher than that before treatment,and the differences were statistically significant(P<0.05);after treatment,the PSQI score of the BBTI group was lower than that of the routine health education group,the GWB score was higher than that of the routine health

关 键 词：孕妇 妊娠中期 失眠 失眠简明行为疗法 

分 类 号：R749.99[医药卫生—神经病学与精神病学]