中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2013年
5期
390-393
,共4页
穆俊林%张朝辉%张宁%杜好瑞
穆俊林%張朝輝%張寧%杜好瑞
목준림%장조휘%장저%두호서
放松治疗%广泛性焦虑症%睡眠
放鬆治療%廣汎性焦慮癥%睡眠
방송치료%엄범성초필증%수면
Relaxation treatment%Generalized anxiety disorder%Sleep
目的 观察放松治疗(RT)对广泛性焦虑症(GAD)患者睡眠功能的影响.方法 采用随机数字表法将92例GAD患者分为研究组(46例)及对照组(46例).对照组给予常规药物帕罗西汀治疗,研究组在此基础上辅以RT治疗.于治疗前、治疗6周后分别采用匹兹堡睡眠质量指数(PSQI)及多导睡眠图(PSG)对2组患者睡眠功能进行评定.结果 治疗前2组患者PSQI总分[研究组为(12.92 ±3.38)分,对照组为(13.01±3.22)分]及各项PSG指标组间差异均无统计学意义(P＞0.05)；经治疗6周后,发现2组患者PSQI总分[研究组为(5.43±1.26)分,对照组为(8.71 ±1.53)分]均较治疗前明显降低(P＜0.01)；与治疗前PSG检测结果比较,治疗后研究组觉醒次数减少,睡眠效率及总睡眠时间增加,睡眠潜伏期缩短,快眼动睡眠潜伏期缩短,浅睡眠比例降低,深睡眠及快眼动睡眠比例提高,与治疗前差异均具有统计学意义(P＜0.05)；对照组治疗后仅发现觉醒次数减少,睡眠效率及总睡眠时间增加(P＜0.05)；通过组间对比发现,治疗后2组患者PSQI总分及各项PSG检测指标组间差异均具有统计学意义(P＜0.05).结论 在采用帕罗西汀治疗GAD患者基础上辅以RT治疗,能进一步改善患者睡眠障碍程度,减轻其焦虑情绪及躯体症状,对提高患者疗效及生活质量等均具有重要意义.
目的 觀察放鬆治療(RT)對廣汎性焦慮癥(GAD)患者睡眠功能的影響.方法 採用隨機數字錶法將92例GAD患者分為研究組(46例)及對照組(46例).對照組給予常規藥物帕囉西汀治療,研究組在此基礎上輔以RT治療.于治療前、治療6週後分彆採用匹玆堡睡眠質量指數(PSQI)及多導睡眠圖(PSG)對2組患者睡眠功能進行評定.結果 治療前2組患者PSQI總分[研究組為(12.92 ±3.38)分,對照組為(13.01±3.22)分]及各項PSG指標組間差異均無統計學意義(P＞0.05)；經治療6週後,髮現2組患者PSQI總分[研究組為(5.43±1.26)分,對照組為(8.71 ±1.53)分]均較治療前明顯降低(P＜0.01)；與治療前PSG檢測結果比較,治療後研究組覺醒次數減少,睡眠效率及總睡眠時間增加,睡眠潛伏期縮短,快眼動睡眠潛伏期縮短,淺睡眠比例降低,深睡眠及快眼動睡眠比例提高,與治療前差異均具有統計學意義(P＜0.05)；對照組治療後僅髮現覺醒次數減少,睡眠效率及總睡眠時間增加(P＜0.05)；通過組間對比髮現,治療後2組患者PSQI總分及各項PSG檢測指標組間差異均具有統計學意義(P＜0.05).結論 在採用帕囉西汀治療GAD患者基礎上輔以RT治療,能進一步改善患者睡眠障礙程度,減輕其焦慮情緒及軀體癥狀,對提高患者療效及生活質量等均具有重要意義.
목적 관찰방송치료(RT)대엄범성초필증(GAD)환자수면공능적영향.방법 채용수궤수자표법장92례GAD환자분위연구조(46례)급대조조(46례).대조조급여상규약물파라서정치료,연구조재차기출상보이RT치료.우치료전、치료6주후분별채용필자보수면질량지수(PSQI)급다도수면도(PSG)대2조환자수면공능진행평정.결과 치료전2조환자PSQI총분[연구조위(12.92 ±3.38)분,대조조위(13.01±3.22)분]급각항PSG지표조간차이균무통계학의의(P＞0.05)；경치료6주후,발현2조환자PSQI총분[연구조위(5.43±1.26)분,대조조위(8.71 ±1.53)분]균교치료전명현강저(P＜0.01)；여치료전PSG검측결과비교,치료후연구조각성차수감소,수면효솔급총수면시간증가,수면잠복기축단,쾌안동수면잠복기축단,천수면비례강저,심수면급쾌안동수면비례제고,여치료전차이균구유통계학의의(P＜0.05)；대조조치료후부발현각성차수감소,수면효솔급총수면시간증가(P＜0.05)；통과조간대비발현,치료후2조환자PSQI총분급각항PSG검측지표조간차이균구유통계학의의(P＜0.05).결론 재채용파라서정치료GAD환자기출상보이RT치료,능진일보개선환자수면장애정도,감경기초필정서급구체증상,대제고환자료효급생활질량등균구유중요의의.
Objective To explore the effect of relaxation treatment (RT) on the sleep quality of patients with generalized anxiety disorder (GAD).Methods Ninety-two GAD patients were recruited and evenly divided into a study group (n =46) and a control group.The control group was treated with conventional medications,while the study group received RT in addition.The Pittsburgh Sleep Quality Index (PSQI) and polysomnography (PSG) were used to test for changes in sleep before and after treatment.Results There were no significant differences between the two groups before treatment in terms of average PSQI scores or PSG results.After treatment,both groups scored significantly better on the PSQI than before the treatment.PSG showed that after treatment there was less awakening,greater sleep efficiency and longer total sleep time.There was shorter sleep latency and rapid eye movement sleep latency,shorter duration of shallow sleep,and longer duration of deep sleep and rapid eye movement sleep in the study group,as well as fewer awakenings,greater sleep efficiency and longer total sleep time.The PSQI and PSG results of the two groups after treatment were significantly different.Conclusions RT can significantly improve sleep disorders in GAD patients.
