CAJ | 학술논문

目的：观察药物治疗联合心理治疗对脑卒中后睡眠障碍患者的临床疗效。方法选择符合条件的180例睡眠障碍患者,分为对照组和治疗组两组。对照组进行常规血管药物治疗,舒乐安定片2 mg,睡前服；治疗组在对照组治疗的基础上给予抗焦虑及镇静催眠药(文拉法辛、右佐匹克隆)；治疗14 d 后组内、两组间比较治疗前后睡眠质量、神经功能缺损程度等。结果两组间及治疗组治疗前后患者 Barthel 指数、NIHSS 及 PSQI 比较,差异有统计学意义(P <0.05)。结论在常规脑血管药物基础上结合文拉法辛、右佐匹克隆及心理治疗能显著改善脑卒中患者的睡眠质量。
목적：관찰약물치료연합심리치료대뇌졸중후수면장애환자적림상료효。방법선택부합조건적180례수면장애환자,분위대조조화치료조량조。대조조진행상규혈관약물치료,서악안정편2 mg,수전복；치료조재대조조치료적기출상급여항초필급진정최면약(문랍법신、우좌필극륭)；치료14 d 후조내、량조간비교치료전후수면질량、신경공능결손정도등。결과량조간급치료조치료전후환자 Barthel 지수、NIHSS 급 PSQI 비교,차이유통계학의의(P <0.05)。결론재상규뇌혈관약물기출상결합문랍법신、우좌필극륭급심리치료능현저개선뇌졸중환자적수면질량。
Objective To observe the clinical curative effect of drug combined with psychological treatment on patients with sleep disorders after stroke.Methods A total of 180 cases of eligible patients with sleep disorders were included and randomly di-vided into control group and treatment group.Control group were treated with conventional vascular drug(estazolam,2 mg,before sleep);treatment group increased anxiolytic and sedative hypnotic drugs(venlafaxine,dexzopiclone)compared to control group.Af-ter 14 days,sleep quality,NIHSS were compared both within the treatment group and between the two groups.Results The Bar-thel index,NIHSS and PSQI of two groups had significant differences,and those index of treatment group before and after treat-ment had significant differences too(P <0.05).Conclusion Combined conventional cerebrovascular drugs with Venlafaxine,dexzo-piclone as well as psychological treatment significantly improved sleep quality of patients with acute stroke.