摘要
目的分析右佐匹克隆联合基于正念的音乐疗法对老年痴呆伴睡眠障碍患者的影响。方法选取2020年6月—2023年6月该院收治的82例老年痴呆伴睡眠障碍患者为研究对象,按随机数字表法将其分为对照组和观察组,各41例。对照组采用右佐匹克隆治疗,观察组在对照组基础上加用基于正念的音乐疗法,持续治疗1个月。对比两组临床疗效、多导睡眠监测结果、睡眠质量及不良反应。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,观察组总睡眠时间长于对照组,睡眠潜伏期短于对照组,睡眠效率与匹兹堡睡眠质量指数内各维度评分均高于对照组,组间差异有统计学意义(P<0.05);两组不良反应发生率对比,差异无统计学意义(P>0.05)。结论右佐匹克隆联合基于正念的音乐疗法可减轻老年痴呆伴睡眠障碍患者失眠症状,提高睡眠质量,且无严重不良反应,可推广应用。
Objective To analyze the effect of dexzopiclone combined with mindfulness-based music therapy on senile dementia patients with sleep disorders.Methods A total of 82 senile dementia patients with sleep disorders admitted to the hospital from June 2020 to June 2023 were selected as the research objects,and they were divided into a control group and an observation group according to the random number table method,with 41 cases in each group.The control group was treated with dexzopiclone,and the observation group was treated with mindfulness music therapy on the basis of the control group.The treatment lasted for 1 month.The clinical efficacy,polysomnography results,sleep quality and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the total sleep time of the observation group was longer than that of the control group,the sleep latency was shorter than that of the control group,and the scores of sleep efficiency and Pittsburgh Sleep Quality Index were higher than those of the control group,with statistical significance(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Zopiclone joint right mindfulness based music therapy can reduce dementia patients with sleep disorders with insomnia symptoms,improve the quality of sleep,with no serious adverse reaction,can be applied.
作者
朱苗蕊
苏小慧
杨好
鱼帆
宋新雅
丁小涵
ZHU Miaorui;SU Xiaohui;YANG Hao;YU Fan;SONG Xinya;DING Xiaohan(Department of Cadre Geriatrics,The 940th hospital of the Joint Logistics Support Force,Lanzhou 730060,China)
出处
《反射疗法与康复医学》
2024年第9期73-76,共4页
Reflexology And Rehabilitation Medicine
基金
军委保健专项(21BJZ42)
联保第九四〇医院院级课题(2021YXKY030,2023YXKY013)
关键词
老年痴呆
睡眠障碍
右佐匹克隆
不良反应
Alzheimer's disease
Sleep disorders
Right zopiclone
Adverse reactions