摘要
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2mg,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14d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。
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 divided into control group and treatment group.Control group were treated with conventional vascular drug（estazolam,2mg,before sleep）;treatment group increased anxiolytic and sedative hypnotic drugs（venlafaxine,dexzopiclone）compared to control group.After 14 days,sleep quality,NIHSS were compared both within the treatment group and between the two groups.Results The Barthel index,NIHSS and PSQI of two groups had significant differences,and those index of treatment group before and after treatment had significant differences too（P〈0.05）.Conclusion Combined conventional cerebrovascular drugs with Venlafaxine,dexzopiclone as well as psychological treatment significantly improved sleep quality of patients with acute stroke.
出处
《重庆医学》
CAS
北大核心
2015年第23期3231-3232,3235,共3页
Chongqing medicine
基金
重庆市卫生局医学科研项目(2011-4-447)
关键词
卒中
睡眠障碍
心理疗法
随机对照试验
stroke
sleep disorders
psychotherapy
randomized controlled trial
