经颅磁刺激治疗在慢性失眠患者中的临床疗效

目的 探讨经颅磁刺激治疗在慢性失眠患者中的临床疗效 。方法 选择2020年10月至2021年10月于阳江市公共卫生医院康复科治疗的160例慢性失眠患者为研究对象，采用随机数字表法将研究对象分为对照组和治疗组，每组各80例。对照组患者仅口服劳拉西泮，治疗组患者在对照组基础上联用经颅磁刺激治疗。比较两组患者治疗前后的匹兹堡睡眠质量指数（Pittsburgh sleep quality index，PSQI）评分、临床疗效及不良反应。结果 治疗后，两组患者的PSQI评分均较治疗前显著降低，且治疗组患者的PSQI评分低于对照组，差异均有统计学意义（P<0.05）。治疗后，治疗组患者的总有效率和愈显率均显著高于对照组，差异均有统计学意义（P<0.001）；治疗后，两组患者的不良反应发生率比较，差异无统计学意义（P>0.05）。结论 慢性失眠患者应用经颅磁刺激治疗可显著改善睡眠质量，且安全可靠，值得临床推广应用。

Clinical efficacy of transcranial magnetic stimulation in patients with chronic insomnia

Objective To investigate the clinical efficacy of transcranial magnetic stimulation in patients with chronic insomnia. Methods A total of 160 patients with chronic insomnia who were treated in the Rehabilitation Department of Yangjiang Public Health Hospital from October 2020 to October 2021 were selected as the research subjects, and the subjects were divided into the control group and the treatment group by random number table, with 80 cases in each group . The patients in the control group were only given oral lorazepam, and the patients in the treatment group were treated with transcranial magnetic stimulation on the basis of the control group. The Pittsburgh sleep quality index (PSQI) scores, clinical efficacy and adverse reactions were compared between the two groups before and after treatment. Results After treatment, the PSQI scores of the two groups were significantly lower than those before treatment, and the PSQI scores of the treatment group were lower than those of the control group, the difference was statistically significant (P<0.05). After treatment, the total effective rate and cure rate in the treatment group were significantly higher than those in the control group, and the differences were statistically significant (P<0.001). After treatment, there was no difference in the incidence of adverse reactions between the two groups of patients (P>0.05). Conclusion Transcranial magnetic stimulation can significantly improve sleep quality in patients with chronic insomnia, which is safe and reliable, and is worthy of clinical application and promotion.