急性脑卒中后睡眠障碍患者药物治疗联合心理干预效果评价? |
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引用本文: | 覃川,杨秀江,晏怡,李柏成,邓伟,胡建刚,牛文勇,杨彪.急性脑卒中后睡眠障碍患者药物治疗联合心理干预效果评价?[J].重庆医学,2015(23). |
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作者姓名: | 覃川 杨秀江 晏怡 李柏成 邓伟 胡建刚 牛文勇 杨彪 |
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作者单位: | 1. 重庆市大足区人民医院神经外科 402360;2. 重庆医科大学附属第一医院神经外科,重庆,400016 |
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基金项目: | 重庆市卫生局医学科研项目 |
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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。
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关 键 词: | 卒中 睡眠障碍 心理疗法 随机对照试验 |
The effect evaluation of medicine treatment combined with psychological intervention for sleep disorders patients after acute brain stroke |
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Abstract: | 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. |
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Keywords: | stroke sleep disorders psychotherapy randomized controlled trial |
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