小剂量多虑平配合心理行为干预治疗老年性睡眠障碍综合征的效果

摘要

目的：探讨小剂量多虑平配合心理行为干预治疗老年性睡眠障碍综合征的效果。方法选择2014年2~12月黄石市中医医院康复科收治的27例老年睡眠障碍综合征患者,对患者给予每晚睡前口服多虑平25 mg,并由专人进行心理行为干预,连续治疗8周。在治疗前、后采用匹兹堡睡眠质量指数(PSQI)量表及睡眠信念和态度量表(DBAS)进行疗效评定。分析睡眠质量与睡眠信念、睡眠态度的相关性。结果治疗8周后,患者的PSQI总分及各维度与治疗前比较,差异有统计学意义(P<0.05)；DBAS总分及各维度与治疗前比较,差异有统计学意义(P<0.05)。相关性分析结果显示,患者睡眠信念、睡眠态度与睡眠质量的呈正相关(r =3.45~3.88,P<0.05)。结论采用小剂量多虑平配合心理行为干预治疗老年睡眠障碍综合征有很好的临床效果。%Objective To discuss the effect of small dose Doxepin cooperating psychological behavior intervention in treat-ment of senile sleep disorder syndrome. Methods From February to December 2014, in Department of Physiatry, Huangshi TCM Hospital, 27 senile patients with sleep disorder syndrome were selected, they were given 25 mg Doxepin oral before sleep every night, and psychological behavior intervention by profession, for treatment of 8 weeks. Before and after the treatment, Pittsburgh sleep quality index (PSQI) and dysfuctional beliefs and attitudes about sleep (DBAS) were uesd for evaluating the curative effect. The correlation between sleep quality and dysfunctional beliefs, attitudes about sleep were analyzed. Results After treated 8 weeks, PSQI total scores and each dimension of patients were com-pared with those before the treatmnet, the differences were statistically significant (P< 0.05); DBAS total scores and each dimension of patients were compared with those before the treatmnet, the differences were statistically significant (P < 0.05). Analysis showed that dysfunctional beliefs, attitudes about sleep of patients had positive correlations with sleep quality (r=3.45-3.88, P<0.05). Conclusion The small dose Doxepin cooperating psychological behavior inter-vention in treatment of senile sleep disorder syndrome has clever clinical effect.