【摘要】 目的 分析青年卒中伴睡眠障碍患者应用常规药物联合心理疗法干预后效果。方法 将我院150例青年卒中伴睡眠障碍患者采用随机数字表法进行分组,对照组75例给予常规药物治疗,观察组75例增加心理疗法治疗,对比两组患者治疗后精神心理状态、细胞因子水平、神经功能及睡眠质量变化。结果 治疗后,观察组NIHSS、HAMD、PSQI、HAMA评分、TNF-α、IL-1β水平、睡眠潜伏期(SL)时间及觉醒次数(AT)均低于对照组,总睡眠时间(TST)高于对照组(P<0.05)。结论 在常规药物治疗基础上增加心理疗法,能够有效改善青年卒中伴睡眠障碍患者精神心理状态,调节细胞因子水平,提升睡眠质量,促进神经功能恢复。
【关键词】常规药物;心理疗法;青年卒中;睡眠障碍;精神心理状态
[Abstract] Objective To analyze the effect of conventional medicine combined with psychotherapy intervention in young patients with stroke and sleep disorders. Methods 150 young patients with stroke and sleep disorders in our hospital were grouped by random number table method, 75 patients in the control group were treated with conventional drugs, and 75 patients in the observation group were increased by psychotherapy. Compare the mental state and cytokines of the two groups after treatment Changes in levels, nerve function and sleep quality. Results After treatment, the observation group's NIHSS, HAMD, PSQI, HAMA score, TNF-α, IL-1β level, sleep latency (SL) time and wake-up times (AT) were lower than the control group, and the total sleep time (TST) was higher Control group (P <0.05). Conclusion Adding psychological therapy on the basis of conventional drug therapy can effectively improve the mental state of young patients with stroke and sleep disorders, adjust the level of cytokines, improve the quality of sleep, and promote the recovery of nerve function.
[Keywords] conventional drugs; psychological therapy; youth stroke; sleep disorders; mental state