本刊首页 > 期刊目次 > 认知行为疗法联合重复经颅磁刺激对脑卒中患者睡眠及焦虑抑郁情绪的疗效分析

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认知行为疗法联合重复经颅磁刺激对脑卒中患者睡眠及焦虑抑郁情绪的疗效分析

  • 韩奇

* 通信作者: 韩奇, 单位:三门弘景康复医院

摘要


目的:探讨认知行为疗法联合重复经颅磁刺激(rTMS)对脑卒中患者睡眠及焦虑抑郁情绪的改善作用。

方法:以2018年2月至2019年6月治疗的110例脑卒中患者,随机平均分为两组,观察组55例患者选择rTMS结合认知行为疗法治疗,对照组55例患者仅选择常规药物结合康复训练治疗。对比两组患者治疗前后的匹兹堡睡眠质量指数(PSQI)、脑卒中专用生活质量量表(SS-QOL)、贝克焦虑量表(BAI)和贝克抑郁量表(BDI)以及治疗过程中的不良反应情况。

结果:观察组患者治疗后的PSQI评分相比对照组以及治疗前明显降低(P<0.05),SS-QOL评分相比对照组与治疗前明显升高(P<0.05),且观察组患者治疗后的SS-QOL评分与PSQI评分存在明显的负相关性(t=-4.678,P<0.05)。观察组患者治疗后的BAI与BDI评分相比对照组与治疗前明显降低(P<0.05)且观察组治疗后的BAI评分与PSQI评分存在明显的正相关性(t=59.676,P<0.05),BDI评分与PSQI评分存在明显的正相关性(t=6.883,P<0.05)。两组患者不良反应发生率不存在显著性差异(P>0.05)。

结论:认知行为疗法结合rTMS对脑卒中有良好的效果,可以有效改善患者的睡眠情况,提高生存质量并缓解焦虑与抑郁等不良情绪,是改善脑卒中患者康复的有效方案。

关键词:认知行为疗法;重复经颅磁刺激;脑卒中;睡眠;焦虑;抑郁;不良反应

ABSTRACT


Objective: To investigate the effect of cognitive behavioral therapy combined with repetitive transcranial magnetic stimulation (rTMS) on sleep, anxiety and depression of stroke patients.

Methods: 110 stroke patients treated from February 2018 to June 2019 were randomly divided into two groups. 55 patients in the observation group were treated with rTMS combined with cognitive behavioral therapy, while 55 patients in the control group were treated with conventional drugs combined with rehabilitation training. Pittsburgh sleep quality index (PSQI), stroke specific quality of life scale (SS-QOL), Beck Anxiety Scale (BAI) and Beck Depression Scale (BDI) were compared between the two groups before and after treatment, as well as the adverse reactions during the treatment.

Results: the PSQI score of the observation group after treatment was significantly lower than that of the control group and before treatment (P<0.05), and the SS-QOL score of the observation group was significantly higher than that of the control group (P<0.05), and the SS-QOL score of the observation group after treatment was significantly negatively correlated with the PSQI score (t=-4.678, P<0.05). The BAI and BDI scores of the observation group after treatment were significantly lower than those before treatment (P<0.05), and there was a significant positive correlation between the BAI score and PSQI score in the observation group (t=59.676, P<0.05), and there was a significant positive correlation between BDI score and PSQI score (t =6.883, P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).

Conclusion  : cognitive behavioral therapy combined with rTMS has a good effect on stroke patients, can effectively improve the sleep condition of patients, improve the quality of life, and alleviate anxiety and depression and other adverse emotions, is an effective program to improve the rehabilitation of stroke patients.

Key words: cognitive behavioral therapy; repetitive transcranial magnetic stimulation; stroke; sleep; anxiety; depression; adverse reactions

引用本文 / How to Cite This Article

韩奇.认知行为疗法联合重复经颅磁刺激对脑卒中患者睡眠及焦虑抑郁情绪的疗效分析[J]. 国际精神病学杂志, , (): -

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