高压氧和认知行为分别联合舍曲林治疗慢性失眠的对比观察

Contrastive observation of the influence of anxiety index in chronic insomnia patients with treatment of cognitive behavior or high pressure oxygen combined with sertraline

目的:评价高压氧、认知行为治疗和舍曲林对慢性失眠患者焦虑指数的影响。方法:把90例患者分为Ⅰ(A、B、C)、Ⅱ(A、B、C)组,均给予慢性失眠常规治疗,同时给予ⅠB和ⅡB组高压氧、ⅠC和ⅡC组认知行为治疗,以及Ⅱ(A、B、C)组舍曲林治疗;以综合医院焦虑/抑郁情绪测定表于治疗前后各时间点测定患者焦虑指数。结果:治疗后各时间点高压氧组评分低于常规治疗组(P<0.001),认知行为组评分低于高压氧组(P<0.05),联合舍曲林组评分低于非联合组(P<0.001)。结论:高压氧组效果优于常规治疗组;认知行为组效果优于高压氧组;联合舍曲林组效果优于非联合组。

OBJECTIVE To evaluate the effect of cognitive behavior treatment or high pressure oxygen therapy combined with sertraline on anxiety index in chronic insomnia patients. METHODS 90 patients were divided into Ⅰ （A, B, C） group and Ⅱ （A, B, C） group randomly. Patients in each group were given chronic insomnia conventional therapy. Patients in Ⅰ B and Ⅱ B group, ⅠC and ⅡC group, Ⅱ （A, B, C） group were given additional high pressure oxygen therapy, cognitive behavior treatment, sertraline therapy respectively. Patients were given anxiety index evaluation on different time points before and after treatment or 1 month post-treatment through general hospital anxiety/depression mood examination table. RESULTS The anxiety index of patients in high pressure oxygen therapy group was lower than that of patients in conventional therapy group on different time points after treatment or 1 month post-treatment（P〈0. 001）. The anxiety index of patients in cognitive behavior therapy group was lower than that of patients in high pressure oxygen therapy group on different time points after treatment or 1 month post-treatment （P〈0. 05）. The anxiety index of patients in combined sertraline therapy group was lower than that of patients in non-combined sertraline therapy group on different time points after treatment or 1 month post-treatment（P〈0. 001）. CONCLUSION The effect of high pressure oxygen therapy is better than that of conventional therapy. The effect of cognitive behavior therapy is better than that of high pressure oxygen therapy. The effect of combined sertraline therapy is better than that of non-combined sertraline therapy.