TIP睡眠调控技术治疗失眠症临床观察

Effect of sleep regulating technique of low resistance thought induction psychotherapy onprimary insomnia

目的观察低阻抗意念导入疗法（TIP）睡眠调控技术治疗失眠症的临床疗效。方法采用随机数字表法将来自广安门医院的45例失眠症患者按2：1的比例分为治疗组30例和对照组15例，治疗组每周接受2次TIP睡眠调控技术治疗，对照组每晚睡前30min服用佐匹克隆3．75mg，两组均治疗4周。利用匹兹堡睡眠质量指数（PSQI）评定两组患者治疗前和治疗后4周的疗效。结果①两组总有效率比较：治疗组总有效率为80％（24／30）、对照组为33．3％（5／15），两组总有效率比较，差异有统计学意义（X2=9．540，P〈0．01）。②治疗后PSQI指数：治疗组PSQI中睡眠质量（1．20±0．71）、入睡时间（1．53±1．01）、睡眠时间（1．23±0．82）、睡眠效率（0．90±1．21）、睡眠障碍（1．30±0．65）、催眠药物（0．13±1．36）、日间功能（1．67±0．99）及总分（8．30±3．19）均有改善（P均〈0．05）；对照组在PSQI中睡眠质量（1．60±0．91）、入睡时间（1．87±0．64）有显著改善（P均〈O．05）。③组间对比：治疗组在PSQI中入睡时间、睡眠时间、睡眠效率、催眠药物、日间功能、总分均优于对照组p均〈O．05）。结论TIP睡眠调控技术可改善失眠症患者的睡眠质量。

Objective To evaluate the efficacy of sleep regulation technique of thought imprint psychotherapy in lower resistant state （TIP） for the treatment of primary insomnia. Methods 45 hospitalized outpatients with primary insomnia from sleep medical clinic of Guang＇anmen Hospital were randomized at a 2 ： 1 ratio into a therapy group and a control group using random table. In the therapy group, patients received sleep regulation technique of TIP twice per week. In the control group, patients were asked to take zopiclone 3.75mg per night 30 minutes before bedtime. And the maximum dose can be 7.5mg according to their condition. The treatment lasted one month. Pittsburgh sleep quality index （PSQI） was used to assess sleep quality. Results ① After 4 weeks treatment, the clinical efficacy showed significant difference between the two groups （therapy group was 80%, control group was 33.3%）. ② Inner group comparison： therapy group was significantly improved in PSQI sleep quality（1.20±0.71）, sleep latency（1.53±1.01）, sleep time（1.23±0.82）, sleep efficiency （0.90 ± 1.21）, sleep disorders （1.30±0.65）, sleep medication （0.13±1.36）, daytime function （1.67±0.99）, total score （8.30±3.19）, （P〈0.05）; the control group was significantly improved in the PSQI sleep quality（1.60±0.91）, sleep latency（1.87±0.64）, （P〈0.05）. ③ Inter group comparison： after treatment, compared to the control group, the therapy group was superior in the sleep latency, sleep time, sleep efficiency, sleep medication, daytime function, and total score ofPSQI （P〈0.05）. Conclusion Sleep regulation tehnique of thought imprint psychotherapy in lower resistant state can improve sleep quality of primary insomniacs.