暗示催眠疗法在卒中后失眠患者的应用及对多导睡眠图、心理状态和生活质量的影响

Application of suggestive hypnotherapy in patients with insomnia after stroke and its effects on polysomnography,psychological states and quality of life

目的:探究暗示催眠疗法在卒中后失眠患者的应用及对多导睡眠图、心理状态和生活质量的影响。方法:选择医院收治的130例脑卒中后失眠患者以随机数字表法均分为对照组(n=65)与干预组(n=65),对照组患者予以常规治疗,干预组患者在对照组基础上予以暗示催眠疗法干预治疗。于干预前、干预1个月后比较两组患者临床疗效与不良反应发生、多导睡眠图、心理状态以及生活质量的差异。结果:干预1个月后,与对照组的总有效率70.77%比较,干预组总有效率90.77%明显升高(Z=2.116,P<0.05),两组干预期间无明显不良反应发生;干预1个月后,干预组TST、SE、S2、S3+S4、REM明显高于对照组(t=6.638,4.647,11.241,4.391,5.422;P<0.05),SL、AT、S1明显低于对照组(t=4.023,9.591,8.866;P<0.05);干预1个月后,干预组SAS评分、SDS评分均明显低于对照组(t=4.906,4.338;P<0.05);干预1个月后,干预组干预后的WHOQOL-100评分高于对照组(t=5.938,P<0.05)。结论:暗示催眠疗法干预能够明显提高卒中后失眠患者临床疗效,调整多导睡眠图,改善患者心理状态,提高生活质量。

Objective:To explore the application of suggestive hypnotherapy in patients with insomnia after stroke and its effects on polysomnography, psychological states and quality of life.Methods:A total of 130 patients with insomnia after stroke admitted to our hospital were selected and randomly divided into control group(n=65)and intervention group(n=65)according to the random number table method. Control group was given routine treatment, and intervention group was given suggestive hypnotherapy intervention on the basis of control group.The clinical efficacy and occurrence of adverse reactions, polysomnography, psychological states and quality of life were compared between the two groups before intervention and after 1 month of intervention.Results:After 1 month of intervention, the total effective rate in intervention group was significantly increased compared with that in control group(90.77% vs 70.77%)(Z=2.116,P<0.05),and there were no significant adverse reactions during intervention in the two groups.After 1 month of intervention, TST,SE,S2,S3+S4 and REM in intervention group were significantly higher than those in control group(t=6.638,4.647,11.241,4.391,5.422;P<0.05),while SL,AT and S1 were significantly lower than those in control group(t=4.023,9.591,8.866;P<0.05).After 1 month of intervention, the SAS score and SDS score in intervention group were significantly lower than those in control group(t=4.906,4.338;P<0.05).After 1 month of intervention, the WHOQOL-100 score in intervention group was higher than that in control group(t=5.938,P<0.05).Conclusion:Suggestive hypnotherapy intervention can significantly improve the clinical efficacy, adjust the polysomnogram, improve the psychological states and enhance the quality of life of patients with insomnia after stroke.