认知行为疗法联合奥沙西泮治疗对失眠症患者失眠程度及睡眠状况的影响

Influence of Cognitive Behavioral Therapy Combined with Oxazepam on the Insomnia Degree and Sleep Status in Patients with Insomnia

目的 探讨认知行为疗法联合奥沙西泮治疗对失眠症患者失眠程度及睡眠状况的影响。方法选择2020年1月至2021年6月我院收治的60例失眠症患者,随机分为对照组(n=30)和观察组(n=30)。对照组采用奥沙西泮治疗,观察组采用认知行为疗法联合奥沙西泮治疗。比较两组患者治疗前、治疗3个月后的失眠程度[阿森斯失眠量表(AIS)评分]及睡眠状况[睡眠潜伏期(SOL)、入睡后觉醒时间(WASO)、总体睡眠时间(TST)、睡眠效率(SE)]。结果 治疗3个月后,两组的AIS评分均低于治疗前,且观察组的AIS评分低于对照组(P <0.05)。治疗3个月后,两组的SOL、 WASO短于治疗前,TST长于治疗前,SE高于治疗前(P <0.05);与对照组相比,观察组的SOL、 WASO较短,TST较长,SE较高(P <0.05)。结论 认知行为疗法联合奥沙西泮治疗能够有效缓解失眠症患者的失眠程度,提高其睡眠质量。

Objective To explore the influence of cognitive behavioral therapy combined with oxazepam on the insomnia degree and sleep status in patients with insomnia.Methods 60 patients with insomnia admitted to our hospital from January 2020 to June 2021 were randomly divided into control group(n = 30) and observation group(n = 30).The control group was treated with oxazepam,and the observation group was given cognitive behavioral therapy combined with oxazepam.The insomnia degree [Athens Insomnia Scale(AIS)score] and sleep status [sleep onset latency(SOL),wake after sleep onset(WASO),total sleep time(TST),sleep efficiency(SE)] before treatment and after 3 months of treatment were compared between the two groups.Results After 3 months of treatment,the AIS scores of the two groups were lower than those before treatment,and the AIS score of the observation group was lower than that of the control group(P <0.05).After 3 months of treatment,the SOL and WASO of the two groups were shorter than those before treatment,the TST were longer than those before treatment,and the SE were higher than those before treatment(P <0.05);Compared with control group,the SOL and WASO in the observation group were shorter,the TST was longer,and the SE was higher(P <0.05).Conclusions Cognitive behavioral therapy combined with oxazepam can effectively alleviate the insomnia degree and improve the sleep quality of patients with insomnia.