重复经颅磁刺激(rTMS)与艾司唑仑治疗失眠效果对比分析

Comparative Analysis of Repeated Transcranial Magnetic Stimulation(rTMS)and Estazolam in the Treatment of Insomnia

目的探讨rTMS治疗失眠患者的效果,比较rTMS与药物治疗失眠的疗效。方法选取2019-2022年在我们医疗机构进行治疗的失眠病人作为研究对象,根据治疗方式不同分为实验组(n=101)与对照组(n=88)。实验组给予rTMS治疗,对照组行常规药物治疗,比较两组患者治疗前后匹兹堡睡眠质量指数(PSQI)评分变化情况。结果两组患者治疗前PSQI评分差异无统计学意义(P>0.05);开始治疗后两组的PSQI评分均降低,治疗5~10天时最低,药物组下降幅度大于rTMS组;停止治疗后rTMS组的PSQI评分略有上升,药物组的PSQI评分上升明显。结论rTMS能够有效提高失眠患者的睡眠质量,值得推广应用。

Objectives To investigate the effect of rTMS in treating insomnia patients and compare the efficacy of rTMS with that of medication in treating insomnia.Methods Insomnia patients treated in our hospital from 2019-2022 were selected as study subjects and divided into experimental group(n=101)and control group(n=88)according to different treatment modalities.The experimental group was given rTMS treatment and the control group was treated with conventional medication.The changes in the Pittsburgh Sleep Quality Index(PSQI)scores before and after treatment were compared between the two groups.Results The difference in PSQI scores between the two groups before treatment was not statistically significant(P>0.05);after starting treatment,the PSQI scores of both groups decreased,with the lowest at 5-10 days of treatment,and the decrease in the drug group was greater than that in the rTMS group;after stopping treatment,the PSQI scores of the rTMS group increased slightly,while the PSQI scores of the drug group increased significantly.Conclusion rTMS can effectively improve the sleep quality of insomnia patients and is worth promoting its application.