失眠认知行为对原发性高血压合并睡眠障碍患者睡眠质量的影响

Effect of CBTI on Sleep Quality in Patients with Essential Hypertension Complicated with Sleep Disorders

目的:探讨失眠认知行为(CBTI)对原发性高血压合并睡眠障碍患者睡眠质量的影响。方法:选取2019年1月至2022年1月厦门市仙岳医院收治的原发性高血压合并睡眠障碍患者85例作为研究对象,按照随机数字表法随机分为观察组(n=43)和对照组(n=42)。对照组给予常规治疗方式治疗,观察组加用CBTI治疗。比较2组临床疗效、睡眠质量、匹兹堡睡眠质量表(PSQI)、血压、心理状况变化情况。结果:治疗后,2组总有效率比较,差异有统计学意义(P<0.05);治疗前,2组入睡时间、总睡眠时间、卧床时间及夜间觉醒时间比较,差异无统计学意义(P>0.05);治疗后,2组入睡时间、卧床时间及夜间觉醒时间均降低,且观察组低于对照组,总睡眠时间均升高,且观察组高于对照组(P<0.05);治疗前,2组PSQI、血压比较,差异无统计学意义(P>0.05);治疗后,2组PSQI、血压均降低,且观察组低于对照组(P<0.05);治疗前,2组心理状况比较,差异无统计学意义(P>0.05);治疗后,2组焦虑、抑郁评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:在原发性高血压合并睡眠障碍治疗期间采取CBTI效果显著,可有效改善患者的睡眠质量水平,值得临床推广应用。

Objective:To study Effect of Insomnia Cognitive Behavior(CBTI)on sleep quality in patients with essential hypertension complicated with sleep disorders.Methods:A total of 85 patients with essential hypertension complicated with sleep disorders treated in Sleep Medical Center of Xiamen Xianyue Hospital from January 2019 to January 2022 were selected and divided into observation group(n=43)and control group(n=42)by random number table method.The control group was treated with conventional treatment,while the observation group was treated with CBTI based on conventional treatement.The clinical efficacy,sleep quality,Pittsburgh sleep quality Scale(PSQI),blood pressure and psychological status were compared between the two groups.Results:After treatment,the total effective rate of the two groups was significantly different(P<0.05).Before treatment,time to fall asleep,total sleep time,bed time and night wake time were compared between the two groups and there was no significant difference(P>0.05).After treatment,the time to fall asleep,bed time and night wake time of the two groups were decreased,and the observation group was lower than the control group,and the total sleep time was increased,and the observation group was higher than the control group(P<0.05).Before treatment,there was no significant difference in PSQI and blood pressure between the two groups.After treatment,PSQI and blood pressure of the two groups were decreased,and the observation group was lower than the control group(P<0.05).Before treatment,there was no significant difference in psychological status between the two groups.After treatment,the anxiety and depression scores of the two groups were decreased,and the observation group was lower than the control group and the difference was statistically significant.Conclusion:CBTI has a significant effect in the treatment of essential hypertension complicated with sleep disorders,which can effectively improve the sleep quality of patients.It is worthy of clinical promotion and application.