柴胡加龙骨牡蛎汤联合rTMS治疗对老年睡眠障碍患者的影响

Effect of Chaihu plus Longgu oyster decoction combined with rTMS on elderly patients with sleep disorders

目的探讨柴胡加龙骨牡蛎汤联合重复经颅磁刺激(rTMS)治疗对老年睡眠障碍患者的影响。方法选取我院2020年6月~2022年6月收治的146例老年睡眠障碍患者作为研究对象,随机分为观察和对照两组。73例观察组采用柴胡加龙骨牡蛎汤联合rTMS治疗,73例对照组采用rTMS结合常规治疗。比较两组患者治疗前后睡眠质量(SPIEGEL)评分、匹兹堡睡眠质量指数(PSQI)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及疗效。结果治疗后两组患者SPIEGEL分值、PSQI分值均降低,且观察组低于对照组(t=10.116、15.134,P均<0.05);治疗后两组患者SAS分值、SDS分值均下降,且观察组低于对照组(t=8.424、8.596,P均<0.05);观察组治疗总有效率为93.15%(68/73)显著高于对照组治疗总有效率73.97%(54/73)(χ^(2)=9.773,P<0.05)。结论柴胡加龙骨牡蛎汤联合rTMS治疗老年睡眠障碍能提高睡眠质量,改善不良情绪,提高疗效,值得推广。

Objective To investigate the effect of Chaihu plus Longgu oyster decoction combined with repetitive transcranial magnetic stimulation(rTMS)on elderly patients with sleep disorders.Methods A total of 146 elderly patients with sleep disorder admitted to our hospital from June 2020 to June 2022 were selected and they were randomly divided into observation and control groups.73 cases in the observation group were treated with Bupleurum plus longbone oyster decoction combined with rTMS,and 73 cases in the control group were treated with rTMS combined with routine treatment.Sleep quality(SPIEGEL)score,Pittsburgh sleep quality index(PSQI)score,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and clinical efficacy were compared between the two groups before and after treatment.Results After treatment,the Spiegel score and PSQI score of the two groups decreased,and the observation group was lower than the control group(t=10.116,15.134,P<0.05);After treatment,the SAS and SDS scores of the two groups decreased,and the observation group was lower than the control group(t=8.424,8.596,P<0.05);The total effective rate of the observation group was 93.15%(68/73),which was significantly higher than that of the control group 73.97%(54/73)(χ^(2)=9.773,P<0.05).Conclusion Chaihu Jialong oyster decoction combined with rTMS in the treatment of elderly sleep disorders can improve sleep quality,improve bad mood and improve curative effect,which is worthy of promotion.