超低频经颅磁刺激联合心理干预治疗抑郁症睡眠障碍的效果观察

Therapeutic effect of ultra-low frequency transcranial magnetic stimulation combined with psychological intervention on sleep disorder in patients with depression

目的分析超低频经颅磁刺激联合心理干预治疗抑郁症睡眠障碍的临床效果。方法抽取2020年8月至2022年8月郑州大学第一附属医院收治的84例抑郁症睡眠障碍患者,按随机数字表法分为对照组与研究组,每组42例。对照组给予药物治疗,研究组在对照组基础上给予超低频经颅磁刺激联合心理干预。对比两组情绪状态、应对方式、睡眠质量及心理弹性情况。结果干预后,研究组汉密尔顿焦虑量表、汉密尔顿抑郁量表评分低于对照组(P<0.05)。干预后1、3个月,研究组匹兹堡睡眠质量指数评分低于对照组(P<0.05)。干预后,研究组面对评分高于对照组(P<0.05),屈服、回避评分低于对照组(P<0.05)。干预后,研究组坚韧、乐观及坚强评分高于对照组(P<0.05)。结论抑郁症睡眠障碍患者应用超低频经颅磁刺激联合心理干预,有利于改善患者情绪状态,提高睡眠质量,并提高患者心理弹性,转变应对方式。

Objective To analyze the effect of ultra-low frequency transcranial magnetic stimulation combined with psychological intervention in the treatment of sleep disorder in patients with depression.Methods Eighty-four patients with depression complicated by sleep disorder admitted to the First Affiliated Hospital of Zhengzhou University from August 2020 to August 2022 were selected.They were divided into control group and study group according to random number table method,with 42 cases in each group.The control group was given drug treatment,and the study group was given ultra-low frequency transcranial magnetic stimulation combined with psychological intervention based on the treatment of the control group.The emotional state,coping style,sleep quality and psychological resilience of the two groups were compared.Results After intervention,scores of Hamilton anxiety scale and Hamilton depression scale of the study group were lower than those of the control group(P<0.05).The Pittsburgh sleep quality index score of the study group was lower than that of the control group 1 month and 3 months after intervention(P<0.05).After intervention,the confronting score of the study group was higher than that of the control group(P<0.05).After intervention,the scores of yielding and avoidance of the study group were lower than those of the control group(P<0.05).After intervention,the score of fortitude,optimism and toughness of the study group were higher than those of the control group(P<0.05).Conclusions Ultra-low frequency transcranial magnetic stimulation combined with psychological intervention in the treatment of depression complicated by sleep disorder is beneficial to improve emotional state,promote sleep quality,improve patients’psychological resilience and adopt coping style.