【摘要】 将90例失眠症患者按照随机数字法分为3组,各组30例,分别为认知行为治疗组、口服药物(艾司唑仑片)治疗组、联合治疗组(认知行为和药物联合)。治疗5周,运用匹兹堡睡眠质量指数评估表(PSQI)进行睡眠质量评定。结果表明:联合治疗组总有效率为93.33%,认知行为治疗组为63.33%,口服药物治疗组为70.00%,联合治疗组与其他2组之间差异具有显著性(P<0.01),认知行为治疗组与药物治疗组间没有显著性差异(P>0.05)。3组治疗后PSQI总分和7个因子评分均明显低于治疗前,联合治疗组与其他2组相比,有显著性差异(P<0.05)。可得出结论:认知行为疗法(CBT)联合药物可有效改善失眠患者的睡眠质量。更多还原

【Abstract】 90 cases of insomnia patients were randomly divided into 3 groups—cognitive behavioral therapy group,oral drugs( estazolam tablets) treatment group and combined treatment group( cognitive behavioral and combination drug),each group of 30 cases. The results showed that the total effective rate was 93. 33% in the combined treatment group,63. 33% in the treatment group,and 70% in the combined treatment group( P < 0. 01),and there was no significant difference between the two groups( P > 0. 05). The total score and 7 factor scores of PSQI in the 3groups were significantly lower than that before treatment,and the combined treatment group had significant difference compared with the other 2 groups( P < 0. 05). Conclusion: cognitive behavioral therapy( CBT) can effectively improve the sleep quality of the patients with insomnia.更多还原