摘要
目的:观察中药和认知行为干预(CBT)对亚健康失眠的短期疗效及中长期转归的影响。方法:亚健康失眠者62例,知情同意后分为中药组、CBT组和对照组(不予干预),干预时间4周。疗效观察:主要指标为匹兹堡睡眠质量指数(PSQI);次要指标为宗氏焦虑自评量表(SAS)、宗氏抑郁自评量表(SDS)。观察时点为基线期、干预结束时、干预后3个月、干预后5个月。结果:短期疗效:干预结束时,中药组及CBT组PSQI均明显下降(P<0.05)。中长期转归:随访期3组PSQI均明显下降,组间无明显差异(P>0.05)。随访期3组焦虑均改善(P<0.05),组间无明显差异(P>0.05);中药组和CBT组抑郁均改善(P<0.05),对照组抑郁无明显改善(P>0.05)。结论:中药和CBT短期干预亚健康失眠均有效,对其中长期转归无明显优势,亚健康预后较好,多数可以改善。
Objective To evaluate the short-term and long-term effects of Chinese traditional medicine （CTM） and cognitive-behavioral therapy （CBT） on the outcome of insomnia in sub-health patients. Methods Sixty- two sub-health patients with insomnia were separated to 3 groups ： CTM group, CBT group, and control group, each group received 4 weeks of intervention. The primary index was PSQI, and the secondary index were SAS and SDS. The observation time spots were baseline stage, after intervention, and 3 and 5 months after intervention. Results PSQI was decreased in CTM and CBT groups after intervention （P 〈 0.05）, and was decreased in the 3 groups 3 and 5 months after intervention, but there were no significant differences among the 3 groups （P 〉 0.05）. Anxiety was ameliorated in the 3 groups, and depression was ameliorated in CTM and CBT groups （P 〈 0.05）, but there were no significant differences among the 3 groups （P 〉 0.05）. Conclusion CTM and CBT are effective for insomnia in sub-health patients in the short-term, but there is no advantage in the long-term efficacy. Most of the sub-health patients with insomnia would have better outcomes.
出处
《实用医学杂志》
CAS
北大核心
2010年第9期1648-1651,共4页
The Journal of Practical Medicine
基金
"十一五"国家科技支撑计划(编号:2600BAI13B06
中医"治末病"及亚健康中医干预研究)
关键词
入睡和睡眠障碍
中药干预
认知行为干预
短期疗效
中长期转归
Sleep initiation and maintenance disorders
Chinese traditional medicine
CBT
Shortterm effect
Long-term effect.
