摘要
目的:探究心理行为疗法联合哌罗匹隆联合对围绝经期失眠患者睡眠质量及不良情绪的影响。方法:选取2021年1月至2023年12月南京市江宁区妇幼保健计划生育服务中心88例围绝经失眠患者作为研究对象,按照随机数字表法分为观察组和对照组,每组44例。对照组予以哌罗匹隆治疗,观察组在对照组基础上予心理行为疗法。2组均持续治疗6周。比较2组治疗前后匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及血清卵泡刺激素(FSH)、黄体生成激素(LH)水平。结果:治疗后2组PSQI、SAS、SDS评分及FSH、LH水平均较治疗前降低,且观察组低于对照组,比较差异均有统计学意义(均P<0.05)。结论:心理行为疗法联合哌罗匹隆有助于改善围绝经期失眠患者不良情绪,调节性激素水平,提升睡眠质量。
Objective:To explore the effect of psychological behavioral therapy combined with perospirone on sleep quality and negative emotions in menopausal insomnia patients.Methods:A total of 88 patients with menopausal insomnia who visited the Jiangning District Maternal and Child Health and Family Planning Center from January 2021 to December 2023 were selected.They were randomly divided into two groups using a random number table method,with 44 patients in each group.Patients in both groups were medicated with perospirone,and those in the observation group were additionally treated with psychological behavioral therapy.Treatment was performed for 6 weeks.Sleep quality(Pittsburgh Sleep Quality Index,PSQI),negative emotions(Self-Rating Anxiety Scale,SAS),(Self-Rating Depression Scale,SDS),and sex hormones(follicle stimulating hormone,FSH),(luteinizing hormone,LH)were compared between groups.Results:PSQI,SAS and SDS scores,FSH and LH were significantly reduced in both groups,which were significantly lower in the observation group than the control group(all P<0.05).Conclusion:Psychological behavioral therapy combined with perospirone can help improve the negative emotions of menopausal insomnia patients,regulate hormone levels,and enhance sleep quality.
作者
吴虹
WU Hong(Jiangning District Maternal and Child Health and Family Planning Center,Nanjing 211100,China)
出处
《世界睡眠医学杂志》
2025年第5期1169-1172,共4页
World Journal of Sleep Medicine
关键词
围绝经期
失眠
心理行为疗法
哌罗匹隆
睡眠质量
情绪
性激素
Menopausal
Insomnia
Psychological behavioral therapy
Perospirone
Sleep quality
Emotion
Sex hormone
