艾司西酞普蘭與心理干預聯合治療對焦慮癥患者睡眠質量的影響研究

章志娟 胡春華 鄢 駿 鄧麗華 蔡麗茜

[關鍵詞] 艾司西酞普蘭;心理干預;焦慮癥;睡眠質量;生活質量

[中圖分類號] R749.4? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）25-0094-04

Effect of escitalopram combined with psychological intervention on sleep quality in patients with anxiety disorder

ZHANG Zhijuan? ?HU Chunhua? ?YAN Jun? ?DENG Lihua? ?CAI Liqian

Department of Sleep，the Third People's Hospital of Ganzhou City in Jiangxi Province， Ganzhou? ?341000，China

[Abstract] Objective To investigate the effect of escitalopram combined with psychological intervention on sleep quality in patients with anxiety disorder. Methods Sixty-two patients with anxiety disorders from May to October 2020 were selected and divided into the control group （n=31） and the observation group （n=31） according to the random touch ball method. The control group was treated with escitalopram， and the observation group was combined？with psychological intervention on the basis of the control group. The sleep quality，anxiety improvement and quality of life of the two groups were observed. Results After treatment， the scores of sleep time， sleep efficiency， sleep time， sleep quality， sleep disorders， hypnotic drugs and daytime dysfunction in the observation group were lower than those in the control group， and the differences were statistically significant（P<0.05）.? The anxiety score in the observation group was（52.64±2.23） points， which was lower than that of （57.28±2.16） points in the control group， and the difference was statistically significant （P<0.05）. The quality of life score in the observation group was（76.21±3.07） points， which was higher than that of （71.42±3.18）points in the control group ，and the difference was statistically significant （P<0.05）. Conclusion The combination of escitalopram and psychological intervention in the treatment of anxiety patients can improve the sleep quality of patients， relieve anxiety， improve the quality of life of patients， and has high application value.

[Key words] Escitalopram; Psychological intervention; Anxiety disorder; Sleep quality; Quality of life

焦慮癥在臨床中較為常見，是一種神經癥疾病，臨床主要表現為焦慮、易怒、恐懼等，導致患者日常工作生活受到嚴重影響[1]。在治療過程中，艾司西酞普蘭發揮了重要作用，使臨床癥狀得到明顯改善，且不會出現較多不良反應，患者具有較高耐受性。但是，由于藥物治療需持續較長時間，且很多患者具有較為嚴重的負性情緒，導致其臨床治療依從性明顯降低，使之臨床效果受到一定影響[2]。焦慮癥患者往往具有明顯睡眠障礙，容易出現入睡困難、睡眠質量差、易醒等情況，若患者無法保持充足睡眠，極易導致其身心俱疲，使之情緒無法保持較高穩定性，容易使病情更為嚴重，甚至有的患者會出現自殺傾向，使患者生命安全受到嚴重威脅[3]。心理干預在近些年來較為常用，尤其是對于心理情緒方面的疾病具有明顯作用。通過合理心理干預使患者心理情緒保持較高穩定性，消除其負性情緒，有利于患者保持良好睡眠[4]。良好的睡眠質量可增強患者機體健康，使負性情緒得到明顯緩解，對于焦慮癥的臨床治療具有顯著作用。本研究選取2020年5—10月62例焦慮癥患者，探討艾司西酞普蘭與心理干預聯合治療對焦慮癥患者睡眠質量的影響，現報道如下。