艾司西酞普兰与心理干预联合治疗对焦虑症患者睡眠质量的影响研究

章志娟 胡春华 鄢 骏 邓丽华 蔡丽茜

[关键词] 艾司西酞普兰;心理干预;焦虑症;睡眠质量;生活质量

[中图分类号] R749.4          [文献标识码] B          [文章编号] 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

焦慮症在临床中较为常见，是一种神经症疾病，临床主要表现为焦虑、易怒、恐惧等，导致患者日常工作生活受到严重影响[1]。在治疗过程中，艾司西酞普兰发挥了重要作用，使临床症状得到明显改善，且不会出现较多不良反应，患者具有较高耐受性。但是，由于药物治疗需持续较长时间，且很多患者具有较为严重的负性情绪，导致其临床治疗依从性明显降低，使之临床效果受到一定影响[2]。焦虑症患者往往具有明显睡眠障碍，容易出现入睡困难、睡眠质量差、易醒等情况，若患者无法保持充足睡眠，极易导致其身心俱疲，使之情绪无法保持较高稳定性，容易使病情更为严重，甚至有的患者会出现自杀倾向，使患者生命安全受到严重威胁[3]。心理干预在近些年来较为常用，尤其是对于心理情绪方面的疾病具有明显作用。通过合理心理干预使患者心理情绪保持较高稳定性，消除其负性情绪，有利于患者保持良好睡眠[4]。良好的睡眠质量可增强患者机体健康，使负性情绪得到明显缓解，对于焦虑症的临床治疗具有显著作用。本研究选取2020年5—10月62例焦虑症患者，探讨艾司西酞普兰与心理干预联合治疗对焦虑症患者睡眠质量的影响，现报道如下。