音乐联合心理治疗对伴睡眠障碍帕金森病患者多导睡眠图的影响

被引：22

作者：

李学 ^{[1
,2
]}

祁亚伟 ^{[1
,2
]}

吴少璞 ^{[1
,2
]}

杨红旗 ^{[1
,2
]}

李东升 ^{[1
,2
]}

王文霞 ^{[1
,2
]}

袁丽品 ^{[1
,2
]}

马建军 ^{[1
,2
]}

机构：

[1] 郑州,

来源：

中华物理医学与康复杂志 | 2017年 / 39卷 / 01期

关键词：

帕金森病; 音乐治疗; 心理治疗; 多导睡眠图;

D O I：

暂无

中图分类号：

R742.5 [震颤麻痹综合征]; R740 [];

学科分类号：

摘要：

目的观察音乐联合心理治疗对帕金森病(PD)患者多导睡眠图的影响。方法采用随机数字表法将64例伴睡眠障碍的PD患者分为对照组、音乐组、心理组及联合治疗组。对照组患者给予常规抗PD药物(如多芭类、多巴胺受体激动剂等)治疗, 根据每位患者实际情况酌情调整剂量及配伍。音乐组、心理组患者在上述药物治疗基础上分别给予音乐或心理治疗, 联合治疗组则在常规药物治疗基础上同时给予音乐和心理治疗。于治疗前、治疗21 d后分别应用多导睡眠图(PSG)和Epworth嗜睡量表(ESS)评分对患者夜间睡眠和白天嗜睡情况进行检测, 记录各组患者总睡眠时间(TST)、睡眠潜伏期(SL)、睡眠效率(SE)、快速眼动睡眠时间(REMS)、醒觉指数(AI)及ESS评分并进行对比分析。结果治疗前4组患者TST、SL、SE、REMS、AI及ESS评分组间差异均无统计学意义(P>0.05);治疗21 d后音乐组及联合治疗组患者上述疗效指标均较治疗前明显改善, 其间差异均具有统计学意义(P<0.05), 心理组仅有TST及SL较治疗前明显改善(P<0.05);通过进一步组间比较发现, 治疗21 d后联合治疗组TST[(367.56±26.84)min]、SL[(17.66±5.16)min]、SE[(75.5±14.3)%]、REMS[(13.41±6.22)min]、AI[(25.9±10.8)次/h]及ESS评分[(10.4±10.3)分]均显著优于音乐组、心理组及对照组水平, 组间差异均具有统计学意义(P<0.05)。结论音乐联合心理干预能显著改善伴睡眠障碍PD患者的夜间睡眠结构, 减少日间过度嗜睡, 提高睡眠质量, 该联合疗法值得临床进一步推广、应用。

引用

页码：48 / 51

页数：4

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