| 孟意琳,陈佳飞,张永华.互联网+中医养生调摄对失眠伴焦虑、抑郁情绪的临床疗效观察[J].浙江中医药大学学报,2020,44(8):738-741. |
| 互联网+中医养生调摄对失眠伴焦虑、抑郁情绪的临床疗效观察 |
| Clinical Efficacy Observation of Internet+Traditional Chinese Medicine Health Caring in the Treatment of Insomnia with Anxiety and Depression |
| DOI：10.16466/j.issn1005-5509.2020.08.008 |
| 中文关键词: 失眠 睡眠障碍 焦虑 抑郁 中医养生 互联网 认知行为疗法 |
| 英文关键词: insomnia sleep disorders anxiety depression TCM health caring internet cognitive behavior therapy |
| 基金项目:浙江省中医药科研基金项目(2018ZB108) |
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| 中文摘要: |
| [目的]观察使用互联网技术进行中医养生调摄对失眠伴焦虑、抑郁情绪患者的临床疗效。[方法]将轻、中度失眠伴焦虑、抑郁症状的120例患者随机分为干预组和对照组各60例，分别通过互联网进行中医综合养生干预和认知行为疗法(cognitive behavior therapy-insomnia，CBT-I)。治疗8周后比较两组患者睡眠和焦虑抑郁的改善情况及临床疗效。[结果]与治疗前比较，干预组和对照组的匹兹堡睡眠质量指数(Pittsburgh sleep quality index，PSQI)、健康问卷抑郁量表(patient health questionnaire-9，PHQ-9)、广泛性焦虑障碍量表(generalized anxiety disorder-7，GAD-7)评分均显著降低(P＜0.05)。与对照组比较，治疗后干预组的PSQI、PHQ-9、GAD-7评分显著低于对照组(P＜0.05)，中西医临床有效率显著高于对照组(P＜0.05)。[结论]通过互联网+技术运用中医综合养生方法可以有效改善慢性失眠患者的睡眠质量和焦虑、抑郁症状，临床疗效优于CBT-I，值得应用与推广。 |
| 英文摘要: |
| [Objective] To observe the clinical effect of traditional Chinese medicine(TCM) health caring by using Internet technology in the treatment of insomnia with anxiety and depression.[Methods] One hundred and twenty patients with mild and moderate insomnia accompanied with anxiety and depression were randomly divided into intervention group and control group， each with 60 cases， patients in intervention group were treated with TCM health caring while control group was treated with cognitive behavioral therapy-insomnia(CBT-I). The improvement or relief of sleep， anxiety， depression and clinical efficacy were compared between the two groups.[Results] After treatment， the scores of Pittsburgh sleep quality index(PSQI)， patient health questionnaire-9(PHQ-9) and generalized anxiety disorder-7(GAD-7) of intervention group and control group decreased more significantly than those before treatment(P＜0.05). Compared with control group， the scores of PSQI， PHQ-9 and GAD-7 of intervention group were significantly lower than those in control group(P＜0.05)， and the clinical effective rates of traditional Chinese and western medicine were significantly higher than that in control group (P＜0.05).[Conclusion] Applying TCM health caring through Internet+technology can effectively improve the sleep quality， relieve anxiety and depression of patients with chronic insomnia， and the clinical effect is better than CBT-I， which is worthy of application and promotion. |
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