认知行为疗法与针结合的有效性 适用于良性发作性定位性的患者睡眠障碍的应用
Xiaoqing Zhou1, Lili Xu1, Ruirui Chen1
1Department of Neurology, Nantong Hospital of Traditional Chinese Medicine.
The Journal of craniofacial surgery
|December 15, 2025
概括
结合认知行为疗法 (CBT) 和针应用显著改善了良性发性位置性 (BPPV) 患者的睡眠质量和前庭功能. 这种多式联络方法为管理睡眠 - 垂体共患病提供了协同效益.
科学领域:
- 综合医学是一个整体的医学.
- 睡眠医学 睡眠医学
- 神经学 神经学
背景情况:
- 良性发性位置性 (BPPV) 经常与睡眠障碍并发,影响患者的生活质量.
- 静脉管功能障碍和睡眠障碍在患者管理中带来了复杂的挑战.
- 越来越多地探索多模式治疗策略来管理复杂的并发症.
研究的目的:
- 为了评估结合认知行为疗法 (CBT) 与BPPV患者睡眠障碍的针应用的疗效.
- 提供综合治疗模式的证据,以解决睡眠 - 垂体并发症.
- 评估联合治疗对睡眠质量,头和整体幸福感的影响.
主要方法:
- 120名患有睡眠障碍的BPPV患者被随机分为三个组:对照组 (单独重新定位canalith),针点应用,并与针点应用结合CBT.
- 主要结局包括匹兹堡睡眠质量指数 (PSQI),头障碍库存 (DHI) 和传统中医 (TCM) 综合征得分.
- 评估是在基线和干预后1周,2周和1个月进行的.
主要成果:
- 结合CBT和针点应用组与其他两组相比显示出显著更大的临床疗效 (P<0.05).
- 在治疗后,组合组在PSQI,DHI和TCM综合征得分显著降低,与对照组和仅针点组相比 (P<0.05).
- 在PSQI,DHI和TCM综合征得分的组之间没有发现显著的基线差异.
结论:
- 将CBT与针点应用相结合,可以显著改善BPPV患者的睡眠质量,前庭功能和生活质量.
- 这种多式联络方法在管理睡眠与前置支柱并发症方面显示出协同效应的好处.
- 这些发现支持在管理复杂患者状况时使用综合性多式联络策略.
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