廖波　李彦　高镕　邹果果　翟绍征

【摘要】 目的：探析药物联合心理干预措施应用于焦虑症失眠患者的效果。方法：选取2017年3月-2018年3月本院收治的焦虑症失眠患者60例。以抽签法为依据将其分为单一治疗组与联合治疗组，各30例。单一治疗组予以单纯药物治疗，联合治疗组在单一治疗组基础上增加心理干预。比较两组治疗前后的焦虑、抑郁、睡眠质量评分及治疗效果。结果：治疗后，联合治疗组焦虑与抑郁评分均低于单一治疗组（P<0.05）;联合治疗组睡眠质量各项评分均低于单一治疗组（P<0.05）;联合治疗组总有效率为96.67%，高于单一治疗组的63.33%（P<0.05）。结论：药物联合心理干预治疗方法对焦虑症失眠患者十分适用，可使患者焦虑、抑郁情绪获得有效改善，提升患者睡眠质量，治疗效果更为显著。

【关键词】 药物治疗; 心理干预; 焦虑症失眠; 睡眠质量

【Abstract】 Objective：To explore the effect of drug combined with psychological intervention on insomnia patients with anxiety disorder.Method：A total of 60 insomnia patients with anxiety disorder admitted to our hospital from March 2017 to March 2018 were selected.According to the method of drawing lots，they were divided into single treatment group and combined treatment group，30 cases in each group.The single treatment group was given simple drug treatment，and combined treatment group was given psychological intervention on the basis of single treatment group.The scores of anxiety，depression and sleep quality before and after treatment，and therapeutic effects between two groups were compared.Result：After treatment，the scores of anxiety and depression in combined treatment group were lower than those of single treatment group（P<0.05）.The each score of sleep quality in combined treatment group were lower than those of single treatment group（P<0.05）.The total effective rate of combined treatment group was 96.67%，which was higher than 63.33% of single treatment group（P<0.05）.Conclusion：Drug combined with psychological intervention is very suitable for insomnia patients with anxiety disorder，it can effectively improve anxiety and depression，improve sleep quality of patients，and has a more significant therapeutic effect.

【Key words】 Drug treatment; Psychological intervention; Anxiety and insomnia; Sleep quality

First-authors address：Yichun Third Peoples Hospital，Yichun 336000，China

doi：10.3969/j.issn.1674-4985.2019.08.044

患者自信心與自尊心因无法克服某项障碍或无法达到某项目的而受挫，或因较为显著的内疚感与失败感而产生的一种恐惧、不安、紧张的负面情绪即为焦虑症，临床方面又将其称为焦虑性神经症，是一种在临床范围内较为常见的功能性精神疾病，患者会反复处于焦虑、惊恐、不安的状态，通常会因自身心理状态不被家人朋友所理解而十分痛苦[1-4]。研究发现，患有焦虑症的患者通常会存在入睡困难、做噩梦及容易惊醒等睡眠障碍，而若患者睡眠质量不高则其焦虑症状会更加严重，对患者的社会功能与生活质量产生严重影响[5-7]。本研究拟对药物联合心理干预措施应用于焦虑症失眠患者的具体效果进行研究与分析，现报道如下。

1 资料与方法

1.1 一般资料 选取2017年3月-2018年3月本院收治的焦虑症失眠患者60例。纳入标准：患者临床症状均与《中国精神障碍分类与诊断标准》第3版中的焦虑症诊断标准相符。……