[1]靳春鹏.佐匹克隆与艾司唑仑治疗老年睡眠障碍的疗效比较[J].医学信息,2022,35(05):162-164.[doi:10.3969/j.issn.1006-1959.2022.05.043]
 JIN Chun-peng.Comparison of Clinical Efficacy of Zopiclone and Estazolam in the Treatment of Elderly Sleep Disorders[J].Medical Information,2022,35(05):162-164.[doi:10.3969/j.issn.1006-1959.2022.05.043]
点击复制

佐匹克隆与艾司唑仑治疗老年睡眠障碍的疗效比较()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年05期
页码:
162-164
栏目:
药物与临床
出版日期:
2022-03-01

文章信息/Info

Title:
Comparison of Clinical Efficacy of Zopiclone and Estazolam in the Treatment of Elderly Sleep Disorders
文章编号:
1006-1959(2022)05-0162-03
作者:
靳春鹏
(北京市普仁医院医务科,北京 100062)
Author(s):
JIN Chun-peng
(Medical Department of Beijing Puren Hospital,Beijing 100062,China)
关键词:
佐匹克隆艾司唑仑老年睡眠障碍
Keywords:
Zopiclone EstazolamElderlySleep disorder
分类号:
R749.05
DOI:
10.3969/j.issn.1006-1959.2022.05.043
文献标志码:
A
摘要:
目的 观察佐匹克隆与艾司唑仑治疗老年睡眠障碍的临床疗效。方法 选取2020年4月-2021年4月我院接诊的64例睡眠障碍老年患者为研究对象,采用随机数字表法分为观察组和对照组,各32例。对照组单纯给予艾司唑仑治疗,观察组给予佐匹克隆治疗,比较两组总有效率、睡眠障碍(SDRS)评分、匹兹堡睡眠质量评分(PSQI)、病理行为(BEHA VE-AD)评分以及不良反应发生情况。结果 观察组总有效率为93.75%,高于对照组的81.25%,差异有统计学意义(P<0.05);两组SDRS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组觉醒次数、入眠时间低于对照组,睡眠时间大于对照组,BEHA VE-AD 量表各维度评分均低于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为9.38%,低于对照组的21.88%,差异有统计学意义(P<0.05)。结论 采用佐匹克隆治疗老年睡眠障碍总有效率高于艾司唑仑,能显著改善睡眠障碍,提高睡眠质量,减轻病理行为,且不良反应少,具有相对理想的有效性和安全性。
Abstract:
Objective To observe the clinical effect of zopiclone and estazolam in the treatment of senile sleep disorder.Methods A total of 64 elderly patients with sleep disorders admitted to our hospital from April 2020 to April 2021 were selected as the research subjects. They were divided into observation group and control group by random number table method, with 32 cases in each group. The control group was treated with esazolam only, and the observation group was treated with zopiclone. The total effective rate, sleep disorder (SDRS) score, Pittsburgh sleep quality score (PSQI), pathological behavior (BEHA VE-AD) score and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 93.75%, which was higher than 81.25% of the control group, and the difference was statistically significant (P<0.05). The SDRS scores of the two groups were lower than those before treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). The number of awakenings and sleep time in the observation group were lower than those in the control group, and the sleep time was longer than that in the control group. The scores of each dimension of BEHA VE-AD scale were lower than those in the control group, and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 9.38%, which was lower than 21.88% in the control group, and the difference was statistically significant (P<0.05).Conclusion The total effective rate of zopiclone in the treatment of elderly patients with sleep disorders is higher than that of esazolam, which can significantly improve sleep disorders, improve sleep quality, and reduce pathological behavior, with less adverse reactions, and relatively ideal effectiveness and safety.

参考文献/References:

[1]张钦,龚勋,王绚璇,等.老年失眠症患者睡眠质量及影响因素[J].中国老年学杂志,2017,37(24):6197-6198.[2]焦文文,刘娅萍,刘晓斌,等.佐匹克隆与艾司唑仑治疗老年睡眠障碍的临床疗效比较[J].药物评价研究,2016,39(6):1047-1049.[3]谈晚生,李汉群.小剂量多虑平配合心理行为干预治疗老年睡眠障碍综合征的疗效[J].中国老年学杂志,2017,37(23):5914-5916.[4]黄伟,滕海英,毛媛媛.疏肝解郁胶囊联合艾司唑仑治疗卒中后睡眠障碍的疗效观察[J].中西医结合心脑血管病杂志,2018,16(8):1105-1107.[5]熊晓荣.右佐匹克隆辅助治疗中老年女性高血压合并睡眠障碍患者的疗效观察[J].西南军医,2016,18(1):64-66.[6]中国高血压防治指南修订委员会.中国高血压防治指南2018年修订版[J].心脑血管病防治,2019,19(1):1-44.[7]田博,韩海斌,王婷婷.正念冥想训练联合艾司唑仑在伴睡眠障碍的老年高血压患者中的应用观察[J].中华心脏与心律电子杂志,2018,6(4):222-224.[8]孙改红.右佐匹克隆治疗卒中后失眠症的效果分析[J].中国实用神经疾病杂志,2017,20(11):94-96. .[9]吴恩来,张雨青,王健,等.失眠伴抑郁与单纯失眠患者失眠认知行为治疗的疗效分析[J].中华精神科杂志,2020,53(2):140-145.[10]钟敏涛,张威,郑婷婷,等.北京市22家医院老年失眠患者用药分析[J].临床药物治疗杂志,2017,11(2):57-60.[11]王钧,张铮森,任一理,等.艾司唑仑对老年失眠患者吞咽功能的影响[J].中国临床药学杂志,2016,25(5):267-270.[12]邹旭明,田博,隋辉,等.扎来普隆、佐匹克隆和艾司唑仑治疗失眠症的对照研究[J].国际精神病学杂志,2016,43(5):836-838.[13]徐广琪.艾司唑仑治疗老年高血压睡眠障碍患者的临床效果观察[J].临床合理用药杂志,2018,11(8):25-26.[14]Feng X,Du G,Hou T,et al.Characterization of degradation products of midazolam maleate by UHPLC-HR-IT-MSn and NMR[J].Pharmazie,2017,72(2):73-80.[15]谭丽阳,张军,刘敏,等.右佐匹克隆对老年痴呆患者睡眠障碍状态改善的临床分析[J].中国医师进修杂志,2020,43(2):171-174.[16]朱洁琳,沈知行,崔力军.右佐匹克隆与艾司唑仑治疗原发性高血压伴睡眠障碍的疗效对比研究[J].浙江实用医学,2020,25(4):244-245,254.[17]李秀泉.右佐匹克隆与艾司唑仑对脑卒中后失眠患者神经递质、神经细胞因子及应激状态的影响[J].海南医学院学报,2018,24(11):1131-1134.[18]王妮妮,蒋丽华,李丙东.银丹心脑通软胶囊联合佐匹克隆治疗老年慢性失眠疗效分析[J].中西医结合心脑血管病杂志,2014,12(7):893-894.[19]张颖,苏俊,王锦权,等.认知行为疗法联合右佐匹克隆片治疗ICU转出患者睡眠障碍的疗效观察[J].浙江医学,2018,40(7):717-721.[20]王璞,周佩洋,张贵斌.养血清脑颗粒联合艾司唑仑治疗脑卒中后睡眠障碍疗效及对血清5-HT、BDNF水平的影响[J].现代中西医结合杂志,2019,28(3):318-321.[21]何明,郑芝伟.右佐匹克隆与艾司唑仑治疗老年痴呆伴睡眠障碍患者的比较[J].国际精神病学杂志,2021,48(2):264-266.

更新日期/Last Update: 1900-01-01