解放军医学杂志2017，Vol.42Issue(4)：331-335,5.DOI:10.11855/j.issn.0577-7402.2017.04.11
远程认知行为治疗对高血压共病性失眠的疗效研究
The efficacy of internet-based cognitive behavior therapy on blood pressure for comorbid hypertension and insomnia
摘要
Abstract
Objective To evaluate the effectiveness of internet-based cognitive behavior therapy (CBT-I) on blood pressure in patients with hypertension comorbid with insomnia.Methods One hundred and six patients met the JNC-8 diagnostic criteria for hypertension and DSM-5 diagnostic criteria for insomnia were selected,and randomly assigned to CBT-I group (n=53) and regular treatment group (n=53).All the patients accepted relevant treatment for 8 consecutive weeks.Changes of systolic blood pressure (SBP),diastolic blood pressure (DBP),the sleep parameters and the anxiety and depression levels were observed between baseline and 8 weeks of follow-up.Results Compared with pre-treatment,SBP and DBP decreased significantly in both CBT-I group and regular treatment group (P＜0.01),the decrease was more significant in CBT-I group than in regular treatment group (P＜0.01).The sleep latency,sleep efficiency,bed time and rating anxiety scale were improved more significantly in CBT-I group than in regular treatment group (44.49 ± 22.75min vs.55.50 ± 34.96min;72.31％ ± 9.15％ vs.57.70％ ± 11.53％;302.65 ± 43.76min vs.262.70 ± 50.64min and 17.14 ± 6.45 vs.21.02 ± 6.64,respectively),the differences were of statistical significance (P＜0.05).In addition,no significant difference was found in the level of depression between CBT-I group and regular treatment group.Conclusion CBT-I can effectively shorten sleep latency,improve sleep efficiency,extend bed time and improve anxiety,meanwhile effectively lower the blood pressure of patients with hypertension comorbid with insomnia by optimizing sleep quality.关键词
失眠症/高血压/认知疗法Key words
insomnia/hypertension/cognitive therapy分类
医药卫生引用本文复制引用
杨信举,张远凤,刘娟,刘雅贞,郎莹,王延江,蒋晓江..远程认知行为治疗对高血压共病性失眠的疗效研究[J].解放军医学杂志,2017,42(4):331-335,5.基金项目
第三军医大学转化基金项目(2014XHZ10)This work was supported by the Science and Technology Achievement Transformation Fund of the Third Military Medical University (2014XHZ10) （2014XHZ10）
