针灸配合TMS治疗睡眠障碍伴焦虑抑郁患者的临床疗效观察

Clinical Observation on the Efficacy of Acupuncture Combined with TMS in the Treatment of Patients with Sleep Disorders Complicated with Anxiety and Depression

摘要: 目的：探讨针灸联合重复经颅磁刺激(TMS)治疗睡眠障碍伴焦虑抑郁患者的临床疗效，为临床治疗该类病症提供安全有效的方案。方法：选取我院2024年1月~2026年4月收治的60例睡眠障碍伴焦虑抑郁患者，按就诊顺序随机分为对照组与观察组，各30例。对照组单纯采用TMS治疗，观察组采用针灸配合TMS联合治疗，两组均连续治疗2周。对比两组治疗前后匹兹堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分，以及临床治疗总有效率与不良反应发生情况。结果：治疗后，两组PSQI、SDS、SAS评分均较治疗前降低，且观察组各评分低于对照组(P < 0.05)；观察组临床总有效率为93.33%，高于对照组的76.67% (P < 0.05)；两组不良反应发生率无显著差异(P > 0.05)。结论：针灸配合TMS治疗睡眠障碍伴焦虑抑郁患者，可显著改善患者的睡眠质量，缓解焦虑、抑郁等不良情绪，临床疗效显著且安全性高，值得临床推广应用。

Abstract: Objective: To investigate the clinical efficacy of acupuncture combined with repetitive transcranial magnetic stimulation (TMS) in the treatment of patients with sleep disorders complicated with anxiety and depression, so as to provide a safe and effective regimen for clinical treatment of such diseases. Methods: A total of 60 patients with sleep disorders complicated with anxiety and depression admitted to our hospital from January 2024 to April 2026 were randomly divided into control group and observation group, with 30 cases in each group, based on the order of admission. The control group was treated with TMS alone, while the observation group was treated with acupuncture combined with TMS. Both groups were treated continuously for 2 weeks. The scores of Pittsburgh Sleep Quality Index (PSQI), Self-Rating Depression Scale (SDS), and Self-Rating Anxiety Scale (SAS) before and after treatment, as well as the total clinical effective rate and incidence of adverse reactions, were compared between the two groups. Results: After treatment, the scores of PSQI, SDS and SAS in both groups were lower than those before treatment, and the scores in the observation group were lower than those in the control group (P < 0.05). The total clinical effective rate in the observation group was 93.33%, which was higher than 76.67% in the control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion: Acupuncture combined with TMS can significantly improve sleep quality, relieve anxiety, depression and other negative emotions in patients with sleep disorders complicated with anxiety and depression, with remarkable clinical efficacy and high safety, which is worthy of clinical promotion and application.