精神分裂症患者睡眠结构异常的干预策略分析
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罗振海
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锦州市康宁医院，辽宁锦州，121000
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摘要：睡眠是保障身心状态健康的必备生理活动，精神分裂症患者大多存在睡眠结构异常问题，这类问题还和患者症状轻重、认知能力下降、治疗后恢复效果差等情况有关联。现在临床治疗更侧重控制精神类症状，对同时出现的睡眠障碍，还没完成全面评估和针对性干预，整体治疗效果的提升因此受到限制。本文为分析针对精神分裂症患者睡眠结构异常的综合性干预策略及实际效果开展研究。梳理现有文献与临床实践后发现，在规范抗精神病药物治疗的基础上，联合认知行为疗法（CBT-I）、光照疗法、睡眠卫生教育以及非侵入性神经调节技术等整合性干预措施，能改善患者的睡眠连续性，加深慢波睡眠，还能让日间疲劳与阴性症状得到部分缓解。这类干预措施既会直接影响睡眠的生理节律，也可能通过调节神经可塑性，让患者的精神症状出现改善。本文为精神分裂症的全程管理提供了新方向，提出要把睡眠干预纳入核心治疗内容，改善睡眠质量可提升患者的社会功能与生活质量，也
能为制定个体化、多模式治疗方案提供理论依据与实践参考。
关健词：精神分裂症；睡眠结构；干预策略 |
Analysis of intervention strategies for abnormal sleep structure
in patients with schizophrenia
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Zhenhai Luo
Jinzhou Kangning Hospital, Jinzhou Liaoning 121000 , China
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Abstract：Sleep is an essential physiological activity that safeguards physical and mental health. Most patients with schizophreniasuffer from abnormal sleep structure issues, which are also associated with the severity of symptoms, cognitive decline, and poorrecovery after treatment. Currently, clinical treatment focuses more on controlling psychiatric symptoms, and comprehensive assess-ment and targeted intervention for concurrent sleep disorders have not been completed, limiting the overall improvement of treatmentefficacy. This article conducts research on comprehensive intervention strategies and practical effects for addressing abnormal sleepstructure in patients with schizophrenia. After reviewing existing literature and clinical practice, it is found that on the basis of stan-dardized antipsychotic drug treatment, combined interventions such as cognitive behavioral therapy (CBT-I), phototherapy, sleephygiene education, and non-invasive neuromodulation techniques can improve patients' sleep continuity, deepen slow-wave sleep,and partially alleviate daytime fatigue and negative symptoms. These interventions not only directly affect the physiological rhythmof sleep but may also improve patients' psychiatric symptoms by regulating neural plasticity. This article provides a new direction forthe comprehensive management of schizophrenia, proposing to incorporate sleep intervention into core treatment content. Improvingsleep quality can enhance patients' social function and quality of life, and also provide theoretical basis and practical reference for de-
veloping individualized and multimodal treatment plans.
Keywords : schizophrenia；sleep structure；intervention strategies
参考文献
[1] 李金飞.“隐含条件缺失”对圆锥曲线解题的影响及教学干预策略[J].数理天地(高中版).2026, (05): 87-91.
[2] 晚彤利,程立伟.团体认知行为治疗在精神分裂症中的应用进展[J].心理月刊.2026, (04): 162-166.
[3] 于江宏.体育教育训练中的心理干预策略及运动表现提升研究[J].山西能源学院学报.2026, (01): 197-207. |
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