摘要
目的探究高频重复经颅磁刺激联合失眠认知行为疗法(CBT-i)对脑卒中后睡眠障碍(PSSD)患者睡眠质量的影响。方法选取2020年8月—2022年8月该院收治的82例PSSD患者为研究对象,采用随机数字表法分为两组,各41例。对照组采用失眠认知行为疗法,观察组在对照组的基础上采用高频重复经颅磁刺激,两组均持续治疗1个月。比较两组临床疗效、睡眠质量。结果观察组治疗总有效率为95.12%,高于对照组的78.05%,差异有统计学意义(P<0.05)。治疗前,匹兹堡睡眠质量指数量表(PSQI)各维度评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组PSQI中的睡眠质量评分(1.21±0.12)分、入睡时间评分(1.03±0.14)分、睡眠时间评分(1.08±0.14)分、睡眠效率评分(0.97±0.12)分、睡眠障碍评分(1.21±0.10)分、催眠药物评分(0.87±0.16)分、日间功能评分(1.02±0.15)分均低于对照组,组间差异有统计学意义(P<0.05)。结论高频重复经颅磁刺激联合CBT-i能够有效改善PSSD患者的睡眠质量。
Objective To investigate the effect of high-frequency repetitive transcranial magnetic stimulation combined with insomnia cognitive behavioral therapy(CBT-i)on sleep quality in patients with posts troke sleep disorder(PSSD).Methods 82 patients with PSSD treated in our hospital from August 2020 to August 2022 were selected as the research objects and divided into two groups by random number table method,with 41 cases in each group.The control group received cognitive behavioral therapy for insomnia,the observation group received high-frequency repetitive transcranial magnetic stimulation on the basis of the control group.Both groups received continuous treatment for 1 month.The clinical efficacy and sleep quality of the two groups were compared.Results The total effective rate of the observation group was 95.12%,higher than 78.05%of control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in scores of all dimensions of Pittsburgh sleep quality index(PSQI)between groups(P>0.05);after treatment,the sleep quality score(1.21±0.12)points,sleep time score(1.03±0.14)points,sleep time score(1.08±0.14)points,sleep efficiency score(0.97±0.12)points,sleep disorder score(1.21±0.10)points,hypnotics score(0.87±0.16)points and daytime function score(1.02±0.15)points of the PSQI in the observation group were lower than those in the control group,the differences between groups were statistically significant(P<0.05).Conclusion High frequency repetitive transcranial magnetic stimulation combined with CBT-i can effectively improve the sleep quality of PSSD patients.
作者
刘朝朋
杨红燕
王董
LIU Zhaopeng;YANG Hongyan;WANG Dong(Department of Encephalopathy,Dezhou Hospital of Traditional Chinese Medicine,Dezhou Shandong,253000,China)
出处
《反射疗法与康复医学》
2023年第11期185-187,共3页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
睡眠障碍
高频重复经颅磁刺激
失眠认知行为疗法
睡眠质量
Stroke
Sleep disorders
High frequency repetitive transcranial magnetic stimulation
Cognitive behavioral therapy for insomnia
Sleep quality
作者简介
刘朝朋(1980-),女,山东宁津人,本科,主治医师,研究方向:急性及慢性缺血性脑血管病的诊疗及神经介入治疗,神经内科常见病的诊疗。
