双耳差频音乐训练对脑卒中后睡眠障碍患者睡眠结构的影响  

Effect of binaural beat therapy on sleep structure in patients with post-stroke sleep disorders

作　　者：郭思尧 高硕 成杰 于颖 Guo Siyao;Gao Shuo;Cheng Jie;Yu Ying(School of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063000,China;Department of Neurosurgery,Afiliated Hospital of North China University of Science and Technology,Tangshan 063000,China)

机构地区：[1]华北理工大学护理与康复学院,唐山063000 [2]华北理工大学附属医院神经外科,唐山063000

出　　处：《中华现代护理杂志》2024年第32期4426-4432,共7页Chinese Journal of Modern Nursing

基　　金：河北省重点研发计划(22377758D)。

摘　　要：目的探讨双耳差频音乐训练(BBT)对脑卒中后睡眠障碍患者睡眠结构的影响。方法采用便利抽样法,选取2022年10月—2023年10月在华北理工大学附属医院神经外科住院的135例脑卒中后睡眠障碍患者为研究对象,并按随机数字表法将其分为BBT组、普通音乐组和对照组,每组45例。对照组实施常规护理,BBT组在常规护理的基础上进行BBT,普通音乐组在常规护理的基础上进行普通音乐训练。分别于干预前1 d和第28天时采用多导睡眠图记录数据,比较3组患者干预前后睡眠结构的差异。结果最终,对照组完成42例,普通音乐组完成43例,BBT组完成42例。干预后,3组患者NREM%比较差异无统计学意义(P>0.05);3组患者N2%低于干预前,且BBT组N2%低于普通组和对照组,3组N3%高于干预前,且BBT组N3%高于普通音乐组和对照组,差异均有统计学意义(P<0.05);3组患者NREM、REM潜伏期,觉醒次数均低于干预前,且BBT组均低于普通音乐组和对照组,差异均有统计学意义(P<0.05);3组患者睡眠效率均高于干预前,且BBT组睡眠效率高于普通音乐组和对照组,差异具有统计学意义(P<0.05)。结论BBT可有效改善脑卒中后睡眠障碍患者的睡眠结构,提高其睡眠质量。Objective To investigate the impact of binaural beat therapy(BBT)on the sleep structure of patients with post-stroke sleep disorders(PSSD).MethodsUsing convenience sampling,a total of 135 patients with PSSD who were admitted to the Department of Neurosurgery at the Affiliated Hospital of North China University of Science and Technology from October 2022 to October 2023 were selected and randomly divided into three groups:BBT group,regular music group,and control group,with 45 patients in each group.The control group received routine care,while the BBT group received binaural beat music training in addition to routine care,and the regular music group received regular music training along with routine care.Polysomnography data were recorded one day before the intervention and on the 28th day to compare sleep structure differences before and after the intervention in the three groups.Results Eventually,42 cases were completed in the control group,43 cases in the regular music group,and 42 cases in the BBT group.After the intervention,there was no statistically significant difference in the percentage of non-rapid eye movement(NREM)sleep among the three groups(P>0.05).The percentage of N2 sleep in all three groups was lower than before the intervention,and the BBT group had a lower percentage of N2 sleep than the regular music group and the control group.The percentage of N3 sleep in all three groups was higher than before the intervention,and the BBT group had a higher percentage of N3 sleep than the regular music group and the control group,these differences were statistically significant(P<0.05).The latencies of NREM and rapid eye movement sleep,as well as the number of awakenings,were lower in all three groups compared to before the intervention,and the BBT group had lower values than the regular music group and the control group,these differences were also statistically significant(P<0.05).The sleep efficiency of all three groups was higher than before the intervention,and the BBT group had higher sleep efficien

关 键 词：卒中 脑卒中后睡眠障碍 双耳差频音乐训练 睡眠结构 多导睡眠图 

分 类 号：R473.74[医药卫生—护理学]