基于“互联网+”的中医适宜技术在脑小血管病伴阻塞性睡眠呼吸暂停低通气综合征和认知障碍患者中的应用效果  

Application Effect of"Internet+"Based Appropriate Technique of TCM in Patients with Cerebral Small-Vessel Disease Accompanied by Obstructive Sleep Apnea-Hypopnea Syndrome and Cognitive Impairment

作　　者：田三胜 李向华 白亚芳 马美晨 田晓静 侯依妹 代帅涛 陈玉 王丽丽 TIAN Sansheng;LI Xianghua;BAI Yafang;MA Meichen;TIAN Xiaojing;HOU Yimei;DAI Shuaitao;CHEN Yu;WANGLili(Department of Nursing,Cangzhou People's Hospital,Cangzhou 061000,China;Department of Neurology,Cangzhou People's Hospital,Cangzhou 061000,China;Chengde Medical University,Chengde 067000,China)

机构地区：[1]河北省沧州市人民医院护理部,061000 [2]河北省沧州市人民医院神经内科,061000 [3]承德医学院,河北省承德市067000

出　　处：《实用心脑肺血管病杂志》2025年第5期123-128,共6页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：河北省医学科学研究课题计划项目(20220300)。

摘　　要：目的探讨基于“互联网+”的中医适宜技术在脑小血管病(CSVD)伴阻塞性睡眠呼吸暂停低通气综合征(OSAHS)和认知障碍患者中的应用效果。方法选取2023年3月—2024年3月沧州市人民医院神经内科收治的CSVD伴OSAHS和认知障碍患者116例为研究对象。采用随机数字表法将患者分为常规组和中医适宜技术组,各58例。两组患者均接受常规治疗,此外,常规组进行常规护理干预,中医适宜技术组进行基于“互联网+”的中医适宜技术干预,两组均持续干预12周。比较两组干预前后认知功能[采用蒙特利尔认知评估量表(MoCA)和简易精神状态检查量表(MMSE)评估]、睡眠情况[采用睡眠呼吸暂停低通气指数(AHI)和匹兹堡睡眠质量指数(PSQI)评估]、日常生活活动能力[采用改良Barthel指数(mBI)和功能独立性评定量表(FIM)评估]。结果干预后,中医适宜技术组MoCA、MMSE评分高于常规组(P<0.05);常规组、中医适宜技术组干预后MoCA、MMSE评分分别高于本组干预前(P<0.05)。干预后,中医适宜技术组AHI、PSQI低于常规组(P<0.05);常规组、中医适宜技术组干预后AHI、PSQI分别低于本组干预前(P<0.05)。干预后,中医适宜技术组mBI、FIM评分高于常规组(P<0.05);常规组、中医适宜技术组干预后mBI、FIM评分分别高于本组干预前(P<0.05)。结论基于“互联网+”的中医适宜技术能够有效改善CSVD伴OSAHS和认知障碍患者的认知功能,减轻睡眠障碍程度,改善睡眠质量和日常生活活动能力。Objective To explore the application effect of"internet+"based appropriate technique of TCM in patients with cerebral small-vessel disease(CSVD)accompanied by obstructive sleep apnea-hypopnea syndrome(OSAHS)and cognitive impairment.Methods A total of 116 patients with CSVD accompanied by OSAHS and cognitive impairment admitted to the Department of Neurology of Cangzhou People's Hospital from March 2023 to March 2024 were selected as the study objects.The patients were divided into conventional group and appropriate technique of TCM group by random number table method,58 cases in each group.Patients in both groups received conventional treatment,in addition,the conventional group received routine nursing intervention,the appropriate technique of TCM group received"internet+"based appropriate technique of TCM,and both groups received continuous intervention for 12 weeks.Cognitive function[assessed by Montreal Cognitive Assessment(MoCA)and Mini-Mental State Examination(MMSE)],sleep status[assessed by apnea hypopnea index(AHI)and Pittsburgh Sleep Quality Index(PSQI)],and activities of daily living[assessed by modified Barthel Index(mBI)and Functional Independence Measure(FIM)]before and after intervention were compared between the two groups.Results After intervention,MoCA and MMSE scores in appropriate technique of TCM group were higher than those in conventional group(P<0.05).MoCA and MMSE scores in conventional group and appropriate technique of TCM group after intervention were higher than those before intervention,respectively(P<0.05).After intervention,AHI and PSQI in appropriate technique of TCM group were lower than those in conventional group(P<0.05).AHI and PSQI in conventional group and appropriate technique of TCM group after intervention were lower than those before intervention,respectively(P<0.05).After intervention,mBI and FIM scores in the appropriate technique of TCM group were higher than those in the conventional group(P<0.05).After intervention,mBI and FIM scores in conventional group and appropr

关 键 词：脑血管障碍 脑小血管病 睡眠呼吸暂停 阻塞性 阻塞性睡眠呼吸暂停低通气综合征 认知障碍 互联网干预 中医适宜技术 

分 类 号：R743[医药卫生—神经病学与精神病学] R749.79[医药卫生—临床医学] R741