正念减压行为联合中药香佩疗法治疗脑卒中后睡眠障碍临床研究  

Clinical Study on Mindfulness Decompression Behavior Combined with Chinese Herbal Medicine Perfume Therapy for Post-Stroke Sleep Disorders

作　　者：李秀霞 黄晓铭 温清秀 LI Xiuxia;HUANG Xiaoming;WEN Qingxiu(Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350003,China;Fujian Provincial Key Laboratory of Rehabilitation Technology,Fuzhou Fujian 350003,China)

机构地区：[1]福建中医药大学附属康复医院,福建福州350003 [2]福建省康复技术重点实验室,福建福州350003

出　　处：《新中医》2025年第6期132-136,共5页New Chinese Medicine

基　　金：福建省中青年教师教育厅科研项目(JAT220140)。

摘　　要：目的:观察正念减压行为干预联合中药香佩疗法治疗脑卒中后睡眠障碍(PSSD)的临床疗效及对患者负性情绪和睡眠质量的影响。方法:选取2021年3月—2022年6月福建省康复医院脑病康复三科住院的86例PSSD患者,采用方便抽样法分为对照组和试验组各43例。对照组进行常规治疗、康复训练和护理,试验组在对照组基础上进行正念减压行为干预联合中药香佩疗法治疗。干预周期为6周,比较2组临床疗效,以及干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)和神经功能缺损量表(NIHSS)评分。结果:干预后,试验组总有效率为81.40%(35/43),对照组为44.19%(19/43),2组比较,差异有统计学意义(P<0.05)。干预前,2组SDS、SAS评分比较,差异无统计学意义(P>0.05);干预后,试验组SDS、SAS评分均低于对照组(P<0.05)。干预前,2组PSQI量表各项评分及总分比较,差异无统计学意义(P>0.05);干预后,试验组PSQI量表种入睡时间、睡眠的时长、质量、效率、睡眠障碍、日间功能障碍评分及总分均低于对照组(P<0.05)。干预前,2组NIHSS评分比较,差异均无统计学意义(P>0.05);干预后,试验组NIHSS评分低于对照组(P<0.05)。结论:正念减压行为联合芳香疗法可改善PSSD患者的负面情绪和神经功能缺损,提高睡眠质量。Objective:To observe the clinical efficacy of mindfulness decompression behavior combined with Chinese herbal medicine perfume therapy on negative emotions and sleep quality of patients with post-stroke sleep disorders(PSSD).Methods:A total of 86 PSSD patients admitted to the Brain Disease Rehabilitation Department 3 of Fujian Rehabilitation Hospital from March 2021 to June 2022 were selected and divided into the control group and the trial group,with 43 patients in each group,using convenient sampling method.The control group received routine treatment,rehabilitation training,and nursing care,while the trial group received mindfulness decompression behavior intervention combined with Chinese herbal medicine perfume therapy on the basis of the control group.Both groups were intervened with six weeks.The scores of the Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),Pittsburgh Sleep Quality Index(PSQI),and National Institute of Health Stroke Scale(NIHSS)before and after the intervention as well as the clinical effects in the two groups were compared.Results:After intervention,the total effective rate was 81.40%(35/43)in the trial group,and 44.19%(19/43)in the control group,the difference being significant(P<0.05).Before intervention,there was no significant difference in SDS and SAS scores between the two groups(P>0.05);after intervention,the SDS and SAS scores in the trial group were lower than those in the control group(P<0.05).Before intervention,there was no significant difference in the item-scores and total scores of PSQI in the two groups(P>0.05);after intervention,the PSQI scores of sleep onset time,sleep duration,quality,efficiency,sleep disorders,and daytime dysfunction and the total score in the trial group were lower than those in the control group(P<0.05).Before intervention,there was no significant difference in NIHSS scores between the two groups(P>0.05);after intervention,the NIHSS score in the trial group was significantly lower than that in the control group(P<0.05).Conclusion:Min

关 键 词：睡眠障碍 脑卒中 正念减压行为 芳香疗法 匹兹堡睡眠质量指数 

分 类 号：R749[医药卫生—神经病学与精神病学]