重复经颅磁刺激联合腹式深呼吸治疗缺血性脑卒中后失眠的临床研究  

Clinical Study on Repetitive Transcranial Magnetic Stimulation Combined with Abdominal Deep Breathing for the Treatment of Insomnia after Ischemic Stroke

作　　者：王芳[1] WANG Fang(Ji′nan Third People′s Hospital,Ji′nan 250000,China)

机构地区：[1]济南市第三人民医院,济南250000

出　　处：《世界睡眠医学杂志》2025年第1期28-31,共4页World Journal of Sleep Medicine

摘　　要：目的:观察重复经颅磁刺激(rTMS)联合腹式深呼吸训练疗法治疗缺血性脑卒中后失眠的临床疗效。方法:选取2021年10月至2024年8月济南市第三人民医院康复医学科收治的缺血性脑卒中后失眠患者65例作为研究对象,按照随机数字表法分为对照组(n=32)和观察组(n=33)。对照组患者给予常规药物联合腹式深呼吸训练疗法治疗,观察组患者在对照组基础之上联合rTMS治疗,2组患者均治疗4周。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用多导睡眠图监测仪监测2组患者睡眠指标包括总记录时间、实际睡眠总时间、睡眠潜伏期、觉醒时间、觉醒次数、快速眼球运动睡眠潜伏期等指标的变化,并比较2组患者的治疗有效率。结果:治疗后,观察组PSQI评分显著低于对照组,观察组总记录时间、实际睡眠总时间显著高于对照组,观察组睡眠潜伏期、觉醒时间、觉醒次数、快速眼球运动睡眠潜伏期显著低于对照组,观察组的治疗有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:缺血性脑卒中后失眠患者在常规药物治疗联合腹式深呼吸训练疗法基础上应用rTMS治疗,效果更为显著,可以有效改善患者睡眠质量,值得临床推广。Objective:To observe the clinical efficacy of repeated transcranial magnetic stimulation(rTMS)combined with abdominal deep breathing training therapy in the treatment of insomnia after ischemic stroke.Methods:A total of 65 patients with insomnia after ischemic stroke admitted to the Rehabilitation Medicine Department of Ji′nan Third People′s Hospital from October 2021 to August 2024 were selected as the research subjects.They were divided into a control group and an observation group,with 32 patients in each group,using a random number table method.The control group patients were treated with conventional medication combined with abdominal deep breathing training therapy,while the observation group patients were treated with rTMS in addition to the control group.Both groups were treated for 4 weeks.The Pittsburgh Sleep Quality Index(PSQI)was used to monitor the changes in sleep indicators,including total recording time,actual total sleep time,sleep latency,awakening time,number of awakenings,and rapid eye movement sleep latency,between two groups of patients using a polysomnography monitor.The treatment effectiveness rates of the two groups was compared.Results:After treatment,the PSQI score of the observation group was significantly lower than that of the control group.The total recorded time and actual total sleep time of the observation group were significantly higher than those of the control group.The sleep latency,awakening time,awakening frequency,and rapid eye movement sleep latency of the observation group were significantly lower than those of the control group.The treatment effectiveness rate of the observation group was significantly higher than that of the control group,with a statistically significant difference between the two groups(P<0.05).Conclusion:In patients with insomnia after ischemic stroke,the application of rTMS therapy in addition to conventional medication combined with abdominal deep breathing training therapy has a more significant effect and can effectively improve the patient�

关 键 词：缺血性脑卒中 失眠 重复经颅磁刺激 腹式深呼吸训练 睡眠质量 睡眠潜伏期 疗效 觉醒时间 

分 类 号：R722.151[医药卫生—儿科] R338.63[医药卫生—临床医学]