文章摘要
肖文武,黄肖群,刘淼,韦春霞,倪晓琦.生物反馈疗法对脑卒中后失眠症的临床疗效观察[J].中国康复,2018,33(5):365-368
生物反馈疗法对脑卒中后失眠症的临床疗效观察
The curative effect of bio-feedback relaxation therapy on insomnia after stroke
  
DOI:
中文关键词: 脑卒中  失眠症  生物反馈
英文关键词: Stroke  Sleep disorders  Bio-feedback
基金项目:
作者单位
肖文武 三峡大学人民医院·宜昌市第一人民医院湖北 宜昌 443000 
黄肖群 三峡大学人民医院·宜昌市第一人民医院湖北 宜昌 443000 
刘淼 三峡大学人民医院·宜昌市第一人民医院湖北 宜昌 443000 
韦春霞 三峡大学人民医院·宜昌市第一人民医院湖北 宜昌 443000 
倪晓琦 三峡大学人民医院·宜昌市第一人民医院湖北 宜昌 443000 
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中文摘要:
      目的:探讨生物反馈放松疗法对脑卒中后失眠症患者的临床疗效。方法:选取48例脑卒中后失眠症患者,随机分为对照组与研究组,每组24例。对照组予以常规康复治疗和药物对症治疗,研究组在对照组的基础上,加用生物反馈放松疗法治疗。2组患者治疗前后均进行抑郁自评量表(SDS)、焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)评定。同时观察研究组治疗前后额肌肌电均值(AEMG)均值的变化。结果:治疗4周后,2组患者SDS、SAS、PSQI评分较治疗前均明显降低(均P<0.05);且研究组的3项评分均明显低于对照组(均P<0.05);治疗后,研究组AEMG均值较治疗前显著下降(P<0.05)。结论:常规康复治疗和药物治疗可改善脑卒中患者睡眠质量,生物反馈放松疗法可以放松肌肉、改善睡眠,对脑卒中失眠症的治疗效果较好,值得临床推广。
英文摘要:
      Objective: To discuss the clinical effectiveness of the relaxation therapy of bio-feedback equipment for stroke patients with sleep disorders. Methods: Forty-eight stroke patients with sleep disorders were randomly divided into control group and study group, 24 in each group. The control group and study group were given conventional rehabilitation training and drug therapy, and the study group received the relaxation therapy of bio-feedback equipment additionally. The SDS, SAS and PSQI scores of patients were retrospectively assessed before and after treatment. The average electromyography (AEMG) before and after treatment in the study group was observed. Results: After treatment for 4 weeks, the scores of SDS, SAS and PSQI had statistically significant difference from those before treatment in both two groups (all P<0.05), and SDS, SAS and PSQI scores in the study group were significantly lower than those in the control group (all P<0.05). After treatment, the AEMG value in the study group was significantly different from that before treatment (P<0.05). Conclusion: Routine rehabilitation training and drug therapy help to improve the sleep quality of stroke patients with sleep disorders. The relaxation therapy of bio-feedback equipment can relax muscles, improve sleep, and obtain satisfactory clinical effectiveness in stroke patients with sleep disorders.
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