| 梅盛瑞,王敏.高压氧治疗脑梗死后失眠的疗效初探[J].中国康复,2018,33(3):195-198 |
| 高压氧治疗脑梗死后失眠的疗效初探 |
| Efficacy of Hyperbaric Oxygen Treating Insomnia after Cerebral Infarction |
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| DOI： |
| 中文关键词: 脑梗死 高压氧 失眠 |
| 英文关键词: Cerebral infarction Hyperbaric oxygen Insomnia |
| 基金项目:无锡市人民医院重点扶持专科康复科（KFKFC） |
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| 中文摘要: |
| 目的：观察高压氧治疗脑梗死后失眠的疗效。方法：将符合条件的脑梗死患者按入组时间顺序分为对照组和观察组各20例。对照组采用常规治疗，观察组在常规治疗的基础上加用高压氧治疗。分别在治疗前、治疗1个疗程后采用匹兹堡睡眠质量指数量表(PSQI)、阿森斯失眠量表（AIS）、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）进行评定。结果：治疗后，2组PSQI总分均较治疗前明显降低（均P<0.05)，且观察组低于对照组（P<0.05)。各因子对比：在主观睡眠质量、睡眠潜伏期、习惯性睡眠效率方面治疗后2组患者评分均较治疗前明显降低（均P<0.05)，且观察组上述各项评分更低于对照组（均P<0.05)。在睡眠持续性、睡眠紊乱和白天功能紊乱方面，治疗后观察组评分较治疗前及对照组治疗后明显降低（均P<0.05)，而对照组评分与治疗前相比差异无统计学意义。治疗后，2组患者AIS评分均较治疗前明显降低（均P<0.05)，且观察组AIS评分明显低于对照组（P<0.05)。结论：高压氧可以改善脑梗死后失眠患者的PSQI评分和AIS评分，改善睡眠，尤其可以改善睡眠质量、睡眠潜伏期、睡眠持续性和睡眠紊乱4个方面。改善失眠的原因可能与改善患者焦虑、抑郁状态有关。 |
| 英文摘要: |
| Objective: To observe the efficacy of hyperbaric oxygen therapy for insomnia after cerebral infarction. Methods: Forty cases who met the inclusion criteria were divided into treatment group and control group, 20 cases in each group. The control group was treated by the conventional treatment. The treatment group was treated with the conventional teratment and hyperbaric oxygen therapy (120 min each time, once a day, five times a week for four weeks). Two groups were evaluated by Pittsburgh Sleep Quality Index (PSQI), Arsons Insomnia Scale (AIS), Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) respectively before and 4 weeks after treatment. Results: The total PSQI scores in both groups were significantly decreased after treatment (P<0.05), and those in the treatment group were lower than in the control group (P<0.05). For comparisons of each factor, the scores of subjective sleep quality, sleep latency and habitual sleep efficiency were significantly decreased in two groups after treatment (P<0.05), and the above mentioned scores in the treatment group were lower than those in the control group (P<0.05). In terms of sleep persistence, sleep disturbance and daytime dysfunction, scores of the treatment group were significantly decreased as compared with those before treatment (P<0.05) and lower than those in the control group after treatment. There was no significant difference in the control group before and after treatment (P>0.05). The AIS scores in both groups were significantly decreased after treatment (P<0.05), and the AIS scores in the treatment group were significantly lower than those in the control group (P<0.05). Conclusion: The hyperbaric oxygen therapy can improve scores of PSQI and AIS of insomnia patients after cerebral infarction, especially sleep quality, sleep latency, sleep continuity and sleep disorders. The reasons for improving sleep quality may be related to the improvement in the state of anxiety and depression of patients. |
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