摘要
目的探讨生物反馈放松训练联合耳针应用于老年缺血性脑卒中合并原发性失眠患者的效果。方法择取我院在2020年9月至2021年9月期间收治的92例老年缺血性脑卒中合并原发性失眠患者为研究对象,以随机数表法分组。基础组46例给予生物反馈放松训练,实验组在此基础上增加耳针治疗。对比两组患者睡眠质量、睡眠结构参数、血清神经递质水平。结果实验组睡眠持续时间、睡眠效率、睡眠困扰、日间功能紊乱、睡眠质量、入睡时长分值均低于基础组(P<0.05);实验组觉醒时间(ATA)、睡眠潜伏期(SL)均低于对照组,睡眠效率(SE)、实际总睡眠时间(TST)均高于对照组(P<0.05);实验组5-羟色胺(5-HT)、γ-氨基丁酸(GABA)水平均高于对照组,去甲肾上腺素(NE)水平低于对照组(P<0.05)。结论生物反馈放松训练联合耳针能够有效调节老年缺血性脑卒中合并原发性失眠患者睡眠结构参数,提高睡眠质量,改善血清神经递质水平。
Objective To investigate the effect of biofeedback relaxation training combined with ear acupuncture on elderly patients with ischemic stroke complicated with primary insomnia.Methods 92 elderly patients with ischemic stroke combined with primary insomnia admitted to our hospital from September 2020 to September 2021 were selected as the study objects and grouped by random number table method.In the basic group,46 patients were given biofeedback relaxation training,and in the experimental group,ear acupuncture was added on this basis.Sleep quality,sleep structure parameters and serum neurotransmitter levels were compared between the two groups.Results The scores of sleep duration,sleep efficiency,sleep disturbance,daytime dysfunction,sleep quality and sleep duration in experimental group were lower than those in basic group(P<0.05).Wake time(ATA)and sleep latency(SL)of experimental group were lower than those of control group,sleep efficiency(SE)and total actual sleep time(TST)of experimental group were higher than those of control group(P<0.05).The levels of 5-hydroxytryptamine(5-HT)and gamma-aminobutyric acid(GABA)in the experimental group were higher than those in the control group,and the levels of norepinephrine(NE)were lower than those in the control group(P<0.05).Conclusion Biofeedback relaxation training combined with ear acupuncture can effectively regulate sleep structure parameters,improve sleep quality and serum neurotransmitter levels in elderly patients with ischemic stroke complicated with primary insomnia.
作者
付小丽
潘倩
杨梦玲
韩玮
FU Xiaoli;PAN Qian;YANG Mengling;HAN Wei(Department of Rehabilitation,Hospital of Traditional Chinese Medicine of Xinyang,Xinyang,Henan,464000,China)
出处
《新疆医学》
2024年第7期793-796,共4页
Xinjiang Medical Journal
关键词
原发性失眠
生物反馈放松训练
老年
脑卒中
耳针
primary insomnia
Biofeedback relaxation training
Old age
Stroke
Auricular acupuncture
