有氧联合抗阻和平衡运动对缺血性脑卒中睡眠障碍患者睡眠质量的影响

Effect of aerobic, strength and balance exercise on stroke patients with sleep disorder

目的:探讨有氧联合抗阻、平衡运动对缺血性脑卒中睡眠障碍患者睡眠质量及血压晨峰的影响。方法:将125例缺血性脑卒中睡眠障碍患者随机分为两组,对照组(n=60)实施常规神经内科护理措施,干预组(n=65)在对照组的基础上进行有氧联合抗阻、平衡运动。采用匹斯堡睡眠质量指数量表(PSQI)、TM-2430动态血压监测仪对两组患者的睡眠质量和血压晨峰进行评估。结果:干预前,两组PSQI总分及各维度评分及血压晨峰值比较,差异无统计学意义(P>0.05);干预后,干预组PSQI总分及各维度评分、血压晨峰值、血压晨峰曲线下面积均低于对照组,差异有统计学意义(P<0.05)。均低于对照组,差异有统计学意义(P<0.05)。结论:有氧联合抗阻、平衡运动能够有效提高患者睡眠质量,并促进恢复患者血压正常昼夜变化规律。

Objective： To evaluate the effects of aerobic, strength and balance exercise on sleep and morning blood pressure surge in stroke patients with sleep disorder. Methods： 125 patients were randomly divided into two groups. The control group received usual care （n=60）, while the intervention group （n=65）received aerobic, strength and balance exercise. All patients were assessed with Pittsburgh sleep quality index and measured blood pressure by TM-2430 ambulatory. Results： After training, the scores of PSQI, morning blood pressure surge and blood pressure AUC in the intervention group were significantly lower than control group （P〈0.05）. But there were no difference before intervention （P〉0.05）. Conclusion： The application of aerobic, strength and balance exercise could improve the quality of sleep and morning blood pressure surge in stroke patients with sleep disorder.