五行音乐结合重复低频经颅磁刺激治疗中风后失眠的临床疗效观察

Clinical Observation on Five Elements Music and Low-frequency Repetitive Transcranial Magnetic Stimulation for Post-stroke Sleep Disorders

目的观察五行音乐结合重复低频经颅磁刺激治疗中风后失眠的临床疗效。方法将100例病人随机分为对照组和治疗组,各50例。对照组仅给予五行音乐治疗,治疗组采用五行音乐结合重复低频经颅磁刺激治疗,4周后观察治疗效果,比较治疗前后两组匹兹堡睡眠质量指数评分(PSQI)差异。结果治疗组总有效率优于对照组,差异有统计学意义(P<0.05)。两组治疗后PSQI评分降低,但治疗组优于对照组,差异均有统计学意义(P<0.05)。结论五行音乐结合重复低频经颅磁刺激治疗可有效改善中风后失眠,提高睡眠质量。

Objective To observe the clinical effect of Five Elements music and low-frequency repetitive transcranial magnetic stimulation（rTMS）in the treatment of post-stroke sleep disorders（PSSD）.Methods One hundred patients with PSSD were randomly divided into two groups：control group（n =50）treated with Five Elements music and treatment group（n =50）treated with Five Elements music and low-frequency rTMS for 4 weeks.Pittsburgh Sleep Quality Index（PSQI）scores were observed before and after treatment.Results The total clinical effective rate was significantly higher in treatment group than that in control group（P 〈0.05）.PSQI scores significantly decreased in two groups after treatment,which was significantly lower in treatment group than that in control group（P 〈0.05）.Conclusion Five Elements music and low-frequency rTMS can effectively improve the sleep quality in patients with PSSD.