脑电仿生电刺激对中青年缺血性脑卒中合并原发性失眠患者的影响

Effects of bionic electrical stimulation on young and middle-aged patients with ischemic stroke complicated with primary insomnia

目的研究中青年缺血性脑卒中合并原发性失眠患者采用脑电仿生电刺激对其睡眠结构参数及生活质量的影响。方法选取黄河水利委员会中心医院2021年5月至2023年5月收治的126例中青年缺血性脑卒中合并原发性失眠患者,采用随机数字表分组,对照组63例给予鼻孔交替呼吸法和认知行为疗法改善睡眠,观察组63例增加脑电仿生电刺激,4周后,对比两组患者睡眠结构参数、睡眠质量、健康行为和生活质量。结果干预后观察组总睡眠时间(TST)为(404.54±20.98)min,较对照组(364.94±18.60)min高,快速眼球运动潜伏期(REMSL)、睡眠潜伏期(SL)为(135.51±14.12)min、(7.94±2.55)min,较对照组(176.55±17.61)min、(12.74±3.24)min低(P<0.05);干预后观察组匹兹堡睡眠质量指数(PSQI)评分为(5.07±1.49)分,较对照组(7.14±2.22)分低(P<0.05);干预后观察组营养、运动、压力管理、健康责任、自我实现、人际关系评分分别为(29.51±4.12)分、(27.94±3.55)分、(27.54±2.98)分、(32.16±2.28)分、(31.85±3.44)分、(28.14±3.55)分,较对照组(26.55±3.61)分、(25.74±3.14)分、(24.94±3.60)分、(27.16±2.85)分、(25.12±3.88)分、(24.56±3.31)分高(P<0.05);干预后观察组物质功能、社会功能、心理功能、躯体功能评分为(77.84±5.51)分、(75.84±5.21)分、(79.63±4.48)分、(78.59±5.28)分,较对照组(71.24±4.38)分、(69.59±5.42)分、(73.59±4.76)分、(72.55±4.83)分高(P<0.05)。结论脑电仿生电刺激能够有效促进中青年缺血性脑卒中合并原发性失眠患者健康行为建立,改善睡眠质量,提高生活质量。

Objective To investigate the effects of bionic electrical stimulation on sleep structure parameters and quality of life in young and middle-aged patients with ischemic stroke complicated with primary insomnia.Methods A total of 126 middle-aged and young patients with ischemic stroke complicated with primary insomnia admitted to Yellow River Central Hospital from May 2021 to May 2023 were recruited.They were randomly assigned into the control group(n=63,alternate nostril breathing and cognitive behavioral therapy)and observation group(n=63,alternate nostril breathing+cognitive behavioral therapy+bionic electrical stimulation).After 4-week intervention,the sleep structure parameters,sleep quality,health behavior and quality of life were compared between groups.Results After interventions,the total sleep time(TST)of the observation group was significantly longer than that of the control group([404.54±20.98]min VS[364.94±18.60]min,P<0.05)Rapid eye movement sleep latency(REMSL,[135.51±14.12]min VS[176.55±17.61]min)and sleep latency(SL,[7.94±2.55]min VS[12.74±3.24]min)were significantly shorter in the observation group than in the control group(P<0.05).After the intervention,the Pittsburgh sleep quality score(PSQI)of the observation group was significantly lower than that of control group([5.07±1.49]points VS[7.14±2.22]points,P<0.05).After the intervention,the scores of nutrition([29.51±4.12]points VS[26.55±3.61]points),exercise([27.94±3.55]points VS[25.74±3.14]points),stress management([27.54±2.98]points VS[24.94±3.60]points),health responsibility([32.16±2.28]pointsVS[27.16±2.85]points),self-actualization([31.85±3.44]pointsVS[25.12±3.88]points)and interpersonal relationship([28.14±3.55]points VS[24.56±3.31]points)in the observation group were significantly higher than those of control group(P<0.05).After the intervention,the scores of material function([77.84±5.51]points VS[71.24±4.38]points),social function([75.84±5.21]points VS[69.59±5.42]points),psychological function([79.63±4.48]points VS[73.59±4.76]points)and physical function([78.59±5.28]points VS[72.55±4.83]points)in the observation group were significantly higher than those of the control group(P<0.05).Conclusion Bionic electrical stimulation can effectively promote healthy behavior establishment,improve sleep quality and quality of life in young and middle-aged patients with ischemic stroke complicated with primary insomnia.