综合治疗对脑血管病合并睡眠障碍患者 认知行为和运动功能的改善效果
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黄琼霞,女,主治医师,主要研究方向是脑血管病。

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R 743

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The Improvement Effects of Comprehensive Treatment on Cognitive Behavior and Motor Function in Patients with Cerebrovascular Disease Complicated with Sleep Disorders
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    摘要:

    摘 要目的:分析脑血管病合并睡眠障碍患者实施综合治疗后对认知行为和运动功能的改善效果。 方法:择取 2017 年 8 月至 2019 年 2 月期间广州市新海医院收治的脑血管病患者 136 例,随机数字表法分为对照组和观察组,各 68 例。对照组 给予常规药物治疗,观察组在对照组基础上应用综合治疗干预措施,比较两组患者治疗前后的睡眠质量、认知行为和运动 功能指标。 结果:治疗前,两组患者睡眠质量指标比较,差异无统计学意义(P > 0.05);治疗后,观察组患者睡眠潜伏期、 实际睡眠时间、觉醒次数指标均优于对照组,差异具有统计学意义(P < 0.05)。治疗后,观察组患者处于浅睡期(S2) 和快速眼动期(REM)占比与对照组比较,差异无统计学意义(P > 0.05);处于熟睡期和深睡期(S3/4)占比高于对照 组,差异具有统计学意义(P < 0.05)。治疗后 1 周、治疗后 4 周和治疗后 12 周,观察组的匹兹堡睡眠质量指数(PSQI) 评分均低于对照组,差异具有统计学意义(P < 0.05)。治疗后,观察组患者蒙特利尔认知评估量表(MOCA)评分和 Fugl–Meyer 运动功能评定法(FMA)评分均高于对照组,差异具有统计学意义(P < 0.05)。 结论:对脑血管病合并睡眠 障碍患者进行综合治疗干预后能够有效改善患者的睡眠质量、认知行为和运动功能。

    Abstract:

    AbstractObjective To analyze the improvement effect of comprehensive treatment on cognitive behavior and motor function in patients with cerebrovascular disease complicated with sleep disorder. Methods A total of 136 patients with cerebrovascular disease admitted to Guangzhou Xinhai Hospital from August 2017 to February 2019 were selected and divided into control group and observation group by random number table method, with 68 cases in each group. The control group was given conventional drug treatment, and the observation group was given comprehensive treatment intervention on the basis of the control group. The sleep quality, cognitive behavior and motor function indexes of the two groups were compared before and after treatment. Results Before treatment, there was no significant difference in sleep quality indexes between the two groups (P > 0.05); After treatment, sleep latency, actual sleep time and awakening times in the observation group were better than those in the control group, the differences were statistically significant (P < 0.05). After treatment, there was no significant difference in the proportion of light sleep (S2) and rapid eye movement (REM) in the observation group compared with the control group (P > 0.05). The proportion of sleeping stage and deep sleep stage (S3/4) was higher than that of the control group, and the difference was statistically significant (P < 0.05). The pittsburgh sleep quality index (PSQI) scores of the observation group was lower than that of the control group at 1 week, 4 weeks and 12 weeks after treatment, and the differences were statistically significant (P < 0.05). After treatment, montreal cognitive assessment scale (MOCA) score and FUGL-Meyer motor function assessment (FMA) score in the observation group were higher than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion Comprehensive treatment intervention can effectively improve the sleep quality, cognitive behavior and motor function of patients with cerebrovascular disease complicated with sleep disorders.

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  • 收稿日期:2021-09-06
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  • 在线发布日期: 2023-07-14
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