生物反馈放松训练结合耳针对老年缺血性脑卒中合并原发性失眠患者睡眠质量及血清神经递质水平的影响
Effects of biofeedback relaxation training combined with ear acupuncture on sleep quality and serum neurotransmitter levels in elderly patients with ischemic stroke and primary insomnia
付小丽 1潘倩 1杨梦玲 1韩玮1
作者信息
- 1. 信阳市中医院康复科,河南信阳 464000
- 折叠
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.
Abstract
Objective To investigate the effect of biofeedback relaxation training combined with ear acupuncture on elderly pa-tients with ischemic stroke complicated with primary insomnia.Methods 92 elderly patients with ischemic stroke combined with prima-ry insomnia admitted to our hospital from September 2020 to September 2021 were selected as the study objects and grouped by ran-dom 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.
关键词
原发性失眠/生物反馈放松训练/老年/脑卒中/耳针Key words
primary insomnia/Biofeedback relaxation training/Old age/Stroke/Auricular acupuncture引用本文复制引用
出版年
2024
NETL
NSTL
万方数据