重复经颅磁刺激联合低强度间歇有氧运动对脑梗死后睡眠障碍患者睡眠质量的影响OA
Effect of Repetitive Transcranial Magnetic Stimulation Combined with Low-intensity Interval Aerobic Exercise on Sleep Quality in Patients with Post-stroke Sleep Disorders
目的:观察重复经颅磁刺激(rTMS)联合低强度间歇有氧运动对脑梗死后睡眠障碍患者睡眠质量的影响.方法:选取2023年6月至2025年3月福建省厦门市第五医院收治的脑梗死后睡眠障碍患者68例作为研究对象,以随机数字表法分为对照组和观察组,每组34例.对照组予以低强度间歇有氧运动治疗,观察组在对照组基础上联合rTMS治疗.比较2组临床疗效、睡眠质量及心理状态.结果:治疗后,观察组临床总有效率高于对照组(P<0.05),匹兹堡睡眠质量指数(PSQI)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表-17(HAMD-17)评分均低于对照组(P<0.05).结论:rTMS联合低强度间歇有氧运动可有效改善脑梗死后睡眠障碍患者睡眠质量及不良情绪.
Objective:To observe the effect of repetitive transcranial magnetic stimulation(rTMS)combined with low-intensity in-terval aerobic exercise on sleep quality in patients with post-stroke sleep disorders.Methods:A total of 68 patients with sleep dis-orders after cerebral infarction admitted to The Fifth Hospital of Xiamen from June 2023 to March 2025 were selected as the study subjects.They were randomly divided into a control group and an observation group using the random number table method,with 34 cases in each group.The control group received low-intensity interval aerobic exercise,while the observation group received ad-ditional rTMS therapy.Clinical efficacy,sleep quality,and psychological status were compared between the two groups.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).The scores of the Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety Scale(HAMA),and Hamilton Depression Scale-17(HAMD-17)in the observation group were lower than those in the control group(P<0.05).Conclusion:rTMS combined with low-intensity inter-val aerobic exercise can effectively improve sleep quality and alleviate negative emotions in patients with post-stroke sleep disor-ders.
张伟炼;何龙庭;李智咪;雷蕾
福建省厦门市第五医院康复科,厦门,361101福建省厦门市第五医院康复科,厦门,361101厦门市海沧医院康复科,厦门,361026福建省厦门市第五医院康复科,厦门,361101
医药卫生
脑梗死睡眠障碍经颅磁刺激低强度间歇有氧运动睡眠质量心理状态不良情绪
Cerebral infarctionSleep disorderTranscranial magnetic stimulationLow-intensity interval aerobic exerciseSleep qualityPsychological statusNegative emotions
《世界睡眠医学杂志》 2026 (1)
14-17,4
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