耳穴磁珠聯(lián)合認(rèn)知行為療法對腦卒中后睡眠障礙的效果觀察

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AbstractObjective：To explore thefect of auricular presure with magnetic beads combined withcognitivebehavioral therapy on patientswithslepdisordersafterstroke.Methods：Atotalof 6Opatientswith sleep disordersafter strokewho treated inthe Departmentof Neurologyof NingdePeople's Hospital from May2023 to September 2O24 were includedfor this study.Thepatients weredivied intoacontrol groupandanobservationgroup byrandom number table，with 3O cases ineach group.Thecontrol groupreceived auricular pressre with magneticbeads therapy，whilethe observation group wastreated withauricular pressure with magneticbeads therapycombinedwithcognitivebehavioral therapy.Theparametersrelated tosleepstructure，sleepquality andqualityof ife werecompared between thetwo groups.Results：After8-wk intervention，theparametersofslepstructure in the observation group were more favorable and the difference was statistically significant（ P<0.05 ）；sleep quality and quality of lifeintheobservationgroupwerealleterafter4-week，8-weektreatmentandater4-weekfollow-up，withastatisticallysigificant difference（ P<0.05 ）. Conclusion： Auricular acupuncture with magnetic beads therapy combined with cognitive behavioral therapycanefectivelyimprovethesleepqualityofpatients with sleepdisordersafterstrokeandoverallenhancetheirqualityof life.

KeywordsStroke；Sleep disorders；Auricular magnetic beads；Cognitive behavioral therapy；Sleepquality；Qualityof life; Rapid eye movement sleep; Nursing

中圖分類號：R338.63;R743.3 文獻(xiàn)標(biāo)識碼：A doi：10.3969/j. issn.2095-7130.2025.04.021

腦卒中是臨床急性神經(jīng)系統(tǒng)疾病，因腦血管突發(fā)性病變，造成腦部血液供應(yīng)中斷或減少，導(dǎo)致腦組織缺血或供氧不足，從而引起腦細(xì)胞損傷甚至死亡的病理過程，易導(dǎo)致多種神經(jīng)系統(tǒng)的功能障礙[1-2] 。（剩余4419字）