缩唇-腹式呼吸训练联合重复经颅磁刺激 对脑卒中后失眠的影响

打开文本图片集

Influence of Pursed-lip-abdominal Breathing Training Combined with Repetitive Transcranial Magnetic Stimulation on Post-stroke Insomnia

DU Mingtao，LIU Yunzhi，CHENGMeiyi，DENG Yunqi （Department of Neurology，the Third Afiliated Hospital of Foshan University，Foshan 528247，China）

AbstractObjective：Toexploretheimprovementefectofpursed-lip-abdominalbreathingtrainingcombinedwithrepetitivetranscranialmagneticstiulation（rTMS）onsleepqualityinpatientswithpost-strokeinsomnia.Methods：AtotalofEightypatients with post-strokeinsomniainthehospitalwereselectedbetween January2O22andJanuary2025，andweredivided intocontrol group（ n=40 ，conventional treatment and rTMS） and observation group（ n=40 ，pursed-lip-abdominal breathing training with conventional treatmentandrTMS）byrandomnumbertable.ThesleepqualityPitsburgh SleepQualityIndex（PSQI）]，insomiaeverity[Insomnia SeverityIndex（ISI）]，daytimeslepinessEpworth SlepinessScale（ESS）]andtotal sleeptime（TT）were comparedbetweenthetwogroupsbeforethetreatmentand1monthafterthetreatmentResults：AllthescoresinSQI，and ESS of both the groups were decreased significantly after the treatment（ P<0.05 ），and the above scores in observation group were significantly lower compared to those of the control group（ P<0.05 ）. After treatment，the TST in the two groups was significantly increased（ P<0.05 ），and the observation group showed a better result（ P<0.05 ）. Conclusion ： Pursed-lip-abdominal breathing training combined withTMScaneffctivelyimprove theslepqualityanddaytimefunction，andprolongthesleeptime inpatients with post-stroke insomnia.

KeywordsPursed-lip-abdominal breathing；Repetitivetranscranial magneticstimulation;Stroke;Insomnia;Slepquality；In-somnia severity； Daytime sleepiness； Sleep monitoring

中图分类号：R743.3;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.10.004

脑卒中后失眠是常见的并发症，表现为入睡困难或早醒等，严重影响患者神经功能恢复及生命质量，并可能加剧负性情绪，阻碍康复进程[1-2]。（剩余4334字）