双耳差频音乐训练改善脑卒中后失眠患者失眠效果观察

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Observationon the Effects of Binaural Beat Music Training in Improving Insomnia in Post-stroke Patients

CHEN Linjuan，CHEN Siming

（Department of Neurology，Guangdong Sanjiu Brain Hospital，Guangzhou 51oooo，China）

AbstractObjective：Thisarticleaims toexploretheefectsof binaural beatmusictrainingon improvingpsychological status andsleepqualityinpost-strokeinsomniapatients.Methods：Atotalof1Opost-strokeinsomniapatientsadmitedtotheDepartment of Neurology at Guangdong Sanjiu Brain Hospital from January 2O23 to December 2O24 were selectedasthestudysubjects andrandomlydivided intoacontrol groupandanobservation group（5Ocaseseach）.Thecontrol groupreceivedconventionalinterventions，whiletheobservationgroupunderwentbinauralbeatmusictrainingbesidesconventionalinterventions.The Hamilton Anxiety Scale（HAMA）and Hamilton Depresion Rating Scale（HAMD）were used to compare the improvements inanxietyand depressionstatusbetweenthetwo groups beforeandaftertheintervention.ThePitsburgh SlepQualityIndex（PSQI）wasused to assesschanges insleepqualitySleepparameters，ncudingsleeplatency，sleepfiency，andwake-upfrequency，wered using sleep monitoring devices.Results：After one month of intervention，the HAMA scores，HAMD scores，and PSQIscoresof both groups decreased，with the observation group showing significantly lower values than the control group（ P<0.05） . After one monthof intervention，theobservationgroupexhibitedsignificantlyreductioninsleeplatencyandwake-upfrequencycomparedto pre-intervention levels，while sleep eficiency significantly improved.Thesediffrenceswere statisticallsignificant（ P<0.05 ）.

Conclusion：Binaural beat music trainingcan efectivelyallviate anxietyanddepresion inpost-strokeisomnia patients and improve sleep quality，making it worthy of clinical application and promotion.

KeywordsBinauralbeat music training;Post-stroke insomnia;Psychological state;Hamilton Anxiety Scale； Hamilton Depression Scale; Sleep quality; Pitsburgh Sleep Quality Index; Sleep monitoring 中图分类号：R338.63;R743.34 文献标识码：Adoi：10.3969/j. issn.2095-7130.2025.10.006

脑卒中是由急性脑血管病变引发的临床综合征，其典型特征包括局灶性或弥漫性神经功能缺损。（剩余4943字）