心态重塑疗法联合运动针刺经筋对脑梗死后偏瘫患者睡眠质量的影响

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t Reshaping Therapy Combined with Exercise-based Acupuncture of Meridiomuscular Regions on Sleep Quality in Patients with Post-stroke Hemiplegia

YAO Yingxing

DepartmentofhabilitationhecondfatedHospitalofnanUiversityfineseedicneangshOina

AbstractObjective：Toanalyzethe efects ofcase-orientedtherapybasedon mindset reshaping combined with exercise-based acupunctureof meridiomuscularregionsonslepqualityinpatients with hemiplegiaaftercerebralinfarction.Methods：Atotalof 90patientswithpost-cerebralinfarctionhemiplegiaadmitedtotheDepartmentofRehabilitationoftheSecondAfiliatedHospital of HunanUniversityofChineseMedicinefromJanuary2O23toDecember2024wereenroledandrandomlydivided intoacontrol group（ n=47 ） and an observation group（ n=43 ）using a random number table. The control group received exercise-based acupunctureof meridiomuscularregionscombinedwithroutineintervention，whiletheobservationgroupreceivedcase-orientedherapybasedon mindsetreshaping combined with exercise-basedacupuncture of meridiomuscularregions.Upper limb motorfunction （FMA-UL）andlowerlimb motorfunction（FMA-L）wereasessed using theFugl-Meyer Assessment.Psychologicalresilience was evaluatedusing the Conor-Davidson Resilience Scale（CD-RISC）.Anxietyanddepression symptoms were assessedusing the Hamilton Anxiety Scale（HAMA）and the Hamilton Depresion Scale（HAMD）.Sleepquality was evaluated using the Pitsburgh Sleep Quality Index（PSQI）.Results：After intervention，theFMA-UL，FMA-L，andCD-RISCscores intheobservationgroup were higherthan those inthecontrol group，whilethe HAMA，HAMD，andPSQIscoreswere lowerthanthose inthecontrol group，and the differences between the two groups were statistically significant（ P<0.05 ） . Conclusion： The application of case-oriented therapybasedonmindsetreshapingcombinedwith exercise-basedacupunctureof meridiomuscularregions inpatients withpost-stroke hemiplegiacanefectivelyimprovelimbmotorfunctionandpsyhologicalrslience，allviatenegativeemotions，andehaceseep quality.

KeywordsMindset reshaping therapy；Acupuncture；Cerebral infarction；Hemiplegia； Limb function； Anxiety；Depression;Sleep quality

中图分类号：R338.63;R743.3 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.12.027

近年来，中国脑梗死的发病率与死亡率均呈现出显著的上升态势[1]。（剩余5108字）