耳穴磁珠联合认知行为疗法对脑卒中后睡眠障碍的效果观察

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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

中图分类号：R338.63;R743.3 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.04.021

脑卒中是临床急性神经系统疾病，因脑血管突发性病变，造成脑部血液供应中断或减少，导致脑组织缺血或供氧不足，从而引起脑细胞损伤甚至死亡的病理过程，易导致多种神经系统的功能障碍[1-2] 。（剩余4419字）