多感官刺激联合赋能理论的强化康复治疗对脑卒中睡眠质量的影响

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AbstractObjective：Toanalyzetheapplicationvalueof enhancedrehabilitation therapycombining multi-sensorystimulation andempowerment theoryinstrokepatientswithslepdisorders.Methods：Atotalof68strokepatientswithslepdisorders who visited Jinjiang Traditional Chinese Medicine Hospital from JanuaryO22 toDecember 2023wereselectedasthestudy subjects.Theyweredivided intoacontrol groupandanobservationgroupusingarandomnumber table method，with34 patients in eachgroup.Thecontrol groupreceivedconventionalslep therapy intervention，whiletheobservationgroupreceived enhancedehabilitationtherapybasedonthetheoryof multisensorystimulationcombined withempowerment.ThePitsburgh SleepQualityIndex（PSQI） was used to compare the diferences in sleepqualitybetween two groups，the Insomnia Severity Index（ISI）was used tocomparetheimprovementeffectofinsomniabetweenthetwogroups.，Sleepconditionsandtreatmentoutcomeswerecompared betwen hetwogroups.Polysomnography（PSG）wasused tomonitorslepparameters，includingrespiratorydisturbanceindex（events/h），oxygen desaturation index（events/h） ，lowest oxygen saturation（ % ），and average oxygen saturation（ % ）. Differences in sleeparchitecture were alsocompared，including Stage N1（sleponset）），Stage N2（light sleep），StageN3（deepsleep），and REM slep.Results：After reatment，theobservation groupshowed significantlyhigher sleepefectivenessrateandsignificantlylower PSQIandISIscorescompared tothecontrol group.Theobservationgroupalsoexhibited significantlylowerrespiratorydisturbance index（events/h），oxygedesaturationindex（events/h），andnumberofnoctualawakenings（times/night），longsidesigificantly higher lowest oxygen saturation（ % ），average oxygen saturation（ % ），and longest sleep duration. The differences between the two groups were statistically significant（ P<0.05 ）. Conclusion：In the clinical treatment of stroke patients with sleep disorders， the applicationof enancedrehabilitationtherapycombining multi-sensory stimulationandempowerment theorycanimprove sleep quality，normalizesleeparchitectureehancethestabilityofoctualsleepndimproveoverallsleepquality.Iiswothyf clinical promotion and application.

KeywordsMulti-sensorystimulation；Empowermenttheory-based enhancedrehabilitation therapy；Stroke；Slepquality；Sleep disorders

脑卒中，作为现代社会中极为普遍的心血管疾病之一，其主要病理基础包括动脉粥样硬化、血管壁弹性降低以及血管闭塞等。（剩余5838字）