不同强度有氧运动对脑卒中失眠患者睡眠质量的影响

目的：观察不同强度有氧运动对脑卒中失眠患者睡眠质量的影响。方法：将60例确诊病例随机分成20％运动组和60％运动组，接受强度分别为20％和60％最大运动能力的4周有氧运动。1周进行3d的训练，治疗4周。两组患者在研究开始和结束时均进行运动平板极量运动试验，美林公司产M-9901电脑监测运动全程12导联心电图仪，运用改善Bruce方案以确定其最大运动能力相应的心率，并得到20％和60％最大运动能力的相应心率，并以此作为有氧训练强度。评价指标：使用问卷调查分别观察治疗前后两组的匹兹堡睡眠质量指数口0（Pittsburghsleepqualityindex，PSQI）。对PSQI中参与计分的18个自评项目，组合成睡眠质量评价，并对其治疗前后进行评价。结果：20％运动组治疗后较治疗前PSQI七因子评分及总分均有显著下降（P〈0．05）；60％运动组患者的睡眠质量、入睡时间、睡眠效率、睡眠障碍评分及总分亦有下降（P〈0．05），睡眠时间、睡眠效率、日间功能评分虽有下降，但差异无统计学意义（P〉0．05）。治疗后组间比较，两组患者的PSQI七因子评分及总分均有显著性差异（P〈0．05）。结论：适量的有氧运动能改善脑卒中失眠患者的睡眠，有利于促进躯体功能障碍的康复和日常生活活动能力的提高。

Influence on the Sleep Quality of Insomnia in Cerebral Apoplexy Treated by Different Intensity Aerobic Exercises

Objective：To observe the influence on the sleep quality of insomnia in cerebral apoplexy treated by different intensity aerobic exercise. Methods ：60 patients were randomly divided into the 20% exercise group and the 60% exercise group. 20% and 60% of the biggest athletic ability of the erobic exercise were respectively accepted for 4 weeks. The patients of the two groups were performed for the motion Flat Polaris motion test at the start and end of the study. The M-9901 computer monitoring the movement of all the 12 lead ECG machine by merrill lynch, using the improved Bruce schemes to determine the maximum exercise capacity corresponding heart rate, and get the corresponding rate of 20% and 60% maximum exercise capacity as a aerobic training intensity. Evaluation index ： Ob- served pittshurgh deep quality index（PSQI） of the two groups before and after treatment by using questionnaire survey. Composed 18 self-evaluation projects participated in scoring into sleep quality evaluation, and evaluated before and after treatment. Results：After the treatment,PSQI seven factors score and total score were decreased significantly in the 20% exercise group （P 〈 0.05 ） , while in the 60% exercise group, the sleep quality, the time to fall asleep, sleep efficiency, sleep disturbance score and total score had also decreased （ P 〈 0.05 ）, the sleep time, sleep efficiency, daytime function scores had fallen, but no statistical significance （ P 〉 0.05 ）. Comparison of two groups after the treatment, PSQI seven factor score and total score were significant difference （ P 〈 0.05 ）. Conclusion： Moderate aerobic exercise can improve the sleep quality in the stroke patients with insomnia, promote the recovery of the body function obstacle and the improvement of daffy life activities ability.