【摘要】 目的：探讨睡眠监测联合康复训练对脑梗死急性期睡眠障碍患者神经功能及生活质量的影响。方法：采用随机对照试验，选取2023年1月—2024年6月于河南科技大学第二附属医院就诊的91例脑梗死急性期合并睡眠障碍患者作为研究对象，分为联合组（46例，常规治疗+强化康复训练+多导睡眠监测个性化干预）和对照组（45例，常规治疗+基础康复训练）。比较两组患者干预4周后，美国国立卫生研究院卒中量表（NIHSS）评分、日常生活能力量表（ADL）评分及匹兹堡睡眠质量指数（PSQI）评分变化。结果：干预后，联合组患者NIHSS评分、ADL评分及PSQI评分改善均优于对照组，差异均有统计学意义（P<0.05）。结论：睡眠监测联合个性化康复训练可有效改善脑梗死急性期患者的神经功能、日常生活能力及睡眠质量。更多还原

【Abstract】 Objective: To investigate the effects of sleep monitoring combined with rehabilitation training on neurological function and quality of life in patients with sleep disorders during the acute phase of cerebral infarction. Methods: A randomized controlled trial was conducted involving 91 patients with acute cerebral infarction and concomitant sleep disorders who were admitted to the Second Affiliated Hospital of Henan University of Science and Technology from January 2023 to June 2024. Participants were divided into a combined intervention group(n=46, receiving conventional treatment + intensive rehabilitation training + personalized polysomnography monitoring) and a control group(n=45, receiving conventional treatment + basic rehabilitation training). Changes in scores for the National Institutes of Health Stroke Scale(NIHSS) score, Activities of Daily Living(ADL) scale score, and Pittsburgh Sleep Quality Index(PSQI) were compared between the two groups after 4 weeks of intervention. Results: After intervention, improvement in NIHSS scores, ADL scores, and PSQI scores were significantly greater in the combined group than in the control group, with statistically significant differences(P<0.05). Conclusion: Combined sleep monitoring and personalized rehabilitation training could effectively improve neurological function, activities of daily living, and sleep quality in patients during the acute phase of cerebral infarction.更多还原