摘要
目的 研究认知行为干预联合三氧大自血对缺血性脑卒中失眠患者的影响。方法 选择2025年1月-2025年12月收治的216例缺血性脑卒中失眠患者作为观察对象，以随机数字表法为依据，分为3组，A组患者72例，采用认知行为疗法（CBT-I），B组患者72例，采用三氧大自血疗法干预，C组患者72例，采用CBT-I疗法联合三氧大自血疗法干预，研究比较A组、B组、C组缺血性脑卒中失眠患者的临床指标。结果 预前，3组缺血性脑卒中失眠患者的睡眠指标、睡眠质量、心理状态相近（P>0.05）；预后，C组缺血性脑卒中失眠患者的睡眠指标、睡眠质量、心理状态均优于A组、B组，有统计学意义（P<0.05）。结论 认知行为干预联合三氧大自血对缺血性脑卒中失眠患者的影响更大，可推广。
关键词： 认知行为干预；三氧大自血；缺血性脑卒中；失眠；睡眠质量
Abstract
Objective To investigate the effects of cognitive behavioral intervention combined with ozone-rich autologous blood on insomnia patients with ischemic stroke. Methods A total of 216 insomnia patients with ischemic stroke admitted from January 2025 to December 2025 were selected as the observation subjects. Based on random number table method, they were divided into three groups: Group A (n=72) received cognitive behavioral therapy (CBT-I), Group B (n=72) received ozone-rich autologous blood therapy, and Group C (n=72) received CBT-I combined with ozone-rich autologous blood therapy. The clinical indicators of insomnia patients with ischemic stroke in Groups A, B, and C were compared. Results Before the intervention, the sleep indicators, sleep quality, and psychological status of the three groups were similar (P>0.05). After the intervention, the sleep indicators, sleep quality, and psychological status of Group C were significantly better than those of Groups A and B (P<0.05). Conclusion Cognitive behavioral intervention combined with ozone-rich autologous blood has a greater impact on insomnia patients with ischemic stroke and is worthy of promotion.
Key words： Cognitive behavioral intervention; Ozone autohemotherapy; Ischemic stroke; Insomnia; Sleep quality
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