目的:观察有氧运动干预改善痴呆患者睡眠功能障碍的影响效果。方法:将58例存在睡眠功能障碍的住院中重度痴呆患者随机分为实验组与对照组各29例,对照组进行常规痴呆患者住院护理及康复,实验组在此基础上增加以床上脚踏车实施的有氧运动干预,为期3个月,采用Epworth嗜睡量表、匹兹堡睡眠质量指数、多导睡眠监测及观察入眠时间、觉醒次数,对两组患者干预前后的睡眠功能状况进行比较。结果:干预结束后实验组睡眠效率显著优于对照组,但在Epworth嗜睡量表、匹兹堡睡眠质量指数得分以及入眠时间、觉醒次数等方面无明显差异。结论:运动干预对中重度痴呆患者睡眠功能障碍有积极的影响,但其具体运用仍需进一步研究。Objective: Observe the effect of aerobic exercise intervention on sleep disorders of patients with dementia. Methods: 58 hospitalized patients with moderate to severe dementia with sleep disorders were randomly divided into an experimental group and a control group of 29 patients each. The control group received routine care and rehabilitation, while the experimental group added effective care with a bicycle on the bed (aerobic exercise intervention) lasted for 3 months. The Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, polysomnography and observation of sleep onset time and number of awakenings were used to compare the sleep function status of the two groups of patients before and after the intervention. Results: After the intervention, the sleep efficiency of the experimental group was significantly better than that of the control group, but there was no significant difference in Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index scores, sleep time, and number of awakenings. Conclusion: Exercise intervention has a positive impact on sleep disorders in patients with moderate-severe dementia, but its specific application still requires further research.
