关键词: 听觉-运动训练；脑出血；睡眠

Abstract: Objective: To analyze the effects of high-low frequency conversion auditory-exercise training on subjective sleep and objective sleep-wake behavior in patients with cerebral hemorrhage. Methods: Totally 135 patients with cerebral hemorrhage and sleep disorders in the neurology department from November 2017 to November 2018 were randomly divided into three groups, and 45 cases in each group. The control group were with daily routine nursing care, and the music group were with regular music training on the base of routine care, and the auditory-exercise training group were with high-low frequency conversion auditory-sports training on the basis of routine care. The intervention was continued for 30 days, and the Pittsburgh sleep quality index (PSQI) and polysomnography (PSG) were used to monitor subjective sleep and objective sleep-wake of patients, and the differences of PSQI and PSG before and after intervention in the three groups were compared. Results: The PSQI of patients in the auditory-exercise training group were lower than those in the other two groups (P<0.05), and the quality of sleep was improved after the intervention. The deep sleep time of patients in the hearing-exercise group was longer than those in the other two groups after intervention (P<0.05); the number of micro-wakes during non-rapid eye movement sleep of patients in the auditory-exercise training group was lower than those in the other two groups (P<0.05). Conclusion: Auditory-exercise training through high-low frequency conversion can improve the sleep quality of patients with cerebral hemorrhage and sleep disorders, optimize sleep structure, and maintain normal sleep-wake behavior.

Key words: auditory-exercise training; cerebral hemorrhage; sleep