脑卒中后睡眠障碍的临床分析

Clinical analysis on poststroke sleep disorder

目的探讨脑卒中急性期睡眠障碍的发生率以及脑卒中部位、性质、神经功能缺损程度、年龄等相关因素的关系和治疗效果。方法回顾性分析320例脑卒中急性期住院病人,对其伴发睡眠障碍的发生率、相关因素及治疗效果。结果脑卒中急性期睡眠障碍的发生率为18.75%,脑卒中后睡眠障碍的发生与脑卒中部位相关,大脑皮质下卒中睡眠障碍发生率(26.10%)较皮质卒中睡眠障碍发生率(10.40%)、小脑卒中睡眠障碍发生率(5.00%)高,差异有显著性(P<0.05);左半球卒中睡眠障碍发生率(28.00%)较右半球卒中睡眠障碍发生率(12.30%)高,差异有显著性(P<0.05)。脑出血患者睡眠障碍发生率(25.00%)较脑梗死患者睡眠障碍发生率(15.00%)高,差异有显著性(P<0.05)。神经功能缺损程度越重,睡眠障碍发生率越高。年龄越大,睡眠障碍发生率越高。早期诊断及时治疗,效果较好。结论脑卒中急性期睡眠障碍的发生率较高,与脑卒中部位、性质、神经功能缺损程度、年龄等因素有关,早期积极治疗,预后较好。

[Objective] To investigate the incidence of stroke sleep disorder in the acute stage ,and its relevant with factors as the location of the stroke,nature,degree of neural function damage, age, etc, and the result of treatment. [Methods] To review and analyse of the incidence, relevant factors and therapeutic result of sleep disorder of 320 stroke patients in the acute stage in hospital. [Results] The incidence rate of stroke sleep disorder in the acute stage is 18.75%. The incidence of poststroke sleep disorder has something to do with the location of the stroke, The incidence of sleep disorder under the cerebral cortex of the brain was 26.10%, higher than incidence of sleep disorder in cortex （10.40%）, and the incidence of sleep disorder at cerebellum （5.00%）, the differences are remarkable （P 〈0.05）; The incidence of sleep disorder at the left hemisphere was 28.00%, higher than that of right hemisphere （12.30%）, the differences are remarkable （P 〈0.05）. The incidence of sleep disorder in cerebral hemorrhage patients was 25.00%, higher than that of cerebral infarction patients （15.00%）, The differences were remarkable （P 〈0.05）. The more serious of neural function damage was, the higher the incidence of sleep disorder was. The more elder the age was, the higher the incidence of sleep disorder was. Early diagnosis and timely treatment would achieve better result. [Conclusions] The incidence of stroke sleep disorder in the acute stage is relatively high, It has something to do with such factors as the location of the stroke, nature, degree of neural funtion damage, age, etc. Active treatments in the early stage will achieve better prognosis.