急性脑卒中后睡眠障碍及相关因素研究

Study on the Correlative Factors of Sleep Disorder after Acute Stroke

【目的】探讨急性脑卒中患者的睡眠障碍情况及其影响因素。【方法】采用匹兹堡睡眠质量指数问卷（PSQI）、神经功能缺损程度评分（NDS）、汉密尔顿抑郁量表（HAMD）对298例急性脑卒中住院患者进行调查【结果】脑卒中急性期睡眠障碍发生率为45．97％；对患者不同性别、年龄、卒中部位、NDS和HAMD评分等方面进行比较，睡眠障碍发生率的差异均具有统计学意义（P〈0．01或P〈0．05）。【结论】急性脑卒中后患者睡眠障碍的发生率较高，与患者年龄、性别、卒中部位、神经功能缺损程度及抑郁状态等因素相关。临床工作中应积极改善睡眠以提高患者生活质量。

[Objective]To investigate the sleep disorder and influence factors in patients with acute stroke. [Methods] A total of 298 patients in hospital were surveyed by Pittsburgh Sleep Quality Index（PSQI）, Neurological Functional Deficit Scores（NDS） and Hamilton Depression Rating Scale（HAMD）. [Results]The inci dence of sleep disorder in acute stroke is 45. 97%. The incidence in different sex, age and the site of stroke, NDS and HAMD score, and other aspects of patients were compared, and the differences were statistically significant （ P 〈0.01 or P 〈0.05）. [Conclusion]The incidence of sleep disorder in acute stroke is relatively high. It is related to such factors as age, sex, site of stroke, NDS and depression. In clinical work, the sleep quality should be improved in order to enhance the quality of life.