脑卒中后睡眠障碍的临床相关因素研究

Clinical research on related factors of poststroke sleep disturbances

目的研究脑卒中后睡眠障碍的相关因素,为临床诊断和防治提供依据。方法采用美国国立卫生院神经功能缺损评分(NIHSS)和阿森斯失眠量表(AIS)对61例住院脑卒中患者进行测评。结果睡眠障碍组与非睡眠障碍组性别、平均年龄、卒中部位比较无差别;但各年龄段中,<50岁发生4例,50～60岁发生6例,61～70岁发生8例,>70岁发生8例(P<0.05)。睡眠障碍组在既往病史、卒中性质、神经功能缺损程度与非睡眠障碍组比较差异有统计学意义。结论脑卒中后患者睡眠障碍较为常见,其与性别、卒中部位无相关性,但与年龄、既往病史(高血压、糖尿病、冠心病)、卒中性质及神经功能缺损程度有关。脑卒中后睡眠障碍的发生与诸多因素有关,及时发现其相关因素并积极预防、治疗,有利于加快脑卒中后患者机体康复及改善患者睡眠质量。

Objective The related factors of poststroke sleep disturbances were studied in order to provided the rationale for the diagnosis,prophylaxis and treatment.Methods National Institutes of Health Stroke Scale and Athens insomnia scale were used to evaluate the 61 stroke patients who were hospitalized.Results Comparing the gender,apoplectic part and mean age in sleep disorder group with the control group,it showed no statistical differences.But in the different age group,there were statistical differences.About the anamnesis,apoplectic type and the damage degree of nervous functions,the two groups had statistical differences.Conclusion Sleep disorder after stroke is rather common,it is not related to the gender and apoplectic part,but it is connected with the age,anamnesis,apoplectic type and the damage degree of nervous functions.Sleep disorder after stroke is connected with many factors,and the mechanism is complexity.Discovered the risk factors timely,positive prevent and treat are maked for speed up the patients＇ recovery and improve their sleep quality.