脑卒中与睡眠障碍相关性分析

Correlation analysis of stroke and sleep disorders

目的分析脑卒中部位及神经功能缺损程度与睡眠障碍的相关性。方法 120例脑卒中患者纳入观察,采用匹兹堡睡眠质量指数量表(PSQI)评定患者的睡眠质量。根据脑卒中部位及神经缺损程度不同,比较睡眠质量的差异。结果 (1)120例脑卒中患者并发睡眠障碍者有108例(90%),其中PSQI积分属轻度者62例,中度35例,重度11例,平均PSQI积分为(10.73±1.36)分;(2)睡眠障碍程度和神经功能缺损程度有关,神经功能缺损程度越重,PSQI积分越高,差异有统计学意义(P<0.01或P<0.05);(3)睡眠障碍程度与卒中部位有关,脑卒中部位为基底节者PSQI积分高于皮质者(P<0.05)。结论睡眠障碍是脑卒中患者常见并发症,其严重程度与脑卒中部位及神经功能缺损程度有关。

Objective To analyze the correlation of stroke position, degree of neurological deficit and sleep disorders. Methods 120 patients with stroke were recruited, the patients’ quality of sleep was assessed ,using the Pittsburgh Sleep Quality Index （PSQI） ,were compared differences in the quality of sleep according to parts of stroke and varying degrees of neurological deficits. Results （1）Of 120 stroke patients 108 （90%） had sleep disorders,of whom 62 had mild PSQI points, 35 moderate, and 11 severe; mean PSQI score was 10.73±1.36. （2） The degree of sleep disorders was related to neurological deficits,more severe neurological deficits had higher PSQI points, the difference was statistically significant（P〈0.01 or P〈0.05）. （3）The degree of sleep disorders was related to parts of stroke, the basal ganglia were higher related than the cortex（P〈0.05）. Conclusions Sleep disorders are a common complication of stroke patients; sleep disorders are related to stroke position and the degree of neurological deficit.