脑卒中高危群体失眠和阻塞性睡眠呼吸暂停筛查研究

Study on the Screening of Insomnia and Obstructive Sleep Apnea in High-risk Groups with Stroke

目的:探究脑卒中高危群体失眠和阻塞性睡眠呼吸暂停(Obstructive Sleep Apnea,OSA)的特点及相关因素分析。方法:选取2016年1月至2017年12月河北医科大学第二医院收治患者进行筛查,筛选出信息完整的脑卒中高危群体563例为研究对象,依据研究对象所患症状,分别将其分为高风险OSA组和低风险OSA组,失眠组和无失眠组,分别比较2组观察对象的一般资料及相关指标。结果:失眠组高血压、心脏病、吸烟饮酒、焦虑、抑郁显著高于无失眠组;OSA高风险组高血压、糖尿病、饮酒、AHI均高于OSA低风险组;logistic回归分析显示,高血压、饮酒是失眠和OSA高风险率的相关危险因素,差异有统计学意义(P<0.05)。结论:了解脑卒中高危群体失眠和OSA高风险的相关特点,对于脑卒中高危群体的预防工作具有积极意义。

Objective： To investigate the characteristics and related factors of OSA in insomnia and apnea in highrisk groups with stroke. Methods： The patients who were admitted to Second hospital of Hebei Medical University from January 2016 to December 2017 were screened and 563 high-risk groups with complete information were selected as the study subjects. According to the symptoms of the study subjects,they were divided into high-risk OSA groups and Low-risk OSA group,insomnia group and no insomnia group were compared the general data and relevant indicators of the observation groups. Results： Insomnia group,hypertension,heart disease,smoking and drinking,anxiety and depression were significantly higher than those without insomnia. Hypertension,diabetes,drinking,and AHI were higher in the OSA high-risk group than in the OSA low-risk group. Logistic regression analysis showed that hypertension and drinking the risk factors for insomnia and high risk of OSA were statistically significant（ P 〈 0. 05）. Conclusion： Understanding the characteristics of insomnia and high risk of OSA in high-risk groups of stroke is of positive significance for the prevention of high-risk groups of stroke.