急性脑梗死患者梗死部位及神经功能缺损程度对睡眠质量的影响研究

To analyze the influence of infarct location and degree of neurological deficit on sleep quality in patients with acute cerebral infarction

目的:分析急性脑梗死患者梗死部位及神经功能缺损程度对睡眠质量的影响。方法:2018年2月-2019年2月收治急性脑梗死患者60例,使用多导睡眠检测仪对总睡眠时间(TST)、睡眠效率(SE)、快速动眼期(REM)、睡眠潜伏期(SL))进行评估,比较不同梗死部位及神经功能缺损程度患者的睡眠质量。结果:大脑皮质梗死患者TST、SE、REM均小于小脑、皮质下、脑干梗死部位患者,SL大于小脑、皮质下、脑干梗死部位,差异有统计学意义(P<0.05)。不同神经缺损重度患者TST、SE、REM均小于轻度和中度患者,SL大于轻度和中度患者,差异有统计学意义(P<0.05)。结论:急性脑梗死患者梗死部位及神经功能缺损程度对睡眠质量具有显著影响,大脑皮质梗死对于睡眠质量负面影响最大,神经缺陷程度越大睡眠质量越差。

Objective:To explore the influence of infarct location and degree of neurological deficit on sleep quality in patients with acute cerebral infarction.Methods:From February 2018 to February 2019,60 patients with acute cerebral infarction were selected,the total sleep time(TST),sleep efficiency(SE),rapid eye movement(REM)and sleep latency(SL)were evaluated by polysomnography.We compared the sleep quality of patients with different infarct sites and degree of neurological deficit.Results:In the patients with cerebral cortex infarction,TST,SE and REM were smaller than those in the other three infarct sites patients(cerebellum,subcortical,brainstem),SL was higher than other three groups,the difference was statistically significant(P<0.05).In patients with severe neurological deficit,TST,SE and REM were less than mild and moderate patients SL was more than mild and moderate patients,the difference was statistically significant(P<0.05).Conclusion:In patients with acute cerebral infarction,the location of infarction and the degree of neurological deficit have significant effects on sleep quality,cerebral cortex infarction has the most negative effect on sleep quality,the greater the degree of neurological deficit,the worse the quality of sleep.