缺血性脑卒中患者失眠障碍对其生存质量影响的临床研究

Effect of insomnia on quality of life in patients with ischemic stroke

目的研究首次缺血性脑卒中患者发病后睡眠情况对其生存质量的影响。方法选择2019年1月-2019年5月陆军特色医学中心神经内科收治的首次缺血性脑卒中患者69例,入院后完善基线资料评估,在发病后1 m进行电话随访,完善睡眠及生存质量等相关评估。睡眠评估采取匹兹堡量表,生存质量评估采取SF-36量表。结果匹兹堡量表中A成分与SF-36量表中BP、VT、SF、MH均有统计学差异(P<0.05);C成分及D成分与VT具有统计学差异;E成分与VT、SF具有统计学差异(P<0.05);F成分与RP、VT、SF、RE、MH具有统计学差异(P<0.05);B、C、G成分与SF-36评分无明显统计学意义,PSQI总得分主要与VT和MH具有统计学意义(P<0.05)。结论首次缺血性脑卒中患者发病后失眠障碍对其生存质量具有显著影响,关注卒中患者的睡眠,有利于提高其生存质量。

Objective To investigate the effect of sleep on quality of life in patients with first ischemic stroke.Method A total of 69 patients with the first ischemic stroke admitted to the department of neurology at the army medical center for specialty medicine from January to May 2019 were selected.Baseline data were evaluated after admission.Followed up by telephone one month after onset,and assessments of sleep and quality of life were improved.The Pittsburgh scale was used for sleep assessment,and the SF-36 scale was used for quality-of-life assessment.Results There were statistically significant differences between component A in Pittsburgh scale and BP,VT,SF and MH in SF-36 scale,between component C,D and VT(P<0.05).There were statistically significant differences between component E and VT and SF,between component F and RP,VT,SF,RE,MH(P<0.05).There were no statistically significant differences between component B,C,G and SF-36 score.While the total score of PSQI was statistically significant with VT and MH(P<0.05).Conclusion The insomnia disorder after the onset of the first ischemic stroke has a significant impact on the quality of life of patients.