观察脑血管病合并睡眠障碍患者的认知行为与运动功能

To Compare the Cognitive Behavior and Motor Function of Patients with Cerebrovascular Disease Complicated with Sleep Disorder

目的:观察脑血管病合并睡眠障碍患者的认知行为与运动功能。方法:选取2020年6月至2021年6月内蒙古乌兰察布市中心医院收治的脑血管病患者100例作为研究对象,按照是否伴有睡眠障碍分为观察组和对照组,其中对照组46例,未合并睡眠障碍,观察组54例,合并睡眠障碍,采用爱泼沃斯嗜睡量表(Epworth Sleepiness Scale,ESS)、匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者的睡眠质量;采用肢体运动功能Fugel-Meyer(FMA)评定量表、简易智能精神状态量表(Mini-Mental State Examination,MMSE)、Loewenstein认知功能评定表(LOTCA)评估2组患者的运动功能与认知行为;采用心理健康评估量表比较2组患者的心理情况,主要从患者的躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖、敌对、偏执和精神病性等方面进行分析比较;采用生命质量综合评定问卷(Generic Quality of Life Inventory-74,GQOL-74)评估2组患者的生命质量。结果:与对照组比较,观察组脑血管病患者的ESS、PSQI评分显著高于对照组,2组比较差异有统计学意义(P<0.05);观察组脑血管病患者的FMA、MMSE与LOTCA评分显著低于对照组,2组比较差异有统计学意义(P<0.05);观察组脑血管病患者的GQOL-74生命质量评分显著低于对照组,2组比较差异有统计学意义(P<0.05);观察组脑血管病患者的心理健康评分显示患者的躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖、敌对、偏执、精神病性指标分值更高,2组比较差异有统计学意义(P<0.05)。结论:脑血管病合并睡眠障碍患者的睡眠质量较低,对运动功能与认知行为、生命质量以及心理健康造成不利影响,需采取相应的干预对策。

Objective:To compare the cognitive behavior and motor function of patients with cerebrovascular disease complicated with sleep disorder.Methods:A total of 100 patients with cerebrovascular disease admitted to Inner Mongolia Wulanqab Downtown Hospital from June 2020 to June 2021 were selected as the research objects,According to whether they were accompanied by sleep disorder,they were divided into observation group and control group,among which 46 patients in the control group were not accompanied by sleep disorder,and 54 patients in the observation group were accompanied by sleep disorder.Epworth Sleepiness Scale(ESS)and Pittsburgh Sleep Quality Index(PSQI)were used to compare the Sleep Quality between 2 groups;Fugel-meyer scale(FMA),Mini-Mental State Examination(MMSE)and Loewenstein Scale of Cognitive Function(LOTCA)were used to assess the motor function and cognitive behavior between 2 groups.The mental health assessment scale was used to compare the psychological situation between the two groups,mainly from the aspects of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,terror,hostility,paranoia and psychosis were analyzed and compared.The Generic Quality of Life Inventory-74(GQOL-74)was used to evaluate the Quality of Life between groups.Results:Compared with the control group,the ESS and PSQI scores of patients with cerebrovascular disease in the observation group were significantly higher than those in the control group,and the differences between the two groups were statistically significant(Ps<0.05).FMA,MMSE and LOTCA scores in the observation group were significantly lower than those in the control group,and the differences were statistically significant(Ps<0.05).The quality of life score of CVD patients in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(Ps<0.05).The mental health score of patients with cerebrovascular disease in the observation group showed higher scores of somatization,obsessive symptoms,interpersonal sensitivity,depression,anxiety,terror,hostility,paranoia,psychosisand,and the difference between the two groups was statistically significant(Ps<0.05).Conclusion:The sleep quality of patients with cerebrovascular disease complicated with sleep disorder more worse,which has adverse effects on motor function,cognitive behavior,quality of life and mental health.Corresponding intervention measures should be taken.