脑梗死恢复期患者的多道睡眠图评价  

Polysomnographic evaluation of the patients at recovery stage of cerebral infarction

作　　者：李冲[1] 宋景贵[1] 杜好瑞[1] 谭春英[1] 张帆[1] 张宁[1] 

机构地区：[1]河南省精神病医院睡眠研究室,新乡453002

出　　处：《中华物理医学与康复杂志》2001年第2期90-92,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　探讨脑梗死恢复期患者睡眠参数改变的生物学特点。方法　应用多道睡眠图对 3 5例脑梗死恢复期患者进行睡眠描记 ,分析相关睡眠参数 ,并与 2 0例正常人比较。结果　脑梗死恢复期患者睡眠潜伏期延长 ( 3 8.44min)、总睡眠时间减少 ( 2 5 9.71min)、中途醒转次数增多 ( 7.5 5次 )、睡眠效率低( 5 8.0 6% )、快眼动 (REM )睡眠潜伏期缩短 ( 62 .3 6min)、REM睡眠时间 ( 3 2 .42min)和REM活动度 ( 67.91单位 )减少 (P <0 .0 5～ 0 .0 1)。结论　脑梗死恢复期患者不但有睡眠量的减少 ,而且伴有睡眠质的改变 ,其中REM睡眠潜伏期、REM睡眠时间和REM活动度是评价脑功能恢复的客观指标。Objectives To study the biological characteristics of sleep parameter changes for the patients at recovery stage of cerebral infarction. Methods The sleep was recorded of 35 patients at recovery stage of cerebral infarction by polysomnography,and relevant sleep parameters were analysed, and then compared with 20 normal controls. Results The prolonged sleep latency( 38.44 min),decreased total sleep time( 259.71 min),increased frequency of awakenings or arousals during sleep( 7.55 times),lowered sleep efficiency ( 58.06 %), shortened rapid eye movement(REM) sleep latency( 62.36 min),decreased REM sleep time( 32.42 min) and REM activity( 67.91 unit)were shown in the patients at recovery stage of cerebral infarction (P< 0.05 - 0.01 ). Conlusions It is suggested that not only sleep decreased in quantity,but also accompanied with changes in quality for the patients at recovery stage of cerebral infarction.REM sleep latency, REM sleep time and REM activity are objective indexes to estimate the recovery for cerebral infarction.

关 键 词：脑梗塞 睡眠 多道睡眠描记术 快速眼运动 恢复期 

分 类 号：R743.33[医药卫生—神经病学与精神病学]