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作 者:吴瑜[1] 梁慧[1] 欧阳锋[1] Wu Yu;Liang Hui;Ou Yangfeng(Department of Neurology,the Hainan General Hospital,Haikou 570311,China)
机构地区:[1]海南省人民医院神经内科
出 处:《脑与神经疾病杂志》2019年第8期463-467,共5页Journal of Brain and Nervous Diseases
基 金:海南省自然科学基金项目(570311)
摘 要:目的探讨脑梗死(CI)后伴发睡眠障碍的相关影响因素,为CI后伴发睡眠障碍的防治提供临床依据。方法选择2014年6月至2017年12月因CI在海南省人民医院神经内科住院治疗的患者291例作为研究对象。采用匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)对291例患者的睡眠质量进行评价,PSQI评分≥7分视为罹患睡眠障碍,纳入研究组;PSQI评分<7分视为睡眠正常,纳入对照组。将两组患者的相关暴露因素作为研究变量进行单因素分析与Logistic回归分析。结果PSQI评分结果表明,291例CI患者中有143例罹患睡眠障碍,发病率为49.14%。Logistic回归分析显示,从事脑力劳动、经济收入2000元/月以下、CI分期为痉挛期及部位位于丘脑或脑干是CI后伴发睡眠障碍的独立危险因素。结论CI后伴发睡眠障碍的发病率较高,影响其发病的因素较多,应针对性的加强防治。Objective To explore the related factors associated with sleep disorder after cerebral infarction(CI),and to provide clinical evidence for the prevention and treatment of sleep disorder after CI.Method 291 cases hospitalized patients with CI in our hospital were chosen as study objects from June 2014 to December 2017.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of 291 patients.The patients with PSQI score≥7 were regarded as having sleep disorders and included in the study group.The patients with PSQI score<7 were regarded as normal sleep and included in the control group.The relevant exposure factors of the two groups were taken as variables for univariate analysis and Logistic regression analysis.Results PSQI scores showed that 143 of 291 patients with CI suffered from sleep disorder,the incidence was 49.14%.Logistic regression analysis showed that mental work,economic income less than 2000 yuan/month,stage of CI as spasm and CI site in the thalamus or brainstem were independent risk factors for sleep disorder after CI.Conclusions The incidence of sleep disorder after CI is high,and there are many factors affecting the occurrence of sleep disorders,so prevention and treatment should be strengthened.
分 类 号:R743.32[医药卫生—神经病学与精神病学]
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