优势半球脑梗死伴血管性认知障碍患者的睡眠因素  

Sleep factors in patients with the advantage of hemisphere cerebral infarction with cognitive impairment

作　　者：杨骐语 王秀杰[1] 梁庆成[2] 吴云[2] YANG Qiyu;WANG Xiujie;LIANG Qingcheng;WU Yun(The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

机构地区：[1]哈尔滨医科大学附属第一医院,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150086

出　　处：《西部医学》2021年第6期910-913,共4页Medical Journal of West China

摘　　要：目的研究优势半球脑梗死伴血管性认知障碍患者的睡眠因素。方法收集2017年9月~2020年1月于哈尔滨医科大学附属第一医院由急诊内科收治住院的脑梗死患者156例,其中优势侧半球脑梗死伴血管性认知障碍的患者78例,优势侧半球脑梗死认知功能正常的患者78例,采用蒙特利尔认知量表(MoCA)、简易智能精神状态量表(MMSE)对全部患者进行认知功能评估;采用Epworth嗜睡量表(ESS)、匹兹堡睡眠质量指数量表(PSQI)对全部患者的睡眠情况进行评估。结果认知障碍组的ESS总分、PSQI总分及PSQI各分项中认知障碍组的睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能的评分均较认知正常组高。经Spearman秩相关分析,156例脑卒中患者的MoCA评分与ESS总分、PSQI总分呈负相关,且与PSQI分项中的睡眠质量、入睡时间、睡眠障碍、日间功能评分呈负相关。MMSE评分与ESS总分、PSQI总分呈负相关,且与PSQI分项中的睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能评分呈负相关。结论脑卒中后认知功能障碍患者较认知功能正常患者存在较为明显睡眠障碍。脑卒中后认知障碍患者睡眠障碍主要体现于入睡时间、睡眠质量、睡眠障碍、日间功能等方面。Objective To investigate the sleep factors of the patients with advantage of hemisphere cerebral infarction.Methods 156 patients with cerebral infarction admitted to the First Affiliated Hospital of Harbin Medical University from September 2017 to January 2020 were collected,including 78 patients with cerebral infarction in the dominant hemisphere accompanied by vascular cognitive impairment and 78 patients with normal cognitive function in the dominant hemisphere.Montreal Cognitive Scale(MoCA)and mini mental state examination(MMSE)were used to evaluate the cognitive function of all patients.Epworth Sleepiness Scale(ESS)and Pittsburgh sleep quality index(PSQI)were used to evaluate the sleep status of all patients.Results The total score of ESS,PSQI and the scores of sleep quality,sleep time,sleep time,sleep disorder and daytime function in cognitive impairment group were higher than those in normal cognitive group.By Spearman rank correlation analysis,the MOCA score of 156 stroke patients was negatively correlated with the total score of ESS and PSQI,and negatively correlated with the sleep quality,sleep time,sleep disorder and daytime function score of PSQI.MMSE score was negatively correlated with ESS total score and PSQI total score,and negatively correlated with sleep quality,sleep time,sleep time,sleep disorder and daytime function score in PSQI sub items.Conclusion Compared with patients with normal cognitive function,patients with cognitive dysfunction after stroke have more obvious sleep disorders.Sleep disorders in patients with cognitive impairment after stroke are mainly reflected in sleep time,sleep quality,sleep disorders and daytime function.

关 键 词：脑卒中 血管性认知障碍 脑卒中后睡眠障碍 功能评估 

分 类 号：R743.9[医药卫生—神经病学与精神病学]