头颅CT或磁共振成像在脑梗死后睡眠障碍患者中的应用价值及对睡眠质量的影响  

The Observation on Application of CT and MRI in Patients with Sleep Disorder after Cerebral Infarction

作　　者：陈勃[1] 汤晓宇 CHEN Bo;TANG Xiaoyu(Imaging Center,Taicang Hospital Affiliated to Soochow University/the First People′s Hospital of Taicang,Suzhou 215400,China;Imaging Department,Taicang Hospital of Traditional Chinese Medicine,Suzhou 215400,China)

机构地区：[1]苏州大学附属太仓医院/江苏省太仓市第一人民医院影像中心,苏州215400 [2]江苏省太仓市中医医院影像科,苏州215400

出　　处：《世界睡眠医学杂志》2023年第5期981-983,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨头颅CT或磁共振成像在脑梗死后睡眠障碍患者中的应用价值及对睡眠质量的影响。方法:选取2020年2月至2022年2月江苏省太仓市第一人民医院和江苏省太仓市中医医院收治的脑梗死患者100例作为研究对象,依据合并睡眠障碍情况分为合并组[睡眠障碍评定量表(SDRS)评分14~40分]、未合并组(SDRS评分0~14分),每组50例。统计分析2组患者神经功能缺损程度、心理状态、睡眠质量、满意度及梗死发病部位、发病侧别、病灶数量。结果:合并组患者的卒中量表(NIHSS)评分、焦虑评分、抑郁评分、SDRS评分均高于未合并组(P<0.05)。合并组患者的梗死发病部位为基底节区、幕下区域的比例均高于未合并组,脑叶比例低于未合并组(P<0.05);病灶数量为单发的比例低于未合并组,多发比例高于未合并组(P<0.05);2组患者的发病侧别比较差异无统计学意义(P>0.05)。合并组患者的满意度78.00%(39/50)低于未合并组96.00%(48/50)(χ^(2)=7.162,P<0.05)。结论:脑梗死后睡眠障碍患者头颅CT或磁共振成像的应用价值高,能够辅助临床改善患者睡眠质量。Objective:To investigate the application value of CT or MRI in patients with sleep disorder after cerebral infarction.Methods:A total of 100 patients with cerebral infarction from the First People′s Hospital of Jiangsu Taicang and the Hospital of Traditional Chinese Medicine of Jiangsu Taicang from February 2020 to February 2022 was selected and divided into a combined group[Sleep disorder Rating Scale(SDRS)score 14-40]and an uncombined group(SDRS score 0-14)according to their complicated sleep disorders,with 50 patients in each group.The degree of neurological impairment,mental state,sleep quality,satisfaction,infarct location,incidence side and number of lesions were analyzed.Results:The National Institute of Health stroke scale(NIHSS)scores,anxiety scores,depression scores and SDRS scores in the combined group were higher than those in the non-combined group(P<0.05).The proportion of infarct sites in the combined group were basal ganglia and subtentorial region,and the proportion of cerebral lobe was lower than that in the non-combined group(P<0.05).The proportion of single lesion was lower than that of non-combined group,and the proportion of multiple lesions was higher than that of no combined group(P<0.05).There was no significant difference in the incidence between the two groups(P>0.05).The satisfaction rate of patients in the combined group was 78.00%(39/50)lower than that in the non-combined group(96.00%(48/50)(χ^(2)=7.162,P<0.05).Conclusion:Cranial CT or MRI is of high application value in patients with sleep disorders after cerebral infarction,which can assist clinical improvement of patients′sleep quality.

关 键 词：脑梗死 睡眠障碍 CT 头颅磁共振成像 睡眠质量 满意度 

分 类 号：R338.63[医药卫生—人体生理学] R743.3[医药卫生—基础医学] R445.2R445.3