脑梗死睡眠障碍的相关因素分析  

Study on the related factors of sleep disorder in cerebral infarction

作　　者：孙妍[1] 王艳梅[1] 王玉松[1] 高丽华[1] 任晓荣[1] 张飞飞[2] SUN Yan;WANG Yanmei;WANG Yusong;GAO Lihua;REN Xiaorong;ZHANG Feifei(The 982th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Tangshan 063000;The first clinic of the 980th Hospital of the Joint Logistics Support Force,Shijiazhuang 050081,China)

机构地区：[1]中国人民解放军联勤保障部队第982医院,063000 [2]中国人民解放军联勤保障部队第980医院第一派驻门诊部,050000

出　　处：《中国老年保健医学》2023年第6期22-24,29,共4页Chinese Journal of Geriatric Care

摘　　要：目的分析急性脑梗死患者睡眠障碍的特点,探讨相关影响因素。方法选择我院收治的急性脑梗死患者108例作为研究对象,根据匹兹堡睡眠量表(PSQI)分为睡眠障碍组和非睡眠障碍组,比较两组性别、年龄、梗死部位、体质量指数(BIM)、NIHSS评分、Barthel指数、汉密尔顿焦虑和抑郁量表评分、冠心病病史、高血压病史,分析脑梗死患者出现睡眠障碍的相关影响因素。结果108例患者中,52例出现睡眠障碍,56例未发生睡眠障碍,发病率为48.15%。Logistic回归分析显示,高龄、脑叶梗死、高BMI、高抑郁和焦虑情绪评分、神经功能受损严重、日常生活能力差、合并冠心病为脑梗死患者发生睡眠障碍的危险因素。结论脑梗死后睡眠障碍发生率较高,其影响因素较多,脑叶梗死尤为明显。临床上应加强脑梗死患者睡眠障碍的评估和管理,并积极进行药物、神经调控和心理干预治疗,有望改善脑梗死患者的预后,提高生活质量,回归社会和家庭。Objective To analyze the characteristics of sleep disturbance in patients with acute cerebral infarction,explore the relevant influencing factors.Methods A total of 108 patients with acute cerebral infarction were selected and divided into sleep disorder group and non-sleep disorder group according to Pittsburgh Sleep Scale(PSQI),sex,age,infarct site,BIM index,NIHSS score,Barthel index,Hamilton anxiety and depression scale,history of coronary heart disease and hypertension were compared between the two groups,to analyze the related factors of sleep disturbance in patients with cerebral infarction.Results Among 108 patients,52 patients had sleep disorder,56 patients had no sleep disorder,the incidence was 48.15%.Logistic regression analysis showed that,Old age,Lobar infarction,high BMI,high scores of depression and anxiety,severe neurological impairment,poor ability of daily living and coronary heart disease were the risk factors of sleep disturbance in patients with cerebral infarction.Conclusion The incidence of sleep disturbance after cerebral infarction is high,and there are many influencing factors,especially in lobar infarction.The evaluation and management of sleep disturbance in patients with cerebral infarction should be strengthened,and drug,nerve regulation and psychological intervention should be actively carried out to improve the prognosis and quality of life of patients with cerebral infarction,return to society and family.

关 键 词：脑梗死 睡眠障碍 危险因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]