脑卒中相关性睡眠障碍的病理分析与治疗策略分析  

Pathological Analysis and Treatment Strategy Analysis of Stroke-related Sleep Disorders

作　　者：陈亚珑 CHEN Yalong(Quanzhou Affiliated People′s Hospital of Quanzhou Medical College,Fujian Province,Quanzhou 362011,China)

机构地区：[1]福建泉州医学高等专科学校附属人民医院,泉州362011

出　　处：《世界睡眠医学杂志》2024年第1期27-29,共3页World Journal of Sleep Medicine

摘　　要：目的:分析脑卒中相关性睡眠障碍的病理分析与治疗策略。方法:选取2022年3月至2023年2月福建泉州医学高等专科学校附属人民医院收治的脑卒中患者100例作为研究对象。采用自制记录表,记录统计治疗前后脑卒中相关性患者睡眠障碍的表现,统计脑卒中相关性患者睡眠障碍发生的病因占比,以及统计睡眠障碍疾病的发生率和卒中部位的相关性,治疗前后将脑卒中相关性患者睡眠障碍后的情绪评分,从而相应分析脑卒中相关性睡眠障碍的病理与治疗策略。结果:根据分析,在脑卒中相关性患者睡眠障碍的表现中入睡困难的表现占比最高,其次是早睡,治疗后均有所下降,差异有统计学意义(P<0.05),脑卒中相关性患者睡眠障碍发生的病因统计占比后,脑卒中后患者在睡眠时脑供血不足、血容量减少,使REM睡眠受到影响的占比是最高的,而睡眠障碍疾病的发生率和卒中部位的相关性中,皮质下脑卒中的发生率明显高于小脑以及大脑卒中发生的概率,差异有统计学意义(P<0.05)。而脑卒中相关性患者睡眠障碍后的情绪评分治疗前基本比较高,治疗后均有所降低,差异有统计学意义(P<0.05)。结论:脑卒中相关性睡眠障碍中入睡困难是患者睡眠障碍的主要表现之一。脑卒中相关性患者睡眠障碍发生的病因占比中供血不足、血容量减少,使REM睡眠受到影响的占比是最高的,发生睡眠障碍后患者的情绪评分较高,说明患者情绪不良,治疗后情绪得到改善,而睡眠障碍疾病的发生率和卒中部位的相关性中皮质下脑卒中的发生率是较高的。Objective:To analyze the pathological analysis and treatment strategy of stroke-related sleep disorders.Methods:From March 2022 to February 2023,100 stroke patients were selected with self-made records to record the performance of sleep disorders in patients before and after statistical treatment;the proportion of causes,the incidence of sleep disorders and stroke site,and the mood of patients before and after treatment,so as to analyze the pathological analysis and treatment strategy of stroke related sleep disorders.Results:In the performance of sleep disturbance,followed by early sleep;after treatment,both are decreased and the difference was statistically significant(P<0.05).In the proportion of sleep disturbance in stroke patients,the proportion of cerebral blood supply and blood volume caused the highest proportion of REM sleep,while the incidence of subcortical stroke was significantly higher than the probability of cerebellum and cerebrum stroke,and the data difference was statistically significant(P<0.05).However,the mood score of patients with stroke association was relatively high before treatment,but decreased after treatment,and the data differences were statistically significant(P<0.05).Conclusion:Stroke-related sleep disturbance is one of the main manifestations of sleep disturbance.Stroke related patients with sleep disorders cause of insufficient blood supply,blood volume,make REM sleep affected proportion is the highest,sleep disorders in patients with mood score is higher,that patients with bad mood,mood improved after treatment,and the incidence of sleep disorders and stroke correlation in the incidence of subcortical stroke is relatively high.

关 键 词：脑卒中 睡眠障碍 病理分析 治疗策略 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R256.23[医药卫生—临床医学]