脑梗塞后康复期患者过度嗜睡现状及影响因素分析  

Current situation and influencing factors of hypersomnia in convalescent patients in the rehabilitation period after cerebral infarction

作　　者：李朝娥 雷闪闪 刘学娜 熊金金 Li Chao-e;Lei Shanshan;Liu Xuena;Xiong Jinjin(The Third People's Hospital of Nanyang City,Nanyang,Henan 473000,China)

机构地区：[1]南阳市第三人民医院,河南南阳473000

出　　处：《中华神经外科疾病研究杂志》2024年第6期61-65,共5页Chinese Journal of Neurosurgical Disease Research

基　　金：河南省医学科技攻关计划项目(LHGJ20221003)。

摘　　要：目的探讨脑梗塞后康复期患者过度嗜睡现状及影响因素。方法选取2022年5月至2024年4月南阳市第三人民医院收治的98例脑梗塞后康复期患者作为研究对象。收集患者一般资料,采用Epworth嗜睡量表、抑郁自评量表、焦虑自评量表、美国国立卫生研究院卒中量表、匹兹堡睡眠质量指数量表分别对脑梗塞后康复期患者的嗜睡情况、抑郁、焦虑、神经功能缺损及睡眠质量进行评价。采用Pearson相关分析探讨脑梗塞后康复期患者过度嗜睡与负性情绪、神经功能缺损、睡眠质量的关系,采用t检验及单因素方差分析比较不同特征脑梗塞后康复期患者过度嗜睡差异,采用多元线性回归分析脑梗塞后康复期患者过度嗜睡的影响因素。结果98例脑梗塞后康复期患者过度嗜睡的发生率为42.86%(42/98)。Epworth嗜睡量表(ESS)评分(8.47±1.55)分、抑郁自评量表(SDS)评分(58.39±6.37)分、焦虑自评量表(SAS)评分(53.44±6.12)分、美国国立卫生研究院卒中量表(NIHSS)评分(13.61±2.05)分、匹兹堡睡眠质量指数量表(PSQI)评分(5.06±1.12)分。Pearson相关分析结果显示,脑梗塞后康复期患者ESS评分与SDS、SAS、NIHSS、PSQI评分均呈正相关(P<0.05)。女性、年龄≥60岁、家庭人均月收入≥4000元、脑梗塞部位(丘脑)、合并症数量≥2种的脑梗塞后康复期患者ESS评分高于男性、年龄<60岁、家庭人均月收入<4000元、脑梗塞部位(大脑皮层/脑干/其他)、合并症数量<2种的患者(P<0.05)。多元线性回归分析结果显示,年龄≥60岁、脑梗塞部位(丘脑)、合并症数量≥2种、SDS评分高、SAS评分高、NIHSS评分高、PSQI评分高是脑梗塞后康复期患者过度嗜睡的独立危险因素(P<0.05)。结论脑梗塞后康复期患者过度嗜睡发生率较高,并且与年龄、脑梗塞部位、合并症数量、负性情绪、神经功能缺损程度、睡眠质量有关。医护人员应该提高对脑梗塞后�Objective To investigate the current situation and influencing factors of hypersomnia in convalescent patients during the recovery period after cerebral infarction.Methods A total of 98 patients in the rehabilitation period after cerebral infarction admitted to the Third People's Hospital of Nanyang from May 2022 to April 2024 were selected as the study objects.Data of these patients were collected,and Epworth Sleepiness Scale(ESS),Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),National Institutes of Health Stroke Scale(NIHSS)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate sleepiness,depression,anxiety,neurological impairment and sleep quality of patients in the rehabilitation period after cerebral infarction.Pearson correlation analysis was used to investigate the correlation between excessive sleepiness and negative mood,neurological impairment and sleep quality in patients recovering from cerebral infarction.t test and one-way analysis of variance were used to compare the differences of hypersomnolence in patients with different characteristics after cerebral infarction.Multiple linear regression was used to analyze the influencing factors of excessive sleepiness in patients convalescing after cerebral infarction.Results The incidence of excessive sleepiness was 42.86%(42/98)in 98 patients after cerebral infarction,with ESS score(8.47±1.55),SDS score(58.39±6.37),SAS score(53.44±6.12),National Institutes of Health Stroke Scale(NIHSS)score(13.61±2.05),Pittsburgh Sleep Quality Index Scale(PSQI)score(5.06±1.12).Pearson correlation analysis showed that ESS scores were positively correlated with SDS,SAS,NIHSS and PSQI scores in patients recovering from cerebral infarction(P<0.05).ESS scores of females,age≥60 years old,family per capita income≥4000 RMB,site of cerebral infarction(thalamus),number of complications≥2 kinds of patients after cerebral infarction were higher than those of males,age<60 years old,family per capita income<4000 RMB,site of cerebral infarction(cerebra

关 键 词：脑梗塞 康复期 过度嗜睡 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]