【摘要】 ①目的分析睡眠障碍与急性初发、轻度脑卒中患者的临床特点及影响因素。②方法纳入脑卒中患者452例,采用匹兹堡睡眠质量指数(PSQI)、神经功能缺损程度评分(NDS)、改良Barthel指数(MBI)、汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)进行测评,并以PSQI量表总分>7分作为判断睡眠障碍的标准。分析既往脑卒中患者发生睡眠障碍的类型及其特点;分析不同类型的睡眠障碍发生脑卒中的类型及发生率的差异,筛查影响因素;分析睡眠障碍患者与非障碍患者各量表评分的差异。③结果在452例患者中,198例(43.81%)发生睡眠障碍:睡眠过多者以出血性卒中为主,失眠居多者以缺血性卒中为主。轻度脑卒中患者睡眠障碍的发生率与性别、年龄、卒中类型、临床神经功能缺损程度、日常生活能力、精神状态(有无焦虑或抑郁)关系密切。与非睡眠障碍患者比较,睡眠障碍患者的神经功能缺损程度以及焦虑、抑郁程度较高(P<0.05),日常生活能力较低(P<0.05)。④结论睡眠障碍导致初发、轻度脑卒中发生率较高。影响因素包括性别、年龄、临床神经功能缺损程度、日常生活能力、精神状态。更多还原

【Abstract】 Objective Analysed sleep disorder and acute starts、mild apoplexy patient’s clinical characteristic and the influencing factor.Methods Integrated apoplexy patient 452 examples,used Pittsburgh sleep performance figure(PSQI),the nerve function damage degree to grade(NDS),to improve Barthel index(MBI),Hamilton despondent meter(HAMD) and Hamilton anxiety scale(HAMA) carried on the evaluation,and divided the achievement judgment sleep disorder by PSQI meter total score >7.The analysis apoplexy patient had the sleep disorder type and the characteristic formerly;Analyzed the different type the sleep disorder to have the apoplexy type and the formation rate difference,the screening influencing factor;Analyzed sleep disorder patient and non-barrier patient various meters grading difference.Results In 452 example patients,198 examples(43.81%) had the sleep disorder: Sleep excessively many by hemorrhagic apoplexy primarily,losing sleep majority by anemic apoplexy primarily.The mild apoplexy patient sleep disorder’s formation rate and the sex,、age、apoplexy type、clinical nerve function damage degree,daily life ability,(whether there is do the state of mind anxious or despondent) relate closely.Compared with the non-sleep disorder patient,the sleep disorder patient’s nerve function damage degree as well as anxious,the despondent degree is high(P<0.05);Daily life ability was low(P<0.05).Conclusion The sleep disorder caused the mild apoplexy formation rate to be high,the influencing factor including the sex、age、clinical nerve function damage degree,daily life ability,the state of mind.更多还原