摘要
目的:分析脑卒中相关性睡眠障碍的病理与治疗策略。方法:选取2019年1月至2020年1月黑龙江省第三医院病理科收治的脑卒中合并睡眠障碍患者68例作为研究对象,采用自制量表调查患者产生睡眠障碍的病理原因,记录患者不良反应发生率以及脑卒中发生在不同部位的患者睡眠障碍发生率的差异。结果:患者所表现出的睡眠障碍具体类型:入睡困难22例、早醒16例、睡眠维持性障碍14例、睡眠结构紊乱10例、日间睡眠过度6例,且男性睡眠障碍疾病发生率显著高于女性,脑卒中病灶位于左半球者的睡眠障碍发生率显著高于病灶位于右半球者,皮质下脑卒中患者的睡眠障碍发生率显著高于小脑以及大脑皮质者,差异均有统计学意义(均P<0.05)。结论:脑卒中相关性睡眠障碍疾病的发生和患者年龄、性别及卒中部位、半球分布存在相关性,对于该疾病,应当利用有效手段加以治疗,保证脑卒中患者的睡眠质量。
Objective:To analyze the pathologic and therapeutic strategies of stroke related sleep disorder.Methods:A total of 68 patients with cerebral apoplexy complicated with sleep disorders admitted to the Department of Pathology of the Third Hospital of Heilongjiang Province from January 2019 to January 2020 were selected as subjects.The pathological causes of sleep disorders in the patients were investigated using self-made volume,and the incidence of adverse reactions and the difference in the incidence of sleep disorders in different parts of the patients with cerebral apoplexy were recorded.Results:Specific types of sleep disorders in patients with 22 cases for trouble falling asleep and waking early 16 cases,maintenance of sleep disorders 14 cases,10 cases of sleep disorder structure,excessive daytime sleep 6 cases,and the male incidence of sleep disorder is significantly higher than female,stroke lesions located in the left hemisphere is a significantly higher incidence of sleep disorder of lesions located in the right hemisphere,The incidence of sleep disturbance in patients with subcortical stroke was significantly higher than that in patients with cerebellum and cerebral cortex,with statistical significance(P<0.05).Conclusion:The incidence of stroke related sleep disorders is correlated with the age,gender,stroke location and hemispheric distribution of patients,and effective means should be used to treat this disease to ensure the sleep quality of stroke patients.
作者
陈晨
CHEN Chen(The Third Hospital of Heilongjiang Province,Bei′an,164000)
出处
《世界睡眠医学杂志》
2021年第11期1884-1885,1888,共3页
World Journal of Sleep Medicine
关键词
脑卒中
相关性睡眠障碍
病因病理
Stroke
Related sleep disorders
The etiology pathology
