应用多导睡眠图监测结果分析急性缺血性脑卒中患者早期睡眠障碍类型OA
Analysis of early sleep disorder types in patients with acute ischemic stroke using polysomnography monitoring results
目的:应用多导睡眠图监测(polysomnography,PSG)结果客观分析急性缺血性脑卒中(Acute ischemic stroke,AIS)患者早期睡眠障碍特征,了解急性缺血性脑卒中患者早期睡眠障碍的类型,为临床干预提供依据.方法:选取住院的急性缺血性脑卒中患者96例,入院后3天内完成匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quali-ty Index,PSQI)评估患者睡眠情况,根据PSQI量表评分标准及结果分为睡眠障碍组(n=60)和非睡眠障碍组(n=36),两组患者均进行整夜PSG监测,记录相关数据.比较两组患者一般资料及PSG相关睡眠参数.结果:①两组之间睡眠进程参数比较,睡眠障碍组的总睡眠时间及REM潜伏期均低于非睡眠障碍组(t=7.168,7.658;P＜0.05),而睡眠潜伏期明显高于非睡眠障碍组(t=-7.161,P＜0.05);②两组之间睡眠质量参数比较,睡眠障碍组的觉醒次数及觉醒指数均高于非睡眠障碍组(t=-11.728,-7.766;P＜0.05),而睡眠效率明显低于非睡眠障碍组(t=5.684,P＜0.05);③两组之间睡眠结构参数比较,睡眠障碍组的N1期及N2期均高于非睡眠障碍组(t=-7.147,-8.485;P＜0.05),而REM期及N3期低于非睡眠障碍组(t=9.624,9.842;P＜0.05);④两组之间睡眠呼吸事件比较,睡眠障碍组的AHI、仰卧位AHI、低通气指数均高于非睡眠障碍组(t=-7.618,-10.086,-11.185;P＜0.05),而LSaO2低于非睡眠障碍组(t=8.098,P＜0.05).结论:急性缺血性脑卒中患者早期存在明显的睡眠进程异常、睡眠质量下降、睡眠结构紊乱及睡眠呼吸事件方面的异常.应用PSG正确评估急性缺血性脑卒中患者早期睡眠障碍的类型并进行干预,有助于改善患者的预后.
Objective:To objectively analyze the characteristics of early sleep disorders in patients with Acute ische-mic stroke(AIS)by using polysomnography(PSG)and to learn about the types of early sleep disorders from patients with AIS,so as to provide basis for clinical intervention.Methods:A total of 96 patients with acute ischemic stroke were selected and assessed by Pittsburgh Sleep Quality Index(PSQI)within 3 days after admission.According to PSQI scale scoring criteria and results,patients were divided into sleep disorder group(n=60)and non-sleep disor-der group(n=36).Patients in both groups underwent overnight PSG monitoring and recorded relevant data.General data and PSG related sleep parameters were compared between the two groups.Results:①Compared with the param-eters of sleep process between the two groups,the total sleep time and REM latency of the sleep disorder group were lower than those of the non-sleep disorder group(t=7.168,7.658;P＜0.05),while the sleep latency was signifi-cantly higher than that of the non-sleep disorder group(t=-7.161,P＜0.05).② Compared with the sleep quality parameters between the two groups,the wake frequency and wake index of the sleep disorder group were higher than those of the non-sleep disorder group(t=-11.728,-7.766;P＜0.05),while the sleep efficiency was significantly lower than that of the non-sleep disorder group(t=5.684,P＜0.05).③Compared with the sleep structure parame-ters between the two groups,N1 and N2 in the sleep disorder group were higher than those in the non-sleep disor-der group(t=-7.147,-8.485;P＜0.05),while REM and N3 were lower than those in the non-sleep disorder group(t=9.624,9.842;P＜0.05).④Compared with sleep breathing events between the two groups,AHI,supine AHI and hypopnea index in the sleep disorder group were higher than those in the non-sleep disorder group(t=-7.618,-10.086,-11.185;P＜0.05).LSaO2 was lower than that in the non-sleep disorder group(t=8.098,P＜0.05).Con-clusion:Patients with acute ischemic stroke exhibit significant abnormalities in sleep progression,decreased sleep quality,disrupted sleep structure,and abnormal sleep respiratory events in the early stages.Applying PSG to correct-ly evaluate the types of early sleep disorders in patients with acute ischemic stroke and intervening can help improve their prognosis.
米唤金;刘斌;邓春颖;马原源;王雅楠;任伯;李世英;毛文静
华北理工大学附属医院神经内一科(河北唐山) 063000
基础医学
急性缺血性脑卒中睡眠障碍多导睡眠图监测匹兹堡睡眠质量指数
Acute ischemic strokeSleep disordersPolysomnographyPittsburgh Sleep Quality Index
《中国健康心理学杂志》 2024 (004)
558-562 / 5
河北省医学适用技术跟踪项目计划(编号:GZ2022058)
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