中国健康心理学杂志2024，Vol.32Issue(4)：558-562,5.DOI:10.13342/j.cnki.cjhp.2024.04.015
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
Analysis of early sleep disorder types in patients with acute ischemic stroke using polysomnography monitoring results
摘要
Abstract
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.关键词
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Key words
Acute ischemic stroke/Sleep disorders/Polysomnography/Pittsburgh Sleep Quality Index分类
医药卫生引用本文复制引用
米唤金,刘斌,邓春颖,马原源,王雅楠,任伯,李世英,毛文静..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[J].中国健康心理学杂志,2024,32(4):558-562,5.基金项目
河北省医学适用技术跟踪项目计划(编号:GZ2022058) （编号:GZ2022058）
