中国卒中杂志
中國卒中雜誌
중국졸중잡지
CHINESE JOURNAL OF STROKE
2015年
1期
34-39
,共6页
急性,脑梗死%不宁腿综合征%预后
急性,腦梗死%不寧腿綜閤徵%預後
급성,뇌경사%불저퇴종합정%예후
Acute,cerebral infarction%Restless legs syndrome%Outome
目的：了解急性脑梗死后不宁腿综合征（restless legs syndrome，RLS）的临床特征，以及其对急性脑梗死预后的影响。方法按照国际不宁腿工作组（International Restless Legs Syndrome Study Group，IRLSSG）定义标准，连续筛查住院治疗的急性脑梗死患者中RLS患者，选择年龄、性别、梗死部位匹配的同时期住院的非RLS脑梗死患者为对照组，比较2组的临床特征及预后。结果研究筛查275例急性脑梗死患者，其中RLS患者19例，患病率为6.91%（19/275）。RLS组年龄（62.89±10.26）岁；非RLS组19例，年龄（62.63±9.96）岁。与对照组比较，RLS组Epworth嗜睡量表（Epworth Sleepiness Scale，ESS）>10分的比例更高（57.9%vs 21.1%，P=0.020），匹兹堡睡眠质量指数（Pittsburgh Sleep Quality Index，PSQI）>15分的比例也更高（47.4%vs 15.8%，P=0.040）。脑梗死后90 d和180 d，RLS组Barthel指数（Barthel Index，BI）低于非RLS组（P值分别是＜0.001和＜0.001），改良Rankin量表（modified Rankin Scale，mRS）评分高于非RLS组（P值分别是0.64和0.04）。RLS组14例（73.68%）患者合并周期性腿动，15例（78.9%）患者合并阻塞性睡眠呼吸障碍。结论急性脑梗死后RLS患者较无RLS患者睡眠质量及预后更差。
目的：瞭解急性腦梗死後不寧腿綜閤徵（restless legs syndrome，RLS）的臨床特徵，以及其對急性腦梗死預後的影響。方法按照國際不寧腿工作組（International Restless Legs Syndrome Study Group，IRLSSG）定義標準，連續篩查住院治療的急性腦梗死患者中RLS患者，選擇年齡、性彆、梗死部位匹配的同時期住院的非RLS腦梗死患者為對照組，比較2組的臨床特徵及預後。結果研究篩查275例急性腦梗死患者，其中RLS患者19例，患病率為6.91%（19/275）。RLS組年齡（62.89±10.26）歲；非RLS組19例，年齡（62.63±9.96）歲。與對照組比較，RLS組Epworth嗜睡量錶（Epworth Sleepiness Scale，ESS）>10分的比例更高（57.9%vs 21.1%，P=0.020），匹玆堡睡眠質量指數（Pittsburgh Sleep Quality Index，PSQI）>15分的比例也更高（47.4%vs 15.8%，P=0.040）。腦梗死後90 d和180 d，RLS組Barthel指數（Barthel Index，BI）低于非RLS組（P值分彆是＜0.001和＜0.001），改良Rankin量錶（modified Rankin Scale，mRS）評分高于非RLS組（P值分彆是0.64和0.04）。RLS組14例（73.68%）患者閤併週期性腿動，15例（78.9%）患者閤併阻塞性睡眠呼吸障礙。結論急性腦梗死後RLS患者較無RLS患者睡眠質量及預後更差。
목적：료해급성뇌경사후불저퇴종합정（restless legs syndrome，RLS）적림상특정，이급기대급성뇌경사예후적영향。방법안조국제불저퇴공작조（International Restless Legs Syndrome Study Group，IRLSSG）정의표준，련속사사주원치료적급성뇌경사환자중RLS환자，선택년령、성별、경사부위필배적동시기주원적비RLS뇌경사환자위대조조，비교2조적림상특정급예후。결과연구사사275례급성뇌경사환자，기중RLS환자19례，환병솔위6.91%（19/275）。RLS조년령（62.89±10.26）세；비RLS조19례，년령（62.63±9.96）세。여대조조비교，RLS조Epworth기수량표（Epworth Sleepiness Scale，ESS）>10분적비례경고（57.9%vs 21.1%，P=0.020），필자보수면질량지수（Pittsburgh Sleep Quality Index，PSQI）>15분적비례야경고（47.4%vs 15.8%，P=0.040）。뇌경사후90 d화180 d，RLS조Barthel지수（Barthel Index，BI）저우비RLS조（P치분별시＜0.001화＜0.001），개량Rankin량표（modified Rankin Scale，mRS）평분고우비RLS조（P치분별시0.64화0.04）。RLS조14례（73.68%）환자합병주기성퇴동，15례（78.9%）환자합병조새성수면호흡장애。결론급성뇌경사후RLS환자교무RLS환자수면질량급예후경차。
Objective To investigate the clinical characteristics and inlfuences of restless legs syndrome (RLS) after acute cerebral infarction. Methods All acute cerebral infarction patients admitted were screened in accordance with the deifnition criteria of International Restless Legs Syndrome Study Group (IRLSSG). The patients without RLS were matched with a group in similar with age, gender, location of lesion to RLS group. The clinical characteristics of the patients with and without RLS were analyzed. Results Two hundred and seventy-five patients with acute cerebral infarction were studied. Nineteen cases met the diagnostic criteria for RLS. The morbidity rate is 6.91%. The age of RLS group and non-RLS group were (62.89±10.26)vs (62.63±9.96) respectively. The Epworth Sleepiness Scale (ESS) and Pittsburgh Sleep Quality Index (PSQI) of RLS group were higher than non-RLS group. Barthel Index (BI) of RLS group was lower than that in non-RLS group (all P<0.001), the modiifed Rankin Scale (mRS) score was signiifcantly higher than that in non-RLS group (P=0.64,P=0.04). The prevalence of periodic limb movement and obstructive sleep apnea (OSA) in RLS group were 73.68% and 78.9% respectively. Conclusion The prognosis and sleep quality of patients with RLS after acute cerebral infarction are worse.
