CAJ | 학술논문

目的：探讨急性脑梗死患者睡眠障碍的临床特点。方法对72例脑梗死患者，根据病史并采用匹兹堡睡眠指数问卷（PSQI），神经功能缺损程度评分（NDS），及多导睡眠图（PSG）进行研究。结果急性脑梗死患者睡眠障碍的临床表现形式主要以失眠为主，检出率为44．4％，女性大于男性。脑梗死神经缺损越严重，睡眠障碍的发生率就越高。脑梗死患者皮质下梗死较皮质梗死、小脑梗死睡眠障碍的发生率高。急性脑梗死睡眠障碍的患者PSG改变为：总睡眠时间减少，入睡潜伏期延长，睡眠效率明显降低。NREMⅠ期睡眠明显增多，Ⅱ期和Ⅲ期睡眠减少。结论急性脑梗死睡眠障碍的发生率较高，发病与多种因素有关，通过了解脑梗死睡眠障碍患者的睡眠情况有助于指导治疗。
목적：탐토급성뇌경사환자수면장애적림상특점。방법대72례뇌경사환자，근거병사병채용필자보수면지수문권（PSQI），신경공능결손정도평분（NDS），급다도수면도（PSG）진행연구。결과급성뇌경사환자수면장애적림상표현형식주요이실면위주，검출솔위44．4％，녀성대우남성。뇌경사신경결손월엄중，수면장애적발생솔취월고。뇌경사환자피질하경사교피질경사、소뇌경사수면장애적발생솔고。급성뇌경사수면장애적환자PSG개변위：총수면시간감소，입수잠복기연장，수면효솔명현강저。NREMⅠ기수면명현증다，Ⅱ기화Ⅲ기수면감소。결론급성뇌경사수면장애적발생솔교고，발병여다충인소유관，통과료해뇌경사수면장애환자적수면정황유조우지도치료。
Objective To explore the characteristics of sleep disorders in patients with acute cere‐bral infarction .Methods Adopting medical history and Pittsburgh Sleep QuestionnaireIndex(PSQI) ,de‐gree of Nerve Function Defect Score (NDS)and Polysomnography (PSG) methods to study 72 patients with cerebral infarction .Results Clinical manifestation of sleep disorders in patients with acute cerebral infarction was mainly suffering from insomnia ,the detection rate was 44 .4% ,and the rate of women washigher than men .The more serious Cerebral infarction nerve defect ,the higher the incidence rate of sleep disorders .Patients with subcortical infarction were more likely to have sleep prbolems .PSG chan‐ges for patients with acute cerebral infarction of sleep disorders:total sleep time reduced ,sleep latency extended ,sleep efficiency decreased .NREM sleepⅠstage significantly increased and stage Ⅱand Ⅲ de‐creased .Conclusions The sleep disorder incidence rate of patients with acute cerebral infarction is high‐er ,which is associated with a variety of factors ,by understandingthe sleep state of cerebral infarction patients with sleep disorders ,we can instruct the treatment of patients with sleep disorders .