包头医学院学报
包頭醫學院學報
포두의학원학보
JOURNAL OF BAOTOU MEDICAL COLLEGE
2015年
4期
41-42
,共2页
缺血性脑卒中%睡眠障碍%PSG
缺血性腦卒中%睡眠障礙%PSG
결혈성뇌졸중%수면장애%PSG
Ischemic stroke%Dyssomnia%Polysomnography
目的：研究缺血性脑卒中后睡眠障碍患者的睡眠进程及睡眠结构，了解卒中后睡眠障碍的类型，为卒中后睡眠障碍的治疗提供依据。方法：应用多导睡眠监测仪对58例缺血性卒中后睡眠障碍患者及42例健康人进行整夜多导睡眠图（ poly somnogram，PSG）监测。结果：缺血性脑卒中睡眠障碍患者PSG表现为睡眠潜伏期（sleep latency，SL）延长，总睡眠时间（total sleep time，TST）缩短，睡眠效率（sleep efficiency，SE％）低，浅睡眠（light sleep，S1）增多，快速动眼睡眠期（rapid eye movement，REM期）减少，觉醒（wake after sleep onset， WASO）次数及时间增多。约53％患者表现为睡眠呼吸紊乱（sleep related breathing disorders，SRBD），1例表现为 REM 睡眠行为障碍（REM sleep behavior disorder，RBD）。与对照组相比，卒中后睡眠障碍患者的TST、SE、REM均明显减少（ P ＜0．05），而SL、S1增多，差异有统计学意义（ P ＜0．05）。结论：缺血性卒中后睡眠障碍患者存在明显的睡眠进程及睡眠结构的变化，且易并发 SRBD 及 RBD，应用PSG正确评估患者的睡眠质量和睡眠障碍的类型，可有效改善患者的预后。
目的：研究缺血性腦卒中後睡眠障礙患者的睡眠進程及睡眠結構，瞭解卒中後睡眠障礙的類型，為卒中後睡眠障礙的治療提供依據。方法：應用多導睡眠鑑測儀對58例缺血性卒中後睡眠障礙患者及42例健康人進行整夜多導睡眠圖（ poly somnogram，PSG）鑑測。結果：缺血性腦卒中睡眠障礙患者PSG錶現為睡眠潛伏期（sleep latency，SL）延長，總睡眠時間（total sleep time，TST）縮短，睡眠效率（sleep efficiency，SE％）低，淺睡眠（light sleep，S1）增多，快速動眼睡眠期（rapid eye movement，REM期）減少，覺醒（wake after sleep onset， WASO）次數及時間增多。約53％患者錶現為睡眠呼吸紊亂（sleep related breathing disorders，SRBD），1例錶現為 REM 睡眠行為障礙（REM sleep behavior disorder，RBD）。與對照組相比，卒中後睡眠障礙患者的TST、SE、REM均明顯減少（ P ＜0．05），而SL、S1增多，差異有統計學意義（ P ＜0．05）。結論：缺血性卒中後睡眠障礙患者存在明顯的睡眠進程及睡眠結構的變化，且易併髮 SRBD 及 RBD，應用PSG正確評估患者的睡眠質量和睡眠障礙的類型，可有效改善患者的預後。
목적：연구결혈성뇌졸중후수면장애환자적수면진정급수면결구，료해졸중후수면장애적류형，위졸중후수면장애적치료제공의거。방법：응용다도수면감측의대58례결혈성졸중후수면장애환자급42례건강인진행정야다도수면도（ poly somnogram，PSG）감측。결과：결혈성뇌졸중수면장애환자PSG표현위수면잠복기（sleep latency，SL）연장，총수면시간（total sleep time，TST）축단，수면효솔（sleep efficiency，SE％）저，천수면（light sleep，S1）증다，쾌속동안수면기（rapid eye movement，REM기）감소，각성（wake after sleep onset， WASO）차수급시간증다。약53％환자표현위수면호흡문란（sleep related breathing disorders，SRBD），1례표현위 REM 수면행위장애（REM sleep behavior disorder，RBD）。여대조조상비，졸중후수면장애환자적TST、SE、REM균명현감소（ P ＜0．05），이SL、S1증다，차이유통계학의의（ P ＜0．05）。결론：결혈성졸중후수면장애환자존재명현적수면진정급수면결구적변화，차역병발 SRBD 급 RBD，응용PSG정학평고환자적수면질량화수면장애적류형，가유효개선환자적예후。
Objective:To investigate the sleep process and sleep structure of patients with post -ischemic stroke dyssomnia and the types of post-stroke dyssomnia, so as to provide the basis for the treatment of this disease.Methods:The whole night polosomnography(PSG) of 58 pa-tients of post-ischemic stroke dyssomnia and 42 normal subjects were monitored with PSG instruments .Results:The poloysomnography of patients with post-ischemic stroke dyssomnia showed prolonged sleep latency(SL), decreased total sleep duration (TST) , low sleep efficiency(SE %), increased light sleep (S1), decreased rapid eye movement (REM) and increased waking frequency.About 53% of patients were recorded as SRBD, among which one was REM sleep behavior disorder ( RBD) .Compared with the control group, TST、SE and REM in patients with post-ischemic stroke dyssomnia were significantly reduced ( P <0.05), and SL and S1 in them were significantly increased ( P <0.05).Conclu-sions:There are significant changes in the sleep process and sleep structure of patients with post -ischemic stroke dyssomnia, who are predisposed to complicate SRBD and RBD.The application of PSG in correctly assessing sleep quality and sleep type can improve these patients'prognosis.
