CAJ | 학술논문

目的：分析老年缺血性脑卒中患者睡眠障碍( sleep disorders)的影响因素。方法纳入老年缺血性脑卒中( elderly ischemic stroke)患者224例，搜集患者相关资料，根据是否存在睡眠障碍列为研究组及对照组，分析比较两组患者的临床特点差异，筛选危险因素。结果研究组中空巢老人( living alone elderly patients)，吸烟者，合并有高血压、睡眠障碍综合征( sleep apnea syndrome)，有焦虑、抑郁倾向者，缺血性卒中部位分布于皮层下者，与对照组相比，差异有统计学意义。抑郁( depression)、睡眠障碍综合征、皮层下卒中( under the cerebral cortex of brain stroke)是老年缺血性脑卒中患者合并睡眠障碍的危险因素。结论缺血性脑卒中合并睡眠障碍患者影响因素较多，临床上应从相关影响因素出发，及早发现并纠正睡眠障碍。
목적：분석노년결혈성뇌졸중환자수면장애( sleep disorders)적영향인소。방법납입노년결혈성뇌졸중( elderly ischemic stroke)환자224례，수집환자상관자료，근거시부존재수면장애렬위연구조급대조조，분석비교량조환자적림상특점차이，사선위험인소。결과연구조중공소노인( living alone elderly patients)，흡연자，합병유고혈압、수면장애종합정( sleep apnea syndrome)，유초필、억욱경향자，결혈성졸중부위분포우피층하자，여대조조상비，차이유통계학의의。억욱( depression)、수면장애종합정、피층하졸중( under the cerebral cortex of brain stroke)시노년결혈성뇌졸중환자합병수면장애적위험인소。결론결혈성뇌졸중합병수면장애환자영향인소교다，림상상응종상관영향인소출발，급조발현병규정수면장애。
Objective To explore the influencing factors of sleep disorders of elderly ischemic stroke patients. Methods 224 ca-ses of elderly ischemic stroke patients were selected and their related information was collected. They were divided into research group and control group according to whether they had sleep disorders or not. The difference of clinical features was analyzed and compared to explore the risk factors. Results There was statistically significant difference between the two groups in elderly patients who lived a-lone, smokers, patients with hypertension and sleep apnea syndrome, patients with the inclination of anxiety or depression, and pa-tients whose stroke happened under the cerebral cortex of brain. Depression, sleep apnea syndrome, and subcortical stroke were risk factors of sleep disorder of elderly ischemic stroke patients. Conclusion There exit many influencing factors for sleep disorder of eld-erly ischemic stroke patients. With the knowledge of the factors, we should discover and eliminate sleep disorders as soon as possible.