| Objective: To study the sleep and emotional disorders in patients,with cerebral infarction in the Department of Neurology of the 307 Hospital of the PLA from January 2015 to December 2017,to explore the sleep and emotional disorders and their correlation in patients with cerebral infarction,and to compare and analyze the characteristics of different populations in order to find the regularity of the disease in different populations,and to provide some reference for guide action in clinical treatment.Contents:A retrospective study of cerebral infarction patients in the Department of Neurology of 307 Hospital of the PLA from January 2015 to December 2017 was studied.Sleep and emotional disorders were found more than 3 months after cerebral infarction,and the scores of sleep disorders and anxiety and depression were scored in the psychological cognition examination room of the hospital of the army of Liberation Army.Including outpatient and hospitalized patients.Inclusion criteria: 1)1)from January 2015 to December 2017 to the 307 Hospital of the PLA Department of Neurology;2)the time of cerebral infarction was more than 3 months.It could be clearly diagnosed as cerebral infarction and was in the sequelae of cerebral infarction.The head CT or MRI clearly confirmed the presence of infarct,which was in line with the revision of the fourth Chinese Academic Conference on cerebrovascular disease.There is a diagnostic standard for stroke;3)the patient’s consciousness is clear,the language and behavior can be combined with the examination,there is no obvious aphasia and no serious cognitive impairment.Exclusion criteria: 1)the patients themselves or their families did not agree with the sleep and anxiety and depression scores;2)patients with sensory aphasia or motor aphasia affected the language communicators;3)combined with other serious mental diseases except depression and anxiety;4)the patients were seriously ill,were unable to take care of themselves,speech disorders,and lack of awareness.Don’t cooperate with the inspection;3)patients in the examination process because of conflict or other reasons don’t complete the examination.The examination information provided by the register was checked through the psychological cognition examination room,and the patient’s condition was screened one by one compared with the diagnostic requirements.The patient’s case data was found by the doctor’s workstation,and the patient’s examination,diagnosis and examination were made,and the patients who were in conformity with the standard were selected.Using the psychological cognition examination technician workstation,the patient number or the hospitalization number was keyed to the Pittsburgh sleep quality index scale,the Hamilton anxiety scale and the Hamilton depression scale,and the general data and the score of the patients were recorded.A total of 201 cases were collected.The names of the patients,the hospitalization number,the outpatient number and the Pittsburgh sleep quality index scale,the Hamilton Anxiety Scale score,and the Hamilton depression scale were recorded.The male patients were 86(42.79%),female 115(57.21%)and age 35-88,with an average age of 64 + 2 years,of which 7(3.48%)in young patients(<45 years old),63(31.34%)in middle-aged patients(45-59 years),and older patients(> 60 years).Method:The following three tables were used for all cerebral infarction patients: 1.the Pittsburgh Sleep Quality Index(PSQI),the total score of the scale was 0 to 2 level,the higher the score,the worse the quality of sleep.The PSQI evaluation was carried out by a technician who had special training experience in the examination room.After understanding,the patient answered it faithfully and was verified by the patient again.The 14 versions of the 2.Hamilton Anxiety Scale(Hamilton Anxiety Scale,HAMA)could be divided into two parts of mental anxiety and somatic anxiety,with a total score of more than 29,which may be serious anxiety;more than 21 points,there must be obvious anxiety;more than 14 points,there must be anxiety;more than 7,may be worried;if < 7,there is no anxiety symptoms.3.Hamilton Depression Scale(Hamilton Depression Scale,HAMD)had total score and 7 factor scores on the score,with a total score of more than 35,which might be a serious depression;the total score was more than 20,which may be a mild or moderate depression;the total score was less than 8 without depressive symptoms.The evaluation of HAMA-14 and HAMD-24 was carried out by two skilled technicians in the hospital psychological cognition examination room.They were evaluated together by conversation and observation and were scored independently.All the assessments were completed.Study and analyze the evaluation values of the above three scales,use SPSS 17 statistical software to analyze all the data.The measurement data is expressed as(x + s).The classification variables are expressed as a percentage.The two random independent samples are tested by t test,and the correlation analysis is used to test the correlation of the data.The two groups are compared with the cards.The square test showed a statistically significant difference in P<0.05.Result:The PSQI scale was used to investigate the sleep quality of patients.The average score of 11.59 ±4.53162 people(80.60%)was sleep disorder,of which 66(76.74%)had sleep disorders in 86 men and 96(83.49%)in 115 women(83.49%)had sleep disorders.HAMA-14 and HAMD-24 were used to investigate the state of anxiety and depression in patients.The average HAMA-14 was 10.21 ±7.14,the average of HAMD-24 was 14.11 ±10.02,154(68.91%)had anxiety or depression,68(33.83%)may have anxiety,41(20.40%)patients had anxiety,and 16(7.96%)patients certainly had a bright future.Significant anxiety,2(1%)patients may be serious anxiety,the incidence of anxiety was 63.18%,49(24.39%)patients had different degrees of depression,of which 48(23.88%)was a patient with anxiety and depression.The average PSQI score was 10.88 ± 4.51 for males and 12.11 ±4.47 for females.The average HAMA-14 score was 9.14± 6.99 for males and 11.02 ±7.14 for females.The average HAMD-24 score was 13.34 ± 10.11 for males and 14.69 ± 9.91 for females.Conclusion:The scores of PSQI,HAMA-14 and HAMD-24 in different sex patients were compared.The scores of PSQI,HAMA-14 and HAMD-24 in female patients were significantly higher than those of men,and the results were statistically significant(P < 0.05).It may indicate that women have worse sleep quality and are more likely to suffer from anxiety and depression.The sleep quality of patients with anxiety and depression was worse than those without anxiety or depression,and the results were statistically significant(P<0.01).There was a significant correlation between PSQI,HAMA-14 and HAMD-24 scores in patients with cerebral infarction,suggesting that sleep disorders were significantly associated with affective disorders.There is a significant correlation between age and PSQI score,which suggests that the worse the quality of sleep is,the scores of anxiety and depression in young,middle-aged and elderly patients have no significant difference,which may suggest that the sleep disorders in the patients with cerebral infarction in the middle-aged and young should also be paid attention to.The proportion of patients with anxiety and depression after cerebral infarction is higher than that of patients with simple anxiety and simple depression,which may be influenced by anxiety and depression after cerebral infarction and aggravate the symptoms of each other. |
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