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Polysomnographic Evaluation Of Sleep Disorders In Patients With Post-stroke Depression

Posted on:2019-09-01Degree:MasterType:Thesis
Country:ChinaCandidate:F LiFull Text:PDF
GTID:2394330566490423Subject:Emergency Medicine
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Objective :adaptto the environment,the second night will be a group,b group,the control group of subjects test data recorded officially.Main outcome measures included total recording time(TRT),total sleep time(tst),sleep latency(sl),actual sleep time(tst),number of awakenings(an),sleep efficiency(se %)and wake time after sleep(waso).Methods: there was no significant difference between the observation group and the control group(p > 0.05).there were significant differences in sleep latency,actual sleep time,wake times,sleep efficiency,wake time after sleep between the observation group and the control group(p < 0.05).After treatment,the number of Pittsburgh sleep index,polysomnography and neurological deficit score in group a and b were significantly different(p < 0.05).Results:(1)Stroke nature: Clinical records showed that the stroke characteristics of 40 patients with post-stroke depression were not significantly different(P>0.05);(2)Stroke sites: Clinical records show that There was no significant difference in the location of stroke between 40 patients with post-stroke depression and no statistically significant difference(P>0.05).Eighteen patients(45.00)had a stroke site on the left side of the brain,which was significantly more than the right side(30.00).The difference was statistically significant(x2=4.8000,P=0.0284);(3)Past medical history: two groups There was no significant difference in the past history of 40 patients with stroke(P>0.05).However,patients with A and B combined with more than 2 kinds of diseases were more likely to have certain specificities.In addition,those with previous medical history who had depression also accounted for a large proportion;(4)Degree of neurological deficits: 40 patients in both groups after stroke There was no significant difference in scores of neurological deficits(P>0.05);(5)Sleep disorders after stroke: 20 patients with post-stroke depression in group A compared with patients in group B before Pittsburgh sleep score scale score,Hamilton There was no significant difference in scores of depression scales,and there was no statistical significance(P>0.05).However,the scores of Pittsburgh Sleeping Index Scale and Hamilton Depression Rating Scale after treatment in Group A patients were significantly better than those in Group B,indicating that the improvement effect of Sleep Disorder in Group A was significantly better than that in Group B,and the difference was statistically significant(P<0.05);6)Polysomnography: There was no significant difference in the total recording time between 20 patients with post-stroke depression and those with control group in A and B groups.The other items were statistically significant(P<0.05);(7)A The comparison of polysomnography between group B and group B after treatment showed that there was no significant difference in the total recording time between 20 patients with post-stroke depression in group A and B,and there was a statistically significant difference between the other indexes(P<0.05).Conclusion: Polysomnography is a scientific method to provide objective facts and accurate basis for patients’ sleep status,avoiding inaccurate information provided by patients,providing relevant diagnostic information for clinical medicine to assist treatment,and treating sleep disorders in patients with post-stroke depression.The role of the process is significant.
Keywords/Search Tags:polysomnography, Post-stroke depression, Sleep disorders, Quality of life, The evaluation significan
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