Clinical Research On Related Factors Of Poststroke Sleep Disturbances

Objectivethis study of79patients with cerebral apoplexy were retrospectively analyzed， toexplore the related factors of sleep disorder after stroke， for clinical provides the theorybasis for clinical diagnosis and treatment of these diseases.MethodsChoose from January2012to March2012in the ShanDong JiNan Qian Fo Shanhospital,79cases of cerebral apoplexy patients,49cases of men, women,30patients,aged41to83, average age (60.94+10.97);39cases with essential hypertension (eh),coronary atherosclerosis sex38cases of heart disease, diabetes,37cases;59cases ofischemic cerebral apoplexy patients,20patients with hemorrhagic stroke. Left hemispherestroke34cases,27cases with right hemisphere stroke;<50,22cases,8cases of50~60years old,25~70years old,6l>,70,24cases; All of the patients using the NationalInstitutes of Health neural function defect score (National Institutes of Health Stroke Scale,NIHSS) Scale to rate of nerve function defect degree. The NIHSS consists of15parts,45points, the lowest score of0points, where0~15can be divided into mild,16~45dividedinto moderately severe, score the more said neural function defect degree of the moreserious. All patients with nerve function defect degree: mild57cases,22cases moderatelysevere. All patients with Pittsburgh sleep quality index scale (PSQI), Pittsburgh sleepquality index scale (PSQI) consists of24items, including self-reported items19and hereview project five, all his review of the project, and self-evaluation of article19of theproject are not scoring. Graded consists of seven parts, the content covers the daytimefunction, sleep medication, sleep disorders, sleep efficiency, sleep time, sleep quality, etc.,consists of18self-assessment projects, all component scores and PSQI scores, the lowestis0points, highest21points, scoring and negatively correlated with patients sleep quality,score of at least7points of patients can be diagnosed with sleep disorders. According toscore status will be selected patients divided into cerebral apoplexy and sleep disorder group (total score7or higher) and pure stroke patients (total score <7). According to theabove standard all patients were divided into sleep disturbances and sleep disorders. All ofthe patients with cerebral CT and MRI. Application SPSS17.0statistical analysis.Results1, this study shows that sleep disorders group35cases,22cases of men, who inpatients with sleep disorders (62.86%); Women in13cases, accounting for37.14%ofpatients with sleep disorders. Sleep disorder group of male to female ratio was1.7:1. Sleepdisorder group minimum age is44years old, and at most82-year-old age, average age(64.12+11.88). The sleep disorder group of44cases,27cases of men, who in the sleepdisorder patients accounted for61.36%; Women in the patients with sleep disorder17cases (38.64%). A sleep disorder group of male to female ratio was1.6: l. A sleep disordergroup youngest is41years old, age at most83, average age (62.87+12.05). Comparisonbetween gender, mean age group, there was no statistically significant difference (P>0.05).2, this study shows that sleep disorders group of35cases of20patients withhypertension accounted for57.14%of all sleep disorders;22cases of diabetes, accountingfor62.86%of all sleep disorders;21cases of coronary heart disease, accounting for60.00%of all sleep disorders. The sleep disorder group of44cases of hypertension in19cases, accounting for43.18%of all the sleep disorder, diabetes,15cases accounted for34.09%of all sleep disorder patients,17cases of coronary heart disease, accounting for38.64%of all the sleep disorders, patients with a history of hypertension, coronary heartdisease, diabetes mellitus in the proportion of sleep disorders is greater than the pasthistory of patients. Comparison between groups, the difference was statistically significant(P <0.05).3, a hemorrhagic stroke in the proportion of sleep disorders than ischemicstroke (P <0.05). Comparing differences between different age groups was statisticallysignificant, proportion and age were positively correlated (P <0.05).4, left and righthemisphere stroke patients with sleep disorders compared between groups, there was nostatistically significant difference (P> o.05). According to the specific anatomical part ofthe stroke, frontal lobe in sleep disorders in patients with stroke in2cases, accounted for40.00%of full frontal stroke patients; JiDeJieOu stroke patients with sleep disorders,6cases accounted for42.86%of all JiDeJieOu stroke patients, brain stem stroke patientswith sleep disorders in5cases, accounting for41.67%of all patients with brainstem stroke,cerebellar stroke patients with sleep disorders in2cases, accounting for50.00%of allpatients with cerebellar stroke, brain stroke patients with sleep disorders in2cases,accounted for50.00%of all patients with thalamic stroke. But due to the small sample size in this study, it is definite that the location and the correlation between the risk of sleepdisturbance, to enlarge sample size for further research in the future work.5, according tothe NIHSS scale, mild nerve function defect in patients with sleep disorders occur (0~15)20cases (35.09%) in patients with mild nervous function defect, moderately severe nervefunction defect in patients with sleep disorders occur (16~45)15cases (68.18%) inpatients with moderately severe neurologic deficits, the proportion of the nerve functiondefect in patients with moderately severe sleep disorders is significantly higher than mildnerve function defect in patients, the difference was statistically significant (P <0.05)ConclusionSleep disorder after stroke was rather common.Its pathological mechanism iscomplicated, cause diversity, is the outcome of combined action of multiple factors, thisstudy shows that the occurrence of sleep disorder parts has no correlation with patients’gender, stroke, and the patients’ age, medical history, primary hypertension, coronaryatherosclerotic heart disease, type2diabetes), stroke (ischemic or hemorrhagic) and neuralfunction defect degree (NIHSS score).MeaningBased on the related factors of sleep disorder after stroke patients, to find relevantinfluencing factors of sleep disorders, treatment for early individualized interventionprovided the scientific basis to better promote nerve functional recovery, this to improvethe quality of life and reduce the complications of patients with cerebral apoplexy hasimportant clinical significance.