The Related Factors And Analysis Study Of Insomnia Disorder After Cerebral Infarction

Objective: This research is focused on the related factors of insomnia after cerebral infarction with comparison and validation of the subjective and objective sleep quality of the patients.The outcomes of this research would benefit the future clinical study and provide theoretical foundation for the diagnosis and prevention of cerebral infarction insomnia.Methodology: This research was conducted at the Second Affiliated Hospital of Dalian Medical University during April 2015 to October 2016 with total 140 cases.Among the total 140 first time cerebral infarction patients,there were 74 male patients and 68 female patients.All patients were selected based the diagnostic criteria of the revises references from the 1995 Chinese Medical Association Fourth National Cerebral Vascular Disease Conference.Next,Pittsburgh sleep quality index(PSQI)were conducted for the patients' subjective and objective sleep quality analysis respectively.The total 140 study cases were divided into insomnia group with PSQI equal to or greater than 7 and non-insomnia group.The National Institutes of Health Stroke Scale(NIHSS scale)score,anxiety / Depression Scale(SAS/SDS)differences in anxiety and depression of neurologic impairment,scores of the two groups were compared,respectively.The clinical data of insomnia group and non insomnia patients(gender,age,past history,anxiety,depression,infarct location,stages of cerebral infarction and neurological deficit)were analyzed,all patients underwent brain MRI examination.SPSS20.0 software was used to analyze the data.Result:After cerebral infarction was 53.6% incidence of insomnia,63.2%,of its women living men 44.4%;Less than 50 years of age the highest incidence of insomnia patients(71.4%),followed by more than 70 years(61.2%),the incidence of insomnia in 50-70 year-olds(40.7%),comparison between groups,statistical differences(P < 0.05);insomnia and hypertension in patients with cerebral infarction occurred in 57%,insomnia without hypertension in patients with cerebral infarction occurred in 46.8%;The incidence of insomnia in cerebral infarction patients with diabetes mellitus was 64.9%,the incidence of insomnia in cerebral infarction patients without diabetes mellitus was 45.8%;The incidence of insomnia in cerebral infarction patients with coronary heart disease was 70.3%,the incidence of insomnia in cerebral infarction patients without coronary heart disease was 47.6%,The incidence of insomnia in cerebral infarction patients with arrhythmia was 66.1%,and the incidence of insomnia in cerebral infarction patients without arrhythmia was about 44.4%,There was no significant difference in the incidence of insomnia in patients with cerebral infarction complicated with hypertension(P > 0.05),The difference of cerebral infarction with diabetes mellitus,coronary heart disease and arrhythmia was statistically significant(P < 0.05);The site is located in the brainstem infarction patients with insomnia was the highest(70.4%),followed by basal ganglia infarction group(69%),cerebral cortex infarction group(41.3%),cerebellar infarction group(36.8%),thalamic infarction group(16.7%),comparison between groups,,statistical differences(P < 0.05)(P < 0.05);The incidence of insomnia in the acute stage of stroke was 63.3%,and the incidence of insomnia in recovery period was 19.4%,statistical differences(P < 0.05);The incidence of insomnia was 46.1% in patients with mild neurological deficit(NIHSS score),and the patients with moderate and severe neurological deficit was 73.7%.The difference between the two groups was statistically significant(P < 0.05);The self-rating anxiety scale score was 41% for the patients without anxiety,the incidence of insomnia in mild anxiety patients was about 57.1%,and the rate of moderate anxiety was about 73.1%,and that of severe anxiety was about 80%,self-rating depression scale patients with insomnia incidence was 42.3% score,mild depression 66.7%,moderate depression was 76.9%,severe depression was 87.5%,There was significant difference between the groups(P < 0.05);Conclusion: The insomnia after cerebral infarction is a common symptom in clinical study.This symptom could be related to the gender,age,historical medical records,cerebral infarction position and stage,neurological impairment level,anxiety and depression.in clinical work,we should pay attention to these risk factors,at the same time,We should take early intervention in related risk and reduce the occurrence of insomnia.