Study On The Influencing Factors Of Stroke With Sleep Disorder

Stroke,also known as cerebrovascular accident,is a kind of disease caused by bleeding or ischemic brain injury with the main clinical manifestations of sudden unconscious faint,language barrier,and hemiplegia.In the middle-aged and aged people,the stroke has a very high incidence,morbidity and mortality.A large number of clinical data shows that the sleep disorder is a common complication of stroke,which will greatly reduce the quality of life of stroke patients and very easily cause the mental symptoms such as depression,anxiety and nerve function degradation.But the influence factors which cause sleep disorders in stroke is still controversial in academic circles.Objective:To explore the influence factors of stroke with sleep disorders.For clinical diagnosis,treatment and prevention of stroke with sleep disorders.Methods:To collect 207 cases of hospitalized patients with ischemic or hemorrhagic stroke treated by Jilin University third hospital,(China-Japan Union Hospital)neurology from 2016 June to June,2017 as the research sample.Using the sleep health questionnaire of stroke patients for all samples containing general social demographic survey,clinical data investigationand Pittsburgh Sleep Quality Index scale(PSQI).Adopt SPSS22.0 all statistical analysis software,count data describe the adoption rate,composition ratio,comparison between groups by chi-square test.The description of the measurement data according to conform to fall along the mean + /-standard deviation or the median and quartiles method,comparison between groups using t test or rank and inspection.Influence factors analysis by using single factor and multi-factor unconditioned Logistic regression.Results:Results show that a group of sleep disorders,53 human male,48 women,accounting for 52.5% of the number in the group and 52.5% respectively.Sleep in the normal group,61 are male,45 of them women,accounted for 57.5% and 42.5% of the number of group,there was no statistically significant difference between the different gender groups(P > 0.05).40 ~ 55 years of age in stroke patients,and 38.3% with sleep disorders,in 56-70 age group,the proportion reached 43.1%,more than 70-year-old has the highest percentage of cerebral apoplexy patients with comorbid sleep disorders,as high as 74.5%.It can be seen that the onset of stroke with sleep disorders ratio is increased with the increase of age growing,statistically significant difference between different age groups,and extremely significant difference(P < 0.01).Married patients,there are 57 people suffer from sleep disorders,the prevalence was 42.5%.And single patients there were 44 people suffer from sleep disorders,the prevalence rate is as high as 60.3%.Further analysis shows that the incidence of comorbid sleep disorders and stroke patient's marital status has very significant correlation(P < 0.01).Groups of different cultural levels,the number of sleep disorder group and normal group and the proportion of basic it is around 50%,there was no statistically significant difference between the degree of different cultural groups(P > 0.05).Engaged in physical labor of the incidence of sleep disorders in patients with about 39.7%,while engaged in mental Labour incidence of sleep disorders in patients with more than 60%,the incidence of comorbid sleep disorders and stroke in patients with occupational has extremely significant correlation(P < 0.01).Ethnic minority patients between patients with the han nationality,on the incidence of sleep disorder was not found to have larger difference(P > 0.05).Low-income 32-bit stroke patients,there are 30 are suffering from a sleep disorder,incidence of a disease as much as 93.8%.Is much higher than middle-income patients(35.3%)and high income patients(37%),and extremely significant difference(P < 0.01).Through the analysis of clinical data,we found that patients with comorbid sleep disorders and stroke progression in installment,the types of stroke,stroke anatomical site,whether suffering from heart disease,stroke,staging,and whether neural function disorder have significant correlation(P < 0.05).And the laboratory test data with cerebral apoplexy with no significant correlation between incidence of sleep disorder(P > 0.05).Conclusion:1.Stroke patients with their older,single,engaged in mental labor,low-income patients more prone to sleep disorders;2.From the patient's type of stroke,patients with ischemic stroke are more likely to develop sleep disorders than patients with hemorrhagic stroke;3.Stroke anatomical sites,the location of the lesion in the hypothalamus stroke patients with sleep disorders most likely,followed by the lesion in the brain stem parts of the stroke patients,again in the lesion is located in the cerebellum stroke patients,The sleep disorders were slightly higher than those in the frontal and basal ganglia at the lesion site;4.From the perspective of stroke staging,with the continuous development of the disease,the probability of patients with sleep disorders first increased and then decreased;5.Stroke patients with neurological dysfunction Compared with patients with neurological normal stroke,the prevalence of sleep disorders was significantly increased;...