Study On The Risk Factors Of Cerebrovascular Diseases Related To Sleep Quality In The Acute Stage Of Ischemic Stroke

Background:Ischemic stroke acute phase one of low quality sleep is a common phenomenon,as a clinical first-line workers focus attention often focus on the recovery of function after stroke in patients with injury,infection control and late complications after stroke functional rehabilitation,for patients with ischemic stroke in acute phase of sleep quality attention is low,and the low quality of stroke patients after sleep may affect the hospital patient progress and late rehabilitation.The occurrence and influencing factors of sleep quality in patients with acute ischemic stroke are not clear.Objective:The study on the risk factors of cerebrovascular diseases related to sleep quality in the acute stage of ischemic stroke should improve the clinicians' early attention to sleep quality before and after stroke and reduce the risk factors of cerebrovascular diseases.Methods:And at the same time record each patient sex,hypertension,diabetes,body mass index(BMI),low density lipoprotein(LDL),cholesterol(TC),triglyceride(TG)and homocysteine(Hcy),fibrinogen(FBR),D-dimer,carotid plaques,NIHSS score on admission,etc.A set of clinical data,at the same time record the physical examination of 145 cases,using the same questionnaire method,it can be divided into high quality sleep group(79 cases),low quality of sleep group(66 cases),to physical examination population as control group,the final use statistical methods to compare the differences between groups.Results general data comparison:1.General data contrast:four groups of gender,age,hypertension,high blood glucose,body mass index(BMI),low density lipoprotein(LDL),cholesterol(TC)and homocysteine(Hey),fibrinogen(FBR),D-dimer,triglyceride(TG),carotid artery plaque,separately F/chi-square,high blood pressure,body mass index(BMI),low density lipoprotein(LDL)and homocysteine(Hey),carotid plaques difference is statistically significant.2.Logistic regression analysis of disordered multiple classification in four groups with different sleep qualityCarotid plaques in four groups of two logistic regression analysis of the differences were statistically significant(P<0.05),with high quality sleep TiJianZu for comparison,high blood pressure in high quality sleep stroke group,the low quality of sleep of stroke group differences statistically significant,homocysteine,low density lipoprotein cholesterol(hdl-c)in the low quality of sleep TiJianZu,low quality of stroke group differences statistically significant(P<0.05),with low quality sleep TiJianZu for comparison,high blood pressure in high quality sleep stroke group,the low quality of sleep of stroke group differences statistically significant,The difference between low-density lipoprotein and homocysteine in low-quality sleep apoplexy group was statistically significant(P<0.05),3.Acute period after stroke sleep quality single factor logistic binary regression analysis:high blood pressure,body mass index(BMI),homocysteine(Hcy)and low density lipoprotein(LDL),carotid plaques and ischemic brain death after acute period of sleep quality statistically differences,further analysis of multiple factors:hypertension,homocysteine(Hcy),low density lipoprotein(LDL),carotid artery plaque risk factor for ischemic stroke acute phase of sleep quality.4.The 3-month mRS score of the low-quality sleep apoplexy group(defined as 2 and divided into poor prognosis)was significantly different from that of the control group.Conclusions:1.Hypertension,homocysteine(Hcy),low density lipoprotein(LDL)and carotid artery plaque are risk factors for sleep quality in the acute stage of ischemic stroke.2.Poor sleep quality in patients with acute ischemic stroke may affect the prognosis.