在急性中风中睡眠期间周期性四肢运动:患病率,严重程度和对中风后恢复的影响
Panagiotis Plomaritis1, Aikaterini Theodorou1, Vasiliki Michalaki1
1Second Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, 12462 Chaidari, Greece.
Journal of clinical medicine
|September 28, 2023
概括
睡眠期间定期四肢运动 (PLMS) 在急性中风患者中很常见,通常与睡眠呼吸障碍 (SDB) 相关. 早期发现和治疗PLMS对于改善中风结果至关重要.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 心血管研究研究心血管研究
背景情况:
- 睡眠期间定期四肢运动 (PLMS) 经常在中风后的患者中观察到.
- 需要进一步调查PLMS,睡眠呼吸障碍 (SDB) 和中风严重程度之间的关系.
研究的目的:
- 确定急性中风患者中PLMS的患病率和严重程度.
- 探索PLMS与共存的SDB之间的关联.
- 确定PLMS的预测因素及其对三个月中风结果的影响.
主要方法:
- 在症状出现后72小时内,对126名急性中风患者进行了夜间多睡眠图像.
- 收集了临床和成像数据,中风严重程度 (NIHSS),功能结局 (mRS) 和嗜睡 (ESS).
- 使用标准的多睡眠学标准来记录PLMS和SDB.
主要成果:
- 在76%的急性中风患者中检测到PLMS,其中83%的人也患有SDB.
- SDB独立预测了PLMS (OR:4.869),PLMS的患病率随着SDB的严重程度而增加.
- 基线中风严重程度 (NIHSS) 和PLMS与三个月后的功能性结果相关 (mRS 0-1).
结论:
- 在急性中风患者中严重PLMS的高患病率需要早期检测.
- PLMS对中风的结果产生了负面影响,强调了及时干预的必要性.
- 解决PLMS和SDB对于优化中风后恢复可能很重要.
关键词:
剧烈的中风是急性中风.功能性结果的结果.在睡眠期间定期的四肢运动.聚类人体图像 (polysomnography) 是一种多人体图像.预测者 预测者 预测者脑中风的严重程度 中风的严重程度这种类型的中风是中风类型的中风.更多相关视频
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