在中风患者中失眠的发展:系统性审查和元分析
Junwei Yang1, Aitao Lin2, Qingjing Tan1
1The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, Guangxi, 530023, China.
PloS one
|April 10, 2024
概括
脑卒中后失眠影响了近一半的中风幸存者,特别是在急性阶段. 患病率随着年龄和随访时间的延长而增加,突出显示了早期干预的必要性.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 脑卒中是全球死亡和残疾的主要原因.
- 脑卒中后失眠是一种常见的并发症,严重影响患者的康复和生活质量.
- 了解中风后失眠的患病率对于制定有效的预防和治疗策略至关重要.
研究的目的:
- 为了调查中风后患者失眠的患病率.
- 为了确定与中风后失眠相关的因素.
主要方法:
- 一项全面的元分析使用了来自Web of Science,PubMed,Embase和Cochrane图书馆数据库的数据,直到2023年6月.
- 包括26项研究,包括1,193,659名参与者,包括497,124名中风患者.
- 使用随机效应模型和I2统计数据来分析流行率和评估异质性.
主要成果:
- 在中风患者中失眠的总体患病率为46.98%.
- 与非急性中风 (44.07%) 相比,急性中风 (59.16%) 的失眠率更高.
- 患病率随着患者年龄 (≥65岁) 和随着随访时间 (≥3年) 的延长而增加.
结论:
- 脑卒中似乎是导致失眠的诱导因素.
- 失眠在中风的急性阶段更为普遍,其发病率随着年龄和随访时间的增加而增加.
- 失眠评估诊断工具表明,与自我报告方法相比,失眠率更高.
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