睡眠时间不足或过度对中风后认知功能的影响:挪威中风后认知障碍研究
Håkon Ihle-Hansen1,2, Guri Hagberg1,2,3, Hege Ihle-Hansen1,2,4
1Department of Medicine Bærum Hospital, Vestre Viken Hospital Trust Gjettum Norway.
Journal of the American Heart Association
|April 10, 2025
概括
睡眠时间影响中风后的认知功能. 睡眠不足 (<7小时) 和睡眠过多 (≥9小时) 都与3个月和18个月后脑卒中后认知障碍的风险更高有关.
科学领域:
- 神经科学是一个神经科学.
- 睡眠医学 睡眠医学
- 脑中风恢复 脑中风恢复
背景情况:
- 脑卒中后睡眠时间和认知功能之间的关系尚不清楚.
- 了解这种联系对于管理中风后认知障碍至关重要.
研究的目的:
- 研究睡眠时间对急性中风后认知障碍的预测价值.
主要方法:
- 诺-科斯特研究招募了815名急性中风患者 (2015-2017年).
- 使用activPAL传感器在中风后3个月的3天内测量睡眠时间,分类为不足 (<7h),参考 (7-9h) 或过度 (≥9h).
- 在3个月和18个月使用DSM-5标准评估认知障碍.
主要成果:
- 分析包括了443名在脑卒中前认知健康的参与者.
- 睡眠时间不足 (<7小时) 显示,认知障碍的几率比率 (OR) 在3个月后增加3.6,在18个月后增加1.4.
- 过度睡眠时间 (≥9小时) 显示,认知障碍的OR增加了2.8在3个月和3.3在18个月.
结论:
- 睡眠时间不足和过长都与中风后认知障碍的风险增加有关.
- 睡眠时间是影响中风后认知结果的潜在可修改因素.
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