在中风后的患者中,自我和护理人员报告的睡眠问题的多睡眠学相关性
Kamalesh Tayade1, Deepti Vibha1, Rajesh Kumar Singh1
1Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Frontiers in neurology
|July 31, 2025
概括
脑卒中后的睡眠障碍经常被患者和护理人员忽略. 睡眠呼吸暂停 (PSG) 显示高率的睡眠呼吸暂停和其他问题,即使在那些报告没有问题的人群中,强调需要主动查.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 心血管医学 心血管医学
背景情况:
- 脑卒中后睡眠障碍 (PSSD) 显著影响患者的康复,生活质量和抑郁症风险.
- 多睡眠学 (PSG) 的有限可用性有助于PSSD的诊断和治疗不足.
研究的目的:
- 通过患者和护理人员的报告来确定PSSD的患病率.
- 评估中风后患者报告的睡眠障碍与客观PSG发现之间的一致性.
主要方法:
- 一项涉及成年中风幸存者的横截面研究 (中风发病后1个月至1年).
- 评估包括患者/护理人员采访,匹兹堡睡眠质量指数 (PSQI),STOP-BANG,HAM-D,HAM-A,mRS和SS-QoL.
- 一小部分患者接受了夜间多睡眠学 (PSG) 测试,并分析了呼吸暂停-低呼吸指数 (AHI).
主要成果:
- 只有23.3%的患者和11.7%的护理人员报告睡眠障碍,但PSG在62%的人中发现阻塞性睡眠呼吸暂停 (OSA).
- 在100%的患者中,PSG发现了OSA,在34.5%的无症状个体中自我报告了睡眠问题和睡眠中的周期性四肢运动障碍 (PLMS).
- 高AHI (>5) 在65.8%的患者中普遍存在,无论临床或问卷数据如何.
结论:
- 在中风后的患者中,主观的睡眠障碍报告与客观的PSG发现之间存在显著的脱节.
- 使用结构化问卷和客观方法 (如PSG或动图) 进行睡眠障碍的积极查,对于资源有限的环境中有效管理至关重要.
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