摘要
目的研究创伤性颅脑损伤(TBI)后出现睡眠障碍与脑损伤部位的关系,为临床诊断及防治提供依据。方法采用SPIEGEL量表对200例轻型颅脑外伤患者进行睡眠质量测评,随访3个月,结合患者的头颅CT、MRI影像检查结果分析发生睡眠障碍与脑外伤部位的关系。结果 200例TBI患者发生睡眠障碍105例,有71例出现在患者清醒后1周内。其中,脑干、额叶、基底节受伤的患者发生睡眠障碍相关性高于其他部位受伤的患者,差异有统计学意义(P<0.05)。结论睡眠障碍是轻度TBI的常见临床症状,与脑干、额叶、基底节等部位损伤关系密切。
Objective Research on traumatic the related factors of sleep disorder after traumatic brain injury ,in order to pro-vided the rationale for the diagnosis and treatment .Methods The SPIEGEL was used to evaluate the traumatic brain injury patients who were hospitalized .Recording time in sleep disorders in 3 months .Analysis the relations between the sleep disorders and brain injury site by combining with the patients head CT and MRI .Results Seen in 200 cases of patients with sleep disorders of 105 cases （52 .5% ）;71 cases appeared in patients within 1 week after waking ,accounted for 76 .19% ;The brain stem ,frontal lobe and basal ganglia injury occurred sleep disorders were more likely（66 .7% ,64 .0% ,70% ） .The difference was statistically significant（P〈0 .05） .Conclusion Sleep disorder is a common clinical symptom of mild traumatic brain injury .a time to focus on the patients with-in 1 week after waking ,and closely related to brain stem ,frontal lobe and basal ganglia injury .
出处
《重庆医学》
CAS
北大核心
2015年第9期1206-1207,1210,共3页
Chongqing medicine
基金
重庆市卫生局医学科研基金资助项目(2011-4-447)
关键词
创伤性颅脑损伤
损伤部位
睡眠障碍
traumatic brain injury
the site of injury
sleep disorders
