摘要
目的观察睡眠状况对脑梗死复发的影响。方法回顾性分析2016年6月至2017年6月期间在我院治疗的脑梗死患者174例,按照病史分为首发组与复发组,另取37例且既往无脑梗死病史又无睡眠障碍类疾病者对照组。采用多导睡眠监测测定并记录所有患者的睡眠总时长。将年龄、性别、睡眠总时长作为自变量,缺血性梗塞复发作为因变量,进行Logistic多元回归分析。结果高血压、血脂和睡眠时长是脑梗死复发的危险因素。复发组睡眠总时长[(5.64±1.37)h]分别短于初发组[(6.64±1.21)h]及对照组[(7.21±1.11)h],且初发组睡眠总时长短于对照组,差异均有统计学意义(P<0.05)。Logistic多元回归分析发现睡眠总时长是缺血性脑梗死复发的独立危险因素;睡眠时间越短,脑梗死复发的风险越大。结论睡眠时间缩短可能会导致缺血性脑梗死复发风险增加,需引起关注。
Objective The article aimed to explore the influence of total sleeping time on the recurrence of cerebral infarction.Methods 174 cases of cerebral infarction patients who hospitalized in our hospital from June 2016 to June 2017 were selected to under gopolysomnography(PSG)and were divided into two groups according to medical history:original group(73 cases)and recurrence group(101 cases).Another 37simultaneous outpatients who had no significant diseases to undergo PSG were chosen as the control group.Data were collected on all the individual s total sleeping time(TST),gender and age.Hypothesis testing and logistic related analysis were applied in data analysis.Results High blood pressure,blood fat and sleep duration is a risk factor for recurrence of cerebral infarction.The TST of recurrence group was shorter than those of the original group and the control group(P<0.05),among which the TST of the original group is shorter than that of the control group(P<0.05),both representing significant difference.Multiple regression analysis showed that TST was an independent risk factor for the recurrence of cerebral infarction and that the risk of recurrence of cerebral infarction increased with the lack of TST.Conclusion The shortening of TST may increase the risk of the recurrence of cerebral infarction.
作者
于贺花
YU Hehua(Zhoukou Dongxin District people s hospital,Zhoukou 466000,China)
出处
《中国老年保健医学》
2019年第2期48-49,53,共3页
Chinese Journal of Geriatric Care
关键词
睡眠状况
脑梗死复发
睡眠障碍
sleeping condition
recurrence of cerebral infarction
sleep disorders
