Analysis Of Related Factors Of Sleep Disorder After Acute Ischemic Stroke

Objective To investigate the incidence and related risk factors of sleep disorders after acute ischemic stroke,so as to provide reference for improving the quality of diagnosis and treatment of stroke and improving the prognosis of stroke.Methods Selecting October 2019 from October 2019,the first occurrence of acute ischemic stroke in the neurology disease of Cardiovascular Vascular Disease Hospital of Ningxia Medical University General Hospital,after screening,A total of 200 patients in which the standard is included,the standard is excluded,and the 7d rock sleep quality index(PSQI)scale after the onset,according to the PSQI scale sleep disorder assessment standard,the study is divided into sleep disorder group(PSQI ≥ 7 points)129 cases and non-sleep disorder group(PSQI ≤ 6 points),collect the age,gender,cultural degree,weight index,high blood pressure history of high blood pressure,history of hypertension,history of hyperlipidemia,history,hyperlipidemia Smoking history,alcoholism,habitual snoring history,stroke part,the most severe degree of neurological defects and activities of daily living.Univariate and multivariate Logistic regression analysis was performed to explore the related risk factors of sleep disturbance after acute ischemic stroke.Results 1.The incidence of sleep disorder after acute ischemic stroke was 64.50%.The sleep disorder group compared with the non-sleep disorder group,the Pittsburgh sleep quality index metric table(PSQI)is high,and the difference is statistically sign(P <0.05).2.In patients with acute ischemic stroke,the incidence of sleep disorders was significantly higher in patients over 60 years old(P < 0.05),and in female patients(P < 0.05).The incidence of sleep disorders was significantly higher in patients with hypertension and /or diabetes mellitus and / or coronary heart disease and / or hyperlipidemia(P < 0.05).The incidence of sleep disorder was significantly higher in patients with history of drinking and habitual snoring(P < 0.05),but there was no significant difference in education level,smoking history and body mass index between sleep disorder group and non-sleep disorder group(P > 0.05).3.The incidence of sleep disturbance after stroke was different in different ischemic stroke sites,among which the incidence of brainstem stroke was the highest(76.92%),followed by cerebral cortical stroke(67.44%),basal ganglia stroke(65.63%)and cerebellum stroke(25.93%).There was significant difference between sleep disorder group and non-sleep disorder group(P < 0.05).4.The NIHSS score was higher and the ADL score was lower in patients with sleep disorders after acute ischemic stroke than those without sleep disorders,and the difference was statistically significant(P < 0.05).5.Multivariate Logistic regression analysis showed that acute ischemic stroke after sleep disorder was associated with habitual snoring(OR = 3.642,95% CI = 1.649-8.040),cerebral cortex stroke(OR = 4.515,95% CI = 1.093-18.644),brainstem stroke(OR = 5.443,95% CI = 1.128-26.624),NIHSS score(OR= 1.092,95% CI = 0.991-1.204)and ADL score(OR = 1.058,95% CI = 1.017-1.100)were closely related(B=1.292,P<0.05;B=1.507,P<0.05;B=1.694,P<0.05;B = 0.088,p < 0.05),which was negatively correlated with ADL score(B =﹣0.056,p < 0.05).Conclusion 1.The incidence of sleep disturbance is high after acute ischemic stroke,especially in elderly,female,hypertension,diabetes,coronary heart disease,hyperlipidemia,drinking and habitual snoring.2.The more severe the neurological impairment,the worse the ability of daily living,and the more prone to sleep disorders in patients with acute ischemic stroke.