| Objective Recruited Post- ischemic stroke sleep disorder and no post- ischemic stroke sleep disorder was measured with polysomnography(PSG) and quality of life scale(SF-36), respectively recorded sleep process, sleep structure and the quality of life. Evaluated the type of sleep disorder and quality of life in them, and analysis correlation between sleep parameters and various dimensions of quality of life,and directed treatment of post-stroke sleep disorder, improve quality of life.Methods A total of 112 first acute ischemic stroke in recovery phase(2-4 weeks) in neural Department of Ningxia Medical University Affiliated cardiovascular hospital from October 2013 to December 2014 were enrolled,and assessed PSQI score, selected 60 cases patients of PSQI ≥7 as sleep disorder group,and 52 cases patients of PSQI<7 as the nonsleep disorder group, all patients were collected clinical data. Respectively Monitored polysomnography, quality of life, anxiety rating scale,self rating Depression Rating scale and NIHSS scores in two groups.Finally analysis the sleep process 、sleep structure 、the type of sleep disorder and the scores of quality of life and its 8 dimensions。comparing the differences of the sleep parameters and quality of life in the two groups.and analysis correlation between them. To explore the correlations between the sleep parameters and the quality of life,and the effect on neural rehabilitation and prognosis. Using independent samples t- test compared the differences of two groups in sleep parameters and quality of life, correlation analysis between sleep parameters and quality of life using by Multivariate Stepwise Regression.Results In post- ischemic stroke sleep disorder,The Result of PSG showed the sleep latency(43.81±27.15 min) prolonged,sleep efficiency(66.13±10.50%) reduced, awake time(77.92±28.63 min) and the number of awake(3.90±1.45) increased, I phase of sleep(17.52±3.95%) increased, deep sleep(11.36±2.92%), REM sleep(16.55±3.67%) reduce,Compared with the control group had significant difference(P<0.05). Among the 37 cases of difficulty falling asleep; 49 cases of frequent awakening; wake up early in 21 cases; decreased sleep efficiency in 52 cases;56 cases of sleep architecture disturbances;sleep apnea in 29 cases and 2 cases of REM sleep behavior disorder. the total score of life quality of Postischemic stroke sleep disorder was(63.07±8.60), physical health was(52.67±10.31), role physical was(53.33±25.41), body pain Was(77.13±15.71), social activities was(69.38±14.81), mental health was(58.60±8.74), daily spiritual activities for(61.67±22.82), general Health was(60.03±10.19)and energy for(66.75±10.53). The total quality of life and various dimensions had statistically significant difference compared with the non- sleep disorder group(P<0.05). Sleep efficiency influenced overall quality of life, physical health, social activities,had positive correlation(r=3.116, r=0.457,r=3.974);The deep sleep influenced overall quality of life, physical health 、activities of daily living and social activities, was positive associated(r=2.210, r=0.265,r=1.194r=1.175)with them.The awakening period was negatively correlated with body pain(r=-0.809);sleep latency was negatively correlated with mental health, energy(r=-0.063, r=-0.098) and the number of awakening had negative corraltion(r=-1.976, r=-0.482) with energy,mental health.Conclusions 1. Post- ischemic stroke sleep disorder include insomnia, sleep structure disorder, sleep disordered breathing and rare REM sleep behavior disorder.2.Post- ischemic stroke sleep disorder had the changes of sleep processand sleep structure, mainly performance for aprolonged sleep latency,decreased sleep duration, the number of awake and awake time was increased, shallow sleep increased, deep sleep and REM sleep reduced.3.Post- ischemic stroke sleep disorder patients had poorer quality of life, mainly in physical health, the role physical aspects, followed by mental health, the sleep parameters measured by PSG influenced quality of life,had a certain correlation. |
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