《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (05): 463-464.

• 临床研究 • 上一篇    下一篇

脑卒中住院康复患者睡眠状况调查及干预对策探讨

区丽明; 李琳; 刘洪柏; 张鸣生   

  1. 广东省人民医院康复科,广东广州市 510080
  • 收稿日期:2008-01-08 出版日期:2008-05-01 发布日期:2008-05-01

Sleep Disorder in Stroke Inpatients and the Intervention

OU Li-ming, LI Lin, LIU Hong-bai, et al   

  1. Department of Rehabilitation Medicine, Guangdong Provincial People's Hospital, Guangzhou 510080, Guangdong, China
  • Received:2008-01-08 Published:2008-05-01 Online:2008-05-01

PDF (PC)

被引次数

8

摘要： 目的调查了解脑卒中住院康复患者睡眠状况,并探讨改善患者睡眠障碍的对策。方法调查并记录168例因脑卒中在我院康复科住院的患者的睡眠情况,统计脑卒中患者住院康复期间睡眠障碍的发生率。对于有睡眠障碍的患者给予包括改善环境,消除躯体不适,消除不良情绪(包括心理辅导和药物治疗),应用神经营养药,短期使用安眠药,建立正常的睡眠周期等相应的干预措施,2周后再次评定患者的睡眠状况。结果脑卒中住院康复患者睡眠障碍的发生率为60.7%,对于有睡眠障碍的患者给予相应的干预措施后,睡眠障碍的发生率下降到32.1%(P<0.05)。结论脑卒中住院康复患者睡眠障碍的发生率较高,综合性的睡眠干预措施可以降低睡眠障碍的发生率。

关键词: 脑卒中, 睡眠障碍, 康复

Abstract: Objective To investigate the sleep disorder in the stroke inpatients for rehabilitation and research the strategy to improve the sleep disorder.Methods The sleep statuses of 168 stroke inpatients were investigated and recorded.The sleep disorder was set into 4 forms,insomnia,sleep interrupted,over-sleep and sleep reversed.Those with sleep disorder were given certain intervention,including improving the environments,eliminating body discomfort and mental disorder,medicines,and reset the sleep cycle.Their sleep statuses were evaluated again 2 weeks later.Results The incidence of sleep disorder was 60.7%,among which 32.3% for insomnia,22.5% for sleep interrupted,25.5% for over-sleep and 16.7% sleep reversed.It was 32.1% after intervention(P<0.05).Conclusion It is frequent of sleep disorder in stroke patients for rehabilitation.Comprehensive intervention can improve the sleep of them.

Key words: stroke, sleep disorder, rehabilitation