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Post-stroke sleep disorders in Egyptian patients by using simply administered questionnaires: a study from Ain Shams University
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery ( IF 1.1 ) Pub Date : 2020-01-17 , DOI: 10.1186/s41983-020-0148-x
Alia H. Mansour , Maged Ayad , Naglaa El-Khayat , Ahmed El Sadek , Taha K. Alloush

Introduction Stroke is a leading cause of disability worldwide with grave morbidity and mortality. Sleep and stroke have a definite intermingling neuropathological relationship, so along with expeditious acute management, efficient secondary prevention and consistent rehabilitation, sleep disorders’ management has a hand in offering a medical service up to the mark. Objective Screening of sleep disorders’ prevalence in patients who survived a previous stroke by applying simple questionnaires and to determine the correlation between these disorders and stroke’s demographic, clinical, and risk factor variables. Methods Cross-sectional prospective study on 75 stroke patients from stroke outpatient clinic and all patients were subjected to answer a sheet of sleep questionnaire, Pittsburg Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Apnea/Hypopnea Index (AHI), Arabic versions. Results A total of 70.6 % were found to have sleep disorders, 61.6% had poor sleep quality, 20% had a severe degree of excessive day time sleepiness (EDS). Sleep disorders were more prevalent in the moderate severity of stroke by NIHSS and in the first 1–4 weeks. There was no correlation between the occurrence of sleep disorders and the site of the lesion. Conclusion Sleep disorders are broadly prevalent after a stroke. Resulting damage impedes the functional outcome. Simple questionnaires are easy applicable methods for screening of such disorders in post-stroke patients. Guidelines needed regarding screening and management of sleep disorders after a stroke.

中文翻译:

埃及患者中风后睡眠障碍通过使用简单的问卷调查:来自艾因夏姆斯大学的一项研究

简介 中风是全世界致残的主要原因,发病率和死亡率都很高。睡眠和中风有明确的混合神经病理关系,因此,除了快速的急性管理、有效的二级预防和持续的康复外,睡眠障碍的管理还有助于提供一流的医疗服务。目的 通过应用简单的问卷调查在先前中风后幸存的患者中筛查睡眠障碍的患病率,并确定这些障碍与中风的人口统计学、临床和危险因素变量之间的相关性。方法对脑卒中门诊75例脑卒中患者进行横断面前瞻性研究,对所有患者进行睡眠问卷、匹兹堡睡眠质量指数(PSQI)、Epworth嗜睡量表(ESS)、和呼吸暂停/低通气指数 (AHI),阿拉伯语版本。结果共发现70.6%的人有睡眠障碍,61.6%的人睡眠质量差,20%的人有严重程度的白天过度嗜睡(EDS)。根据 NIHSS,在中等严重程度的卒中和前 1-4 周内,睡眠障碍更为普​​遍。睡眠障碍的发生与病变部位无相关性。结论 中风后睡眠障碍普遍存在。由此产生的损伤阻碍了功能结果。简单的问卷是中风后患者筛查此类疾病的简单适用方法。需要关于中风后睡眠障碍筛查和管理的指南。20% 有严重的白天过度嗜睡 (EDS)。根据 NIHSS,在中等严重程度的卒中和前 1-4 周内,睡眠障碍更为普​​遍。睡眠障碍的发生与病变部位无相关性。结论 中风后睡眠障碍普遍存在。由此产生的损伤阻碍了功能结果。简单的问卷是中风后患者筛查此类疾病的简单适用方法。需要关于中风后睡眠障碍筛查和管理的指南。20% 有严重的白天过度嗜睡 (EDS)。根据 NIHSS,在中等严重程度的卒中和前 1-4 周内,睡眠障碍更为普​​遍。睡眠障碍的发生与病变部位无相关性。结论 中风后睡眠障碍普遍存在。由此产生的损伤阻碍了功能结果。简单的问卷是中风后患者筛查此类疾病的简单适用方法。需要关于中风后睡眠障碍筛查和管理的指南。结论 中风后睡眠障碍普遍存在。由此产生的损伤阻碍了功能结果。简单的问卷是中风后患者筛查此类疾病的简单适用方法。需要关于中风后睡眠障碍筛查和管理的指南。结论 中风后睡眠障碍普遍存在。由此产生的损伤阻碍了功能结果。简单的问卷是中风后患者筛查此类疾病的简单适用方法。需要关于中风后睡眠障碍筛查和管理的指南。
更新日期:2020-01-17
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