Insomnia in ischemic stroke patients
Insomnia in ischemic stroke patients
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DOI：
10.1159/000064737
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发表时间：
2002-01-01
影响因子：
2.9
通讯作者：
Erkinjuntti, T
中科院分区：
文献类型：
--
作者：
Leppävuori, A;Pohjasvaara, T;Erkinjuntti, T
这是第一项针对中风患者失眠的研究。对486例年龄在55-85岁的脑卒中患者中的277例患者在缺血性脑卒中后3-4个月进行综合精神病学评估。在277例患者中，56.7%报告了任何失眠投诉，37.5%符合DSM-IV失眠标准。在38.6%的患者中，失眠主诉/失眠在卒中前就已存在，在18.1%的患者中，失眠主诉/失眠是卒中的后果。任何失眠投诉/失眠的独立相关因素是焦虑（Zung焦虑量表）和精神药物的使用。卒中后失眠的独立相关因素为卒中后残疾（Barthel指数）、痴呆、焦虑和精神药物的使用。在治疗和康复脑卒中患者时，应考虑到脑卒中。版权所有（C）2002 S. Karger AG，巴塞尔。
This is the first study that focuses on insomnia in stroke patients. A subgroup of 277 patients from a consecutive series of 486 stroke patients aged 55-85 years was subjected to a comprehensive psychiatric evaluation 3-4 months after ischemic stroke. Of 277 patients, 56.7% reported any insomnia complaint and 37.5% fulfilled the DSM-IV criteria of insomnia. In 38.6%, insomnia complaint/insomnia had already been present prior to the stroke and in 18.1%, it was a consequence of the stroke. Independent correlates of any insomnia complaint/insomnia were anxiety (Zung Anxiety Scale) and the use of psychotropic drug. Independent correlates of poststroke-onset insomnia complaint/insomnia were disability after stroke (Barthel Index), dementia, anxiety and use of psychotropic drug. Insomnia should be taken into consideration in treating and rehabilitating stroke patients. Copyright (C) 2002 S. Karger AG, Basel.