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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Causes of Excessive Daytime Sleepiness in Patients with Acute Stroke-A Polysomnographic Study
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Causes of Excessive Daytime Sleepiness in Patients with Acute Stroke-A Polysomnographic Study

机译：急性中风患者白天嗜睡过多的原因-多导睡眠图研究

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Background: Sleep disorders are common in stroke patients. Sleep-disordered breathing (SDB), which is present in up to 72% of stroke patients, is the most frequent cause of excessive daytime sleepiness (EDS) in common population. The aim of this study was to assess the frequency of EDS in stroke patients and to analyze the impact of SDB, stroke severity, and location of stroke on EDS in the acute phase of stroke. Methods: We enrolled 102 patients with the clinical diagnosis of acute stroke. Baseline clinical characteristics were recorded on admission. An Epworth sleepiness scale score higher than 9 was considered as EDS. To detect SDB, we performed standard overnight polysomnography within 4 +/- 2 days after the stroke onset. Results: EDS was present in 21 patients (20.6%). In a population with EDS, we found a significantly higher number of obstructive apneic pauses, central apneic pauses, as well as significantly higher values of respiratory disturbance index (RDI), RDI during nonrapid eye movement sleep, desaturation index, and significant decrease of REM sleep duration. RDI (odds ratio [OR], 1.031; 95% confidence interval [CI], 1.007-1.056; P = .01) and duration of REM sleep (OR, .922; 95% CI, .853-.997; P = .042) were the only independent variables significantly associated with EDS in a binary multivariate regression model. Conclusion: SDB is a common, significant, and treatable cause of EDS in acute stroke patients. We suppose that examination in sleep laboratories is reasonable in all stroke patients with EDS, although the impact of SDB therapy on EDS and overall outcome in acute stroke remains unknown.
机译：背景：中风患者常见睡眠障碍。多达72％的中风患者存在睡眠呼吸障碍（SDB），这是普通人群中白天过度嗜睡（EDS）的最常见原因。这项研究的目的是评估卒中患者中EDS的发生频率，并分析SDB，卒中严重程度和卒中在卒中急性期对EDS的影响。方法：我们招募了102例临床诊断为急性中风的患者。入院时记录基线临床特征。高于9的Epworth嗜睡量表得分被视为EDS。为了检测SDB，我们在卒中发作后4 +/- 2天内进行了标准的夜间多导睡眠监测。结果：EDS存在于21例患者中（20.6％）。在具有EDS的人群中，我们发现阻塞性呼吸暂停，中枢性呼吸暂停的数量显着增加，并且呼吸紊乱指数（RDI），非快速眼动睡眠中的RDI值，去饱和指数和REM显着降低，其值也明显更高睡眠时间。 RDI（赔率[OR]为1.031; 95％置信区间[CI]为1.007-1.056; P = 0.01）和REM睡眠持续时间（OR为.922; 95％CI为0.853-.997; P = .042）是二元多元回归模型中与EDS显着相关的唯一自变量。结论：SDB是急性卒中患者EDS的常见，重要且可治疗的原因。我们认为，尽管SDB治疗对EDS的影响和急性卒中的总体预后尚不明确，但在睡眠实验室中对所有EDS卒中患者进行检查都是合理的。

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