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预防医学  2019, Vol. 31 Issue (4): 346-350    DOI: 10.19485/j.cnki.issn2096-5087.2019.04.005
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脑出血患者不同出血部位与睡眠的相关性研究
张斯蒙, 田沛茹, 倪萍, 时景璞
中国医科大学第一附属医院临床流行病与循证医学教研室,辽宁 沈阳 110001
Association between bleeding sites and sleeping status in patients with cerebral hemorrhage
ZHANG Si-meng, TIAN Pei-ru, NI Ping, SHI Jing-pu
Department of Clinical Epidemiology and Evidence-based Medicine,the First Affiliated Hospital of China Medical University,Shenyang,Liaoning 110001,China
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摘要 目的 研究脑出血患者不同出血部位与睡眠时间和睡眠质量的相关性。方法 选取2017年9月—2018年6月辽宁省血栓医院脑出血住院患者,收集性别、年龄、吸烟、饮酒、既往史和脑出血部位等资料,检测空腹血糖、糖化血红蛋白和血脂4项,采用匹兹堡睡眠质量指数(PSQI)量表评价患者发病前1个月的睡眠时间和睡眠质量,采用Logistic回归模型分析脑出血部位与睡眠时间和睡眠质量的相关性。结果 共纳入249例脑出血患者,出血部位主要为基底节和丘脑,分别占59.84%和22.89%;睡眠时间<7 h占23.29%,7~8 h占41.37%,>8 h占35.34%;评价睡眠质量好的患者占76.31%;经常午休占36.55%,偶尔或从不午休占63.45%。Logistic回归分析结果显示,以基底节出血为参照组,睡眠质量差是丘脑出血的危险因素(OR=2.387,95%CI:1.144~4.985);经常午休是脑叶出血的危险因素(OR=13.027, 95%CI:1.545~109.849);睡眠时间<7 h是脑干出血的危险因素(OR=9.434,95%CI:1.387~64.173)。结论 丘脑出血与睡眠质量差有关;脑叶出血与经常午休有关;脑干出血与睡眠时间过短有关。
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张斯蒙
田沛茹
倪萍
时景璞
关键词 脑出血睡眠出血部位相关性    
AbstractObjective To study the association between bleeding sites and the quality and quantity of sleep in patients with cerebral hemorrhage.Methods The hospitalized patients with cerebral hemorrhage in Liaoning Thrombus Hospital from September 2017 to June 2018 were included. Information about gender,age,history of smoking and alcohol,previous history and the sites of cerebral hemorrhage was collected;the levels of blood glucose and lipids were measured;the quantity and quality of sleep were evaluated by Pittsburgh sleep quality index(PSQI). A logistic regression model was used to analyze the association between cerebral hemorrhage and sleeping status.Results A total of 249 patients with cerebral hemorrhage were enrolled. The main bleeding sites of the patients were basal ganglia and thalamus,accounting for 59.84% and 22.89%. The proportions of the patients with sleep duration less than 7 hours,7 to 8 hours and more than 8 hours were 23.29%,41.37% and 35.34%. The proportion of the patients with good sleep was 76.31%. The proportions of the patients with or without noon break were 36.55% and 63.45%. The results of multivariate logistic regression analysis showed that taken basal ganglia hemorrhage as the reference group,thalamic hemorrhage was associated with poor sleep quality(OR=2.387,95%CI:1.144-4.985);lobar hemorrhage was associated with frequent noon break(OR=13.027,95%CI:1.545-109.849);brain stem hemorrhage was associated with short sleep duration(OR=9.434,95%CI:1.387-64.173).Conclusion Short sleep duration may be a risk factor for brain stem hemorrhage,poor sleep quality may be a risk factor for thalamic hemorrhage,and frequent siestas may be a risk factor for lobar hemorrhage.
Key wordsCerebral hemorrhage    Sleep    Bleeding site    Association
收稿日期: 2018-09-11      出版日期: 2019-04-02
ZTFLH:  R195.4  
通信作者: 时景璞,E-mail:sjp562013@126.com   
作者简介: 张斯蒙,硕士在读,主要从事流行病学及循证医学工作
引用本文:   
张斯蒙, 田沛茹, 倪萍, 时景璞. 脑出血患者不同出血部位与睡眠的相关性研究[J]. 预防医学, 2019, 31(4): 346-350.
ZHANG Si-meng, TIAN Pei-ru, NI Ping, SHI Jing-pu. Association between bleeding sites and sleeping status in patients with cerebral hemorrhage. Preventive Medicine, 2019, 31(4): 346-350.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2019.04.005      或      http://www.zjyfyxzz.com/CN/Y2019/V31/I4/346
[1] FU X,WONG K S,WEI J W,et al.Factors associated with severity on admission and in-hospital mortality after primary intracerebral hemorrhage in China[J]. International Journal of Stroke,2013,8(2):73-79.
[2] LI Y,FANG W,TAO L,et al.Efficacy and safety of intravenous nimodipine administration for treatment of hypertension in patients with intracerebral hemorrhage[J]. Neuropsychiatr Dis Treat, 2015,11:1231-1238.
[3] KIM Y W L,SCHEMBRE S M,HENDERSON B E,et al. Insufficient and excessive amounts of sleep increase the risk of premature death from cardiovascular and other diseases:the Multiethnic Cohort Study[J]. Preventive medicine,2013,57(4):377-385.
[4] LEE M S,SHIN J S,LEE J,et al.The association between mental health,chronic disease and sleep duration in Koreans:a cross-sectional study[J]. BMC public health,2015,15(1):1200.
[5] CHEN J C,BRUNNER R L,REN H,et al.Sleep duration and risk of ischemic stroke in postmenopausal women[J]. Stroke, 2008,39:3185-3192.
[6] KIM M Y,LEE S,MYONG Y H,et al.Association between sleep duration and stroke prevalence in Korean adults:a cross-sectional study[J]. BMJ Open,2018,8(6):e021491.
[7] KIM T J,KIM C K,KIM Y.Prolonged sleep increases the risk of intracerebral haemorrhage:a nationwide case-control study[J]. European journal of neurology,2016,23:1036-1043.
[8] VON RUESTEN A,WEIKERT C,FIETZE I,et al.Association of sleep duration with chronic diseases in the European Prospective Investigation into Cancer and Nutrition(EPIC)-Potsdam Study[J]. PLoS One,2012,7(1):e30972.
[9] AMAGAI Y,ISHIKAWA S,GOTOH T,et al.Sleep duration and incidence of cardiovascular events in a Japanese population:the Jichi Medical School cohort study[J]. Epidemiol,2010,20(2):106-110.
[10] HEMPHILL J C,GREENBERG S M,ANDERSON C S,et al.Guidelines for the management of spontaneous intracerebral hemorrhage:a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2015, 46(7):2032-2060.
[11] BUYSSE D J,REVNOLDS C F,MONK T H,et al.The Pittsburgh Sleep Quality index:a new instrument for psychiatric practice and research[J]. Psychiatry Res,1989,28(2):193-213.
[12] RUIZ-SANDOVAL J L,CHIQUETE E,GARATE-CARRILLO A,et al. Spontaneous intracerebral hemorrhage in Mexico-results from a Multicenter Nationwide Hospitalbased Registry on Cerebrovascular Disease(RENAMEVASC)[J]. Rev Neurol,2011,53(12):705-712.
[13] WANG W J,LU J J,WANG Y J,et al.Clinical characteristics,management,and functional outcomes in Chinese patients within the first year after intracerebral hemorrhage:analysis from China National Stroke Registry[J]. CNS Neurosci Ther,2012,18(9):773-780.
[14] MAQUET P,PETERS J,AERTS J,et al.Functional neuroanatomy of human non rapid eye movement sleep and dreaming[J]. Nature, 1996,383(6596):163-166.
[15] IKEHARA S,ISO H,DATE C,et al.Association of sleep duration with mortality from cardiovascular disease and other causes for Japanese men and women:the JACC study[J]. Sleep,2009,32(3):295-301.
[16] DEL BRUTTO O H,MERA R M,ZAMBRANO M,et al. Poor sleep quality and silent markers of cerebral small vessel disease:a population-based study in community-dwelling older adults(The Atahualpa Project)[J]. Sleep Medicine,2015,16(3):428-431.
[17] QURESHI A I,GILES W H,CROFT J B,et al.Habitual sleep patterns and risk for stroke and coronary heart disease:a 10-year follow-up from NHANES I[J]. Neurology,1997,48:904-910.
[18] 刘宇,卞鑫,王加红. 老年高血压患者睡眠干预效果评价[J]. 预防医学,2018,30(8):776-778.
[19] CALHOUN D A,HARDING S M.Sleep and hypertension[J]. Chest,2010,138(2):434-443.
[20] 徐先平. 丘脑出血的病因、发病机制及临床表现[J]. 吉林医学, 2008,29(9):771.
[21] 马万芳,徐琳,江朝强,等. 午睡与中老年人高血压的关系[J]. 中华高血压杂志,2011,19(1):47-51.
[22] ZHAN Y,CHEN R,YU J.Sleep duration and abnormal serum lipids:the China Health and Nutrition Survey[J]. Sleep medicine, 2014,15(7):833—839.
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