脑卒中患者睡眠相关运动障碍的患病率及对神经功能康复的影响因素研究OA

Objective:To investigate the prevalence of sleep-related Movement Disorders(SRMDs)in stroke patients,and analyze their influencing factors and their effects on neurological functional recovery.Methods:A total of 108 patients with acute stroke admitted to the neurology department of our hospital from June 2021 to May 2024 were included.Within 14 days after admission,patients were divided into SRMDs group and non SRMDs group based on the presence of SRMDs.Results:The prevalence of SRMDs was 41.67％.Significant differences were observed between the two groups in age,stroke type,lesion location,National Institutes of Health Stroke Scale(NIHSS)score,anxiety/depression,total Pittsburgh Sleep Quality Index(PSQI)score,respiratory event index,obstructive apnea index,hypopnea index,nocturnal minimum oxygen saturation,and percentage of time with SpO2＜90％(all P＜0.05).Multivariate analysis identified age,stroke type,lesion location,NIHSS score,anxiety/depression,nocturnal pain,total PSQI score,and nocturnal minimum oxygen saturation as independent influencing factors for SRMDs(P＜0.05).At ad-mission and at 3 months post-discharge,the SRMDs group had significantly higher NIHSS scores than the non-SRMDs group(P＜0.05).No significant differences were found between the two groups in Fugl-meyer Assessment(FMA)score or Barthel index at admission(P＞0.05);however,at 3 months post-discharge,both measures improved in both groups,with significantly lower scores in the SRMDs group(P＜0.05).Conclusion:Post-stroke SRMDs have a high prevalence,and their occurrence is associat-ed with older age,specific lesion locations,greater neurological deficits,negative emotional states,and sleep disturbances.Moreo-ver,comorbid SRMDs impede the recovery of neurological function.Early identification and management of SRMDs are recommen-ded for clinical practice.