目的:探讨急性脑梗死患者睡眠障碍的临床特点及其与脑梗部位的关系。方法:选取65例急性脑梗死患者作为研究对象，无脑梗死的65例患者作为对照组。比较两组睡眠障碍发生率、类型和睡眠监测情况。采用多因素回归分析睡眠障碍的危险因素。结果:实验组的总睡眠时间（TST）和匹兹堡睡眠质量指数（PSQI）显著低于对照组，实验组的快速眼球运动睡眠相（REM）、入睡后的觉醒时间（WASO）、睡眠潜伏期（SL）和嗜睡量表均显著高于对照组。患者年龄、吸烟、丘脑梗死、左侧脑梗死、后循环病变、HAMD评分和HAMA评分是急性脑梗死患者发生睡眠障碍的危险因素。结论:脑梗部位是急性脑梗死患者发生睡眠障碍的危险因素。

Objective To study the clinical characteristics of sleep disorder in patients with acute cerebral infarction and its relationship with cerebral infarction. Methods The type of sleep disorder can be identified by comprehensive medical history, physical examination, sleep questionnaire or sleep monitoring.The incidence of sleep disorders was compared between the experimental group and the control group. The types of sleep disorders and sleep monitoring were compared between the experimental group and the control group.NIHSS, HAMD and HAMA scores were used to evaluate neurological function, depression and anxiety. The differences in NIHSS, HAMD and HAMA scores between the sleep disorder group and the non-sleep disorder group were compared. The risk factors of sleep disturbance were analyzed. Results NIHSS, HAMD and HAMA scores in the sleep disorder group of patients with acute cerebral infarction were significantly higher than those in the non-sleep disorder group. Age, smoking, thalamic infarction, left cerebral infarction and posterior circulation were risk factors for sleep disturbance in patients with acute cerebral infarction. Conclusions Location of cerebral infarction is a risk factor for sleep disturbance in patients with acute cerebral infarction.