| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 102 === According to Department of Health, the top ten leading causes of death in the total deaths was about 75.6% of the population in 2011; malignant tumors ranked top one with 28.0%, followed by heart disease (10.9%) and cerebrovascular disease (7.1%) since the past 10 years. The daily exercise, cognitive and sensory obstacles will cause the functional disabillity, although two-thirds of ability to restore independent, there is still a third of stroke patients due to illness cause temporary or permanent paralysis of limbs and cognitive functional barriers. For the treatment of patients with stroke, previous measuring the patient's physiological condition based Barthel Index and Modified Rankin Scale has more emphasis on patient-centered model of assessment, such as the quality of life instruments for measuring patient treatment and prognosis.
The study was designed as a case-control study. The case group was recruited from Jhangbin Hospital Sleep Center with stroke which is over the age of 20 as an subject. Basic demographic and sleep quality scale were collected by structured questionnaire clinical examination and biochemical values of polysomnography and other information collected in this study included a total number of 175 cases of groups of people. The control group was recruiteed from Jhangbin Hospital Sleep Center which has no symptoms of stroke cases against 163 cases according to the case group gender and age (± 5 years) in a 1:4 manner to select matching 652 participants with 12 total case group by gender, age (± 5 years) in 1:3 mode selected pair of 36 participants, the number of the control group included a total of 688 participants.
The results of this study show that subjective sleep scales measuring sleep quality is poor, there are problems with fatigue lethargy case, the proportion of cases in some groups than the control group, although no statistically significant differences in the physiological function of a number of objective sleep (PSG ) in the case group mean sleep time and sleep efficiency lower than the control group, hypopnea index case group was higher, and both reached statistical significance on the meaning. In terms of gender is also showing different sleep problems such as insomnia Athens women self-rating scale (AIS) higher than the mean, men had higher sleepiness case group situations, and all of the statistical significance. Stratified analysis of hypertension, diabetes and high cholesterol and the risk of suffering a stroke, high blood pressure showed that in the absence of awakenings (OR = 3.33) and periodic leg movements (OR = 2.36) higher odds ratio of suffering a stroke is relatively high, circumstances have diabetes and insomnia (OR = 2.85) higher odds of suffering a stroke, there are two common diseases and suffer lethargy circumstances (OR = 2.70), hypopnea index> suffering a stroke 30 (OR = 3.01) when the odds relatively high.
Sleep is a complex physiological phenomenon and a great variety of almost any kind of neurological diseases are associated with sleep disorders, which of course includes order to stroke, proper sleep and maintain good sleep efficiency, avoid smoking, excessive drinking and other bad habits reduce the risk of high blood pressure, diabetes and high cholesterol and other cardiovascular diseases. This results will help to reduce the chance of stroke onset depends on the quality of sleep.
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