Cohen M, Oksenberg A, Snir D, Stern M J, Groswasser Z
Sleep Disorders Unit, Loewenstein Rehabilitation Hospital, Ra'anana, Israel.
J Neurol Neurosurg Psychiatry. 1992 Apr;55(4):313-5. doi: 10.1136/jnnp.55.4.313.
Sleep complaints were obtained from 22 hospitalised patients with traumatic brain injury of recent onset (median 3.5 months after injury) and were compared with those of 77 discharged patients who had sustained brain injury about two to three years (median 29.5 months) previously. A high incidence of sleep complaints was noted in both groups (72.7% and 51.9% respectively). Disorders in initiating and maintaining sleep (DIMS) were the most common complaints among hospitalised patients (81.2%), whereas disorders of excessive somnolence (DOES) were common in discharged patients (72.5%). This difference in the nature of the complaints was apparently due to differences between the two groups in the time elapsed since injury, duration of coma, and immediate environmental conditions. In discharged patients with sleep complaints, neurobehavioural impairments and a poorer occupational outcome were more common than in those discharged patients without sleep complaints. It is suggested that early evaluation and treatment of sleep disturbances must be considered an integral part of the rehabilitation process.
从22例近期发生创伤性脑损伤（受伤后中位时间为3.5个月）的住院患者中获取睡眠主诉，并与77例约在两到三年前（中位时间为29.5个月）发生脑损伤的出院患者的睡眠主诉进行比较。两组患者的睡眠主诉发生率均较高（分别为72.7%和51.9%）。入睡和维持睡眠障碍（DIMS）是住院患者中最常见的主诉（81.2%），而过度嗜睡障碍（DOES）在出院患者中较为常见（72.5%）。主诉性质的这种差异显然是由于两组患者受伤后的时间、昏迷持续时间以及即时环境条件不同所致。在有睡眠主诉的出院患者中，神经行为障碍和较差的职业结局比无睡眠主诉的出院患者更为常见。建议将睡眠障碍的早期评估和治疗视为康复过程中不可或缺的一部分。
