University of Miami, Miller School of Medicine, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Miami, Florida.
University of Miami, Miami Project to Cure Paralysis, Department of Neurological Surgery, Miami, Florida.
J Clin Sleep Med. 2019 May 15;15(5):719-724. doi: 10.5664/jcsm.7760.
The purpose of this study was to determine sleep quality and presence of sleep disorders in participants with spinal cord injury (SCI).
A web-based survey, available online from February 2011 to July 2013, using validated sleep questionnaires, advertised via the internet and locally through SCI consumer organizations in the United States, Australia, New Zealand, and Canada, was designed to evaluate sleep in adults with self-reported SCI. Demographic characteristics and medical history were obtained from participant self-report.
In our study population, 70% of the 304 participants were male with a mean age of 45 ± 13 years. The mean duration of injury was 16 ± 12 years. Cervical injuries were reported by 49% and thoracic injuries noted in 40% of participants. Increased sleep apnea risk was noted in 31% of participants, with 66% reporting snoring. Insomnia symptoms were reported by 54% of the respondents. Almost 40% of participants ranked their sleep quality as "fairly bad" to "very bad" in the previous month, 29% reported "often" or "almost always" waking up because of pain, and 22% had difficulty falling asleep because of leg cramps. In the past year, 27% of the respondents reported daily uncomfortable leg sensations and 28% found these leg symptoms to be "moderately to extremely distressing."
This study increases the awareness that insomnia, sleep apnea, and poor sleep quality are common in individuals with chronic SCI; often coexisting. There is a need for increased screening for sleep problems by healthcare providers taking care of individuals living with SCI.
本研究旨在确定脊髓损伤（SCI）患者的睡眠质量和睡眠障碍的发生情况。
本研究采用在线问卷调查的方式，通过互联网和美国、澳大利亚、新西兰和加拿大的 SCI 患者组织在当地进行宣传，于 2011 年 2 月至 2013 年 7 月期间在线收集参与者的自我报告数据，以评估成年人的睡眠情况。参与者通过自我报告获取人口统计学特征和病史信息。
在我们的研究人群中，304 名参与者中有 70%为男性，平均年龄为 45 ± 13 岁。平均损伤时间为 16 ± 12 年。49%的参与者报告有颈椎损伤，40%的参与者报告有胸段损伤。31%的参与者存在睡眠呼吸暂停风险增加，66%的参与者打鼾。54%的受访者报告有失眠症状。近 40%的参与者在上个月将自己的睡眠质量评为“相当差”到“非常差”，29%的参与者报告因疼痛“经常”或“几乎总是”醒来，22%因腿部痉挛而难以入睡。在过去的一年中，27%的受访者报告每天腿部不适，28%的受访者认为这些腿部症状“中度到极度痛苦”。
本研究提高了人们对慢性 SCI 患者中常见的失眠、睡眠呼吸暂停和睡眠质量差的认识；这些问题往往同时存在。需要提高医护人员对患有 SCI 的患者进行睡眠问题筛查的意识。
