Clinchot D M, Bogner J, Mysiw W J, Fugate L, Corrigan J
Department of Physical Medicine & Rehabilitation, The Ohio State University, Columbus 43210, USA.
Am J Phys Med Rehabil. 1998 Jul-Aug;77(4):291-5. doi: 10.1097/00002060-199807000-00006.
Sleep disorders are a relatively common occurrence after brain injury. Sleep disturbances often result in a poor daytime performance and a poor individual sense of well-being. Unfortunately, there has been minimal attention paid to this common and often disabling sequela of brain injury. This study attempts to define and to correlate the incidence and type of sleep disturbances that occur after brain injury. Consecutive admissions to a rehabilitation unit were used to create a longitudinal database designed to predict long-term outcomes for individuals who suffered a brain injury. Fifty percent of subjects had difficulty sleeping. Sixty-four percent described waking up too early, 25% described sleeping more than usual, and 45% described problems falling asleep. Eighty percent of subjects reporting sleep problems also reported problems with fatigue. Logistic regression analysis revealed the following: the more severe the brain injury the less likely the subject would be to have a sleep disturbance; subjects who had sleep disturbances were more likely to have problems with fatigue; females were more likely to have trouble with sleep. This study demonstrates the substantial prevalence of sleep disturbances after brain injury. It underscores the relationship between sleep disorders and perception of fatigue. It also underscores the need for clinicians to strive for interventional studies to look at the treatment of sleep and fatigue problems after brain injury.
睡眠障碍是脑损伤后相对常见的情况。睡眠障碍常常导致日间表现不佳以及个人幸福感较差。不幸的是，对于脑损伤这种常见且往往会导致功能丧失的后遗症，人们关注极少。本研究试图明确并关联脑损伤后出现的睡眠障碍的发生率及类型。连续入住康复科的患者被用来创建一个纵向数据库，旨在预测脑损伤患者的长期预后。50%的受试者存在睡眠困难。64%的受试者称醒得过早，25%的受试者称睡眠时间比平常长，45%的受试者称难以入睡。报告有睡眠问题的受试者中，80%还报告有疲劳问题。逻辑回归分析显示如下结果：脑损伤越严重，受试者出现睡眠障碍的可能性越小；有睡眠障碍的受试者更易出现疲劳问题；女性更易出现睡眠问题。本研究表明脑损伤后睡眠障碍相当普遍。它强调了睡眠障碍与疲劳感之间的关系。它还强调临床医生需要努力开展干预性研究，以探讨脑损伤后睡眠和疲劳问题的治疗方法。
