Volume 23 Issue 4
Apr.  2025
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HE Shengyan, JIANG Shuzhen, JIN Feimei. Study on sleep structure in stroke patients with periodic limb movements during sleep[J]. Chinese Journal of General Practice, 2025, 23(4): 559-561. doi: 10.16766/j.cnki.issn.1674-4152.003949
Citation: HE Shengyan, JIANG Shuzhen, JIN Feimei. Study on sleep structure in stroke patients with periodic limb movements during sleep[J]. Chinese Journal of General Practice, 2025, 23(4): 559-561. doi: 10.16766/j.cnki.issn.1674-4152.003949
shu

Study on sleep structure in stroke patients with periodic limb movements during sleep

doi: 10.16766/j.cnki.issn.1674-4152.003949
  • 1.

    Department of Rehabilitation, Jinhua Central Hospital, Jinhua, Zhejiang 321000, China

Funds:

 2022KY426

  • Received Date: 2024-04-25
    Available Online: 2025-06-30
    Abstract
  •   Objective  To analyze the characteristics of sleep structure in stroke patients with periodic limb movements disorder in sleep (PLMS) and to explore the effect of PLMS on sleep in stroke patients, providing a basis for improving the quality of life in stroke patients with PLMS.  Methods  A total of 99 stroke patients with sleep disorders, diagnosed and treated at Jinhua Central Hospital from April 2022 to June 2023, were selected. According to whether the patients had PLMS, they were divided into the PLMS group (48 cases) and the non-PLMS group (51 cases). General data and PSG data of patients were collected. Sleep structure and related parameters were compared between the two groups, and the correlation between PLMS and sleep parameters was analyzed.  Results  The PLMS groups showed significantly higher values for the awake periodic limb movement of sleep index (PLMI), N1 sleep proportion, N2 sleep proportion, arousal index and periodic limb movement arousal index (PLMAI) with values of (61.45±3.86) times/h, (13.35±2.13)%, (57.42±3.55)%, (29.73±2.68) times/h, and (1.27±0.29) times/h, respectively, compared to the non-PLMS group [(28.85±2.92) times/h, (8.36±2.35)%, (52.51±3.52)%, (15.93±2.59) times/h, and (0.86±0.25) times/h, P < 0.05]. The N3 sleep proportion and sleep efficiency were significantly lower in the PLMS group, at (12.52±2.16)% and (83.79±5.83)%, respectively, compared to the non-PLMS group [(23.25±2.25)% and (95.52±7.73)%, P < 0.05]. PLMS was positively correlated with awake PLMI, N1 sleep proportion, N2 sleep proportion, wake index, and PLMAI (rs=0.529, 0.213, 0.398, 0.251, 0.529, P < 0.05), while negatively correlated with sleep efficiency (rs=-0.329, P < 0.05).  Conclusion  Stroke patients with PLMS often exhibit sleep structure disorders and decreased sleep efficiency. PLMS may serve as a predictor of poor prognosis in stroke patients. Clinical monitoring of sleep status in stroke patients with PLMS is recommended, along with appropriate intervention measures to improve patient quality of life.

     

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