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失眠症患者睡眠质量、心理健康状况及其多导睡眠图的研究 预览 被引量:51

Analysis of sleep quality,mental health status and polysomnography of patients with insomnia
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摘要 目的探讨失眠症患者的睡眠质量、心理健康状况及其相互关系,并通过对多导睡眠图(PSG)睡眠参数的定量分析,对失眠症患者的主客观睡眠状况进行评估.方法对失眠症患者和正常人各98例分别运用匹兹堡睡眠质量指数问卷(PSQI)、症状自评量表问卷(SCL-90)进行评定,并分别进行多导睡眠图的整夜睡眠描记,次日晨起后询问夜间睡眠情况.结果失眠症组PSQI各成分得分及总分均高于对照组,差异有显著性(P<0.01);失眠症组SCL-90评定总分及躯体化、抑郁、焦虑各因子分[分别为(72.89±25.67)分,(2.13±0.49)分,(2.25±0.69)分]与对照组[分别为(31.28±12.73)分,(1.81±0.58)分,(0.73±0.57)分]比较,差异有显著性(P<0.05).失眠症组的睡眠潜伏期延长、总睡眠时间减少、觉醒次数增多、睡眠效率降低、快眼动睡眠时间减少[分别为(43.69±11.54)分,(314.65±91.89)分,(9.89±9.07)分,(64.51±18.59)分,(33.26±15.61)分],与对照组[分别为(16.01±10.44)分,(446.41±77.81)分,(3.54±2.89)分,(91.32±3.58)分,(93.21±21.63)分]相比,差异有显著性(P<0.01).失眠症组自我对总睡眠时间的评估较PSG检测值显著减低、对睡眠潜伏期的评估较PSG检测值显著增高,自我评估与实际睡眠时间不一致.结论失眠症患者不仅睡眠质量差,且伴有较多的心身症状.失眠越严重,心身症状就越明显.失眠症患者的PSG各睡眠参数有特征性的改变,利用PSG定量分析可区分出主观性失眠和客观性失眠.失眠症患者对失眠情况的主观评估与客观检测结果不一致,存在过高估价睡眠潜伏期和过低估价睡眠时间的倾向. Objective To explore the relationship between the sleep quality and mental health status in patients with insomnia, and to explore the significance of the quantitative analysis of polysomnograms in evaluating the objective and subjective situation of sleep in insomniacs. Methods 98 patients of insomnia and 98 normal controls were measured with Pittsburgh Sleep Quality Index ( PSQI ), SCL-90 and the all-night polysomnography (PSG) recordings were conducted . The sleep latency , total sleep time and sleep efficiency were rated after getting up the next morning. Results There were significant differences in sleep quality and in total score of SCL- 90 ,factor-score of somatization,depression,anxiety and dyssomnia between the patients with insomnia and the normal controls. A prolonged sleep latency, decreased total sleep duration, increased awake frequency, low sleep efficiency, abnormal sleep architecture such as decreased REM sleep was found in patients with insomnia. The difference between subjective sleep and objective estimates of sleep was significant. Conclusion The insomnia patients not only have lower sleep quality , but also have more mental health situations. There are varying features of PSG parameters with patients insomnia. Observation and quantitative analysis of polysomnograms might distinguish subjective insomnia from objective insomnia. There are have differences between subjective and objective estimates of sleep in the insomniacs . The insomniacs presents a tendency to overestimate the sleep latency and underestimate the sleep time.
作者 孙阳 杨志杰 古雅兰 沈扬 樊东升 吕旌乔 SUN Yang YANG Zhi-jie, GU Ya-lan, et al.( Department of Neurology, Peking University Third Hospital, Beijing 100083 ,China )
出处 《中国行为医学科学》 2006年第6期 498-500,共3页 Chinese Journal of Behavioral Medical Science
关键词 失眠症 睡眠质量 心理健康状况 多导睡眠图 Insomnia Sleep quality Mental health status Polysomnography
作者简介 杨志杰,Email:yangzj2003@bjmu.edu.cn,通讯作者
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