| 马心锋 王共强 叶群荣 余静 刘力生 汪松 汪世靖 张亮亮.基于多导睡眠监测失眠患者的心理因素研究[J].实用中西医结合临床,2018,18(10):6-8 |
| 基于多导睡眠监测失眠患者的心理因素研究 |
| The Study on Psychological Factors of Insomnia Patients Based on Polysomnography |
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| DOI： |
| 中文关键词: 失眠 心理因素 匹兹堡睡眠质量指数 多导睡眠监测 |
| 英文关键词: Insomnia Psychological factors Pittsburgh sleep quality index Polysomnography |
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| 中文摘要: |
| 目的：研究心理因素对失眠患者的影响。方法：选取2017年1~12月在我院睡眠障碍门诊和心理咨询门诊就诊的31例失眠患者作为治疗组，并选取同期27名年龄、性别和教育程度相匹配的健康体检者作为对照组。两组分别行PSQI评价、SCL-90评价和PSG，以评定两组的睡眠状况及心理状况。结果：治疗组的PSQI得分，PSG睡眠潜伏期得分，SCL-90总分、SCL-90人际关系得分，SCL-90抑郁项得分和SCL-90焦虑项得分均明显高于对照组，差异均有统计学意义，P＜0.05；治疗组的PSG睡眠时间和PSG睡眠效率得分明显低于对照组，差异均有统计学意义，P＜0.05；多元回归分析显示，PSG监测结果与PSQI问卷结果有明显相关性，睡眠潜伏期延长与焦虑情绪有明显相关性，r=0.763，P＜0.01。结论：心理因素会影响患者的睡眠状况，尤其以焦虑情绪的影响最大。 |
| 英文摘要: |
| Objective: To study the effect of psychological factors on patients with insomnia. Methods: From January 2017 to December 2017, 31 patients with insomnia treated in sleep disorders clinic and psychological counseling clinic in our hospital were selected as the treatment group, and 27 healthy examiners whose age, gender and educational level matched were selected as the control group. The Pittsburgh Sleep Quality Index (PSQI), Symptom Checklist 90 (SCL-90) and Polysomnography (PSG) were used to evaluate the sleep status and psychological status of the two groups. Results: The treatment group's score of PSQI, PSG sleep latency, total score of SCL-90, interpersonal sensitivity of SCL-90, depression of SCL-90 and anxiety of SCL-90 were significantly higher than the control group's scores, the differences were statistically significant, P＜0.05. The scores of PSG sleep time and PSG sleep efficiency in treatment group were significantly lower than those in control group, the differences were statistically significant, P＜0.05. Multiple regression analysis showed that the PSG momitoring results were significantly correlated with the PSQI questionnaire results, there was a significant correlation between prolonged sleep latency and anxiety, r=0.763, P＜0.01. Conclusion: Psychological factors can affect the sleep status of patients, especially the anxiety. |
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