失眠症患者的多导睡眠图的量化标准研究  

Study on the polysomnography quantitative standard in patients with insomnia

作　　者：路英智 任清涛 宗莉[2] 吴英丽 张勤峰 马秀青 蒲金玉 董汉振 刘情情 

机构地区：[1]山东省淄博市精神卫生中心心理科,淄博255100 [2]山东省淄博市职业病防治院内科,淄博255022

出　　处：《神经病学与神经康复学杂志》2013年第3期151-154,共4页Journal of Neurology and Neurorehabilitation

基　　金：山东省淄博市科技局(2014)及淄博市精神病医院科研基金资助项目

摘　　要：目的探索建立失眠症的多导睡眠图(PSG)量化标准。方法对89例失眠症患者(失眠组)和75名健康成人(正常对照组)进行PSG全夜监测。结果与正常对照组相比,失眠组的PSG表现为:睡眠总时间(TST)减少;睡眠潜伏期(SL)延迟;醒觉次数(AT)增多;睡眠效率(SE)低;第1阶段(S1)睡眠增加;第2、3和4阶段睡眠下降;快速眼运动睡眠潜伏期(RL)缩短。此外,失眠组有15例(16.9%)的SL和SE综合分析正常,但患者主诉"无睡眠感",提示有"主观性失眠"存在。结论青壮年者的SL>45 min且SE<85%或65岁后老人的SL>60 min且SE<70%可作为失眠症的PSG量化标准。Objective To explore the quantitative changes of the polysomnography ( PSG ) in patients with insomnia . Methods The whole night PSG were recorded from 89 patients with insomnia ( the insomnia group ) and 75 normal subjects ( the control group ) . Results Compared with the control group , the insomnia group showed significantly changes on the PSG such as reduced total sleep time (TST), prolonged sleep latency (SL), increased waking times (AT), reduced sleep efficiency (SE), increased stage 1 sleep (S1), decreased stage 2, stage 3 or 4 sleep (S2, S3, S4), as well as shortened rapid eye movement latency (RL).In addition, 15 patients (16.9%) complaint of “no sleep sense” had normal SL and SE which suggested that those patients had subjective insomnia '. Conclusion This preliminary study suggests that SL more than 45 min with SE less than 85%in young adults or SL more than 60 min with SE less than 70%in the elderly can be used as PSG quantitative standard for insomnia .

关 键 词：失眠症 多导睡眠图 量化标准 

分 类 号：R740[医药卫生—神经病学与精神病学]