综合性医院神经科门诊患者失眠情况的调查  

Survey of the insomnia with outpatients in the department of neurology in the general hospital

作　　者：张燕[1] 沈扬[1] 樊东升[1] 杨志杰[1] 刘金生[1] 赵淑清[1] 

机构地区：[1]北京大学第三医院神经内科,100083

出　　处：《临床神经病学杂志》2006年第3期213-215,共3页Journal of Clinical Neurology

摘　　要：目的调查综合性医院神经内科门诊患者失眠情况。方法采用病例对照研究和流行病学方法、根据美国精神疾病分类和诊断标准对2004年10～12月北京大学第三医院神经内科门诊患者的睡眠情况进行调查,并用多元Logistic回归模型分析影响睡眠的因素。结果共有925例患者完成调查,并分为急性失眠组(149例)、慢性失眠组(415例)和对照组(361例);对性别、吸烟、冠心病、高脂血症、文化程度、职业状况等混杂因素调整后行多元Logistic回归分析发现:(1)女性(OR=2.02,P=0.001)、前列腺增生症(OR=1.94,P=0.036)、焦虑(OR=3.29,P=0.000)、抑郁(OR=2.48,P=0.000)、腿动(OR=1.78,P=0.019)等与急性失眠显著相关;(2)女性(OR=2.13,P=0.000)、文化程度(OR=2.05,P=0.005;OR=2.07,P=0.003)、前列腺增生症(OR=1.71,P=0.023)、焦虑(OR=7.42,P=0.000)、抑郁(OR=4.73,P=0.000)等与慢性失眠显著相关。结论女性、前列腺增生症、焦虑、抑郁与急性和慢性失眠有相关性。Objective To investigate the information of outpatients with acute and chronic insomnia in the department of neurology in the general hospital. Methods In the case-control study and epidemiological investigation, the sleeping information of the outpatients in Department of Neurology of Peking University Third Hospital were collected according to classification and diagnostic criteria of mental disorder in American from October 2004 to December 2004. Multiple Logistic regression was performed to analyze the associated factors for insomnia. Results Total 925 cases were investigated and divided into acute insomnia group（ 149 cases）, chronic insomnia group （361 cases ） and control group （415 cases ）. After adjustment for major confounders including gender, smoking, coronary artery disease, hyperlipoidemia, education and occupation, it showed that： （1） Female （OR=2.02 ,P = 0. 001 ）, hyperplasia of prostate （ OR = 1.94, P = 0. 036 ）, anxiety （ OR = 3.29, P = 0. 000 ）, depression （ OR = 2.48, P=0. 000） and leg-moving （ OR = 1.78 ,P = 0. 019 ） increased the risk of acute insomnia significantly. （2） Female （ OR=2. 13, P = 0. 000 ）, education （ OR = 2.05, P = 0. 005 ; OR = 2. 07, P = 0. 003 ）, hyperplasia of prostate （ OR = 1.71, P = 0. 023 ）, anxiety （ OR= 7.42, P = 0. 000 ） and depression （ OR = 4. 73, P = 0. 000 ） increased the risk of chronic insomnia significantly. Conclusions Female, hyperplasia of prostate, anxiety and depression are associated with acute and chronic insomnia.

关 键 词：失眠 相关因素 LOGISTIC回归分析 

分 类 号：R740[医药卫生—神经病学与精神病学]