阻塞性睡眠呼吸暂停低通气综合征患者的心理状况分析  

Psychological status of patients with obstructive sleep apnea hypopnea syndrome

作　　者：高云[1] 马丽涛[1] 张彩[2] 孙悍军[1] 吕明[3] 杨金丽[1] 李红云[1] 单希征[1] 

机构地区：[1]武警总医院耳鼻咽喉头颈外科,北京100039 [2]北京师范大学认知神经科学与学习研究所,北京100875 [3]武警总医院医学工程科,北京100039

出　　处：《中国耳鼻咽喉头颈外科》2010年第7期369-371,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

基　　金：中国人民武装警察部队总医院重点课题(wz200507)

摘　　要：目的分析阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的心理健康状况。方法采用症状自评量表(symptom checklist-90,SCL-90)测定54例OSAHS患者,进行t检验和回归分析。结果 OSAHS患者SCL-90躯体化、强迫、人际敏感、焦虑、敌意和精神病性的因子评分较国内常模明显增高(P<0.05),OSAHS患者的呼吸暂停低通气指数(AHI)能够显著正向预测躯体化、强迫、人际敏感、抑郁、精神病性和SCL-90整体状况。结论 OSAHS患者存在显著的心理健康卫生问题,应给予足够的重视和积极有效的心理干预。OBJECTIVE To investigate the psychological status of patients with obstructive sleep apnea hypopnea syndrome（OSAHS）. METHODSFifty-four patients were assessed with SCL-90. Statistical analysis was performed with T-test and regression analysis. RESULTS The scores of somatization, constraint, interpersonal sensitivity, depression, anxiety and psychoticism of SCL-90 in OSAHS were higher than that in normal average subscores in China. Furthermore,there was obvious correlation between apnea and hypopnea index（AHI）and the symptoms of SCL-90. CONCLUSION Patients with obstructive sleep apnea hypopnea syndrome have obvious mental problems and should be paid more attention to effective intervention on mental rehabilitation.

关 键 词：睡眠呼吸暂停 阻塞性 心理学试验 抑郁 焦虑 

分 类 号：R766[医药卫生—耳鼻咽喉科]