不宁腿综合征多导睡眠图监测情况分析  

Polysomnography in restless legs syndrome

作　　者：邹慧莉[1] 陈国艳[1] 胡晓辉[1] 杨婷[1] 雷革胜[1] 宿长军[1] 

机构地区：[1]第四军医大学唐都医院神经内科,西安710038

出　　处：《中华实用诊断与治疗杂志》2014年第7期713-715,共3页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨不宁腿综合征(restless legs syndrome,RLS)夜间视频多导睡眠图与患者睡眠质量主观感受的差异,分析RLS患者伴发焦虑-抑郁状态。方法 26例RLS患者为RLS组,24例体检健康者为对照组,分析2组视频多导睡眠图结果,应用汉密尔顿焦虑抑郁量表及匹兹堡睡眠质量问卷评价RLS患者的焦虑-抑郁状态及主观睡眠情况。结果与对照组比较,RLS组总睡眠时间、睡眠效率、睡眠维持率、快速眼动睡眠次数降低(P<0.05),睡眠潜伏期、快速眼动睡眠潜伏期、醒起时间、≥5min的醒觉次数、非快速眼动睡眠Ⅰ期和Ⅱ期所占睡眠比例延长或增高(P<0.05)。结论多导睡眠监测可客观评定患者睡眠质量,对RLS诊断有一定价值。Objective To discuss the difference between polysomnography （PSG） results and the subjective feeling on quality of sleep in patients with restless legs syndrome （RLS） to analyze the anxiety and depression status. Methods The general features and PSG results were analyzed in 26 RLS patients （RLS group） and 24 healthy subjects （control group）. The anxiety-depression degree and subjective feeling on sleep quality were evaluated by Hamilton anxiety scale （HAMA）, Hamilton depression scale （HAMD） and Pittsburgh sleep quality index （PSQI） questionnaire. Results Compared with control group, RLS patients showed shortened total sleep time, decreased sleep efficiency and sleep maintenance rate and rapid eye movement times at night （P〈0.05）, and increased sleep latency, rapid eye movement sleep latency, arousal time, number of arousal episode longer than 5 minutes, and percentages of sleep stage I and stage II （P〈0.05）. Conclusions PSG can objectively assess the sleep quality, and helps the diagnosis of RLS.

关 键 词：不宁腿综合征 多导睡眠图 焦虑-抑郁 

分 类 号：R597[医药卫生—内科学]