躁狂症患者160例睡眠障碍多导脑电睡眠监测的脑电图分析  

Analysis of EEG multichannel EEG sleep monitoring in 160 patients with manic patients with sleep disorders

作　　者：赵勇[1] 鲁晓波[1] 陈红玉[1] 王红梅[1] 黄翠菊[1] 李世朝[1] 

机构地区：[1]湖北医药学院附属随州医院精神科,441300

出　　处：《重庆医学》2017年第A01期69-71,共3页Chongqing medicine

摘　　要：目的研究160例躁狂症患者睡眠障碍多导脑电睡眠监测的脑电图特点。方法选取2013年1月至2015年1月该院收治的躁狂症患者睡眠障碍患者160例作为观察组及无躁狂症睡眠障碍患者160例作为对照组，对320例患者均行多导脑电睡眠监测。比较两组患者脑电监测结果、指标及睡眠结构。结果两组患者多导脑电睡眠监测结果表现正常者分别占85．00％、68．75％，轻度异常者分别占15．OO％、24．38％，观察组患者中重度异常者占6．87％；两组患者异常脑电图均表现为θ波增多或异常改变；观察组患者脑电睡眠监测结果中θ波明显多于对照组，总觉醒、睡眠潜伏期时间明显长于对照组，睡眠效率明显低于对照组，差异均有统计学意义（P〈0．05）。两组患者总睡眠时间，Ⅰ、Ⅱ、Ⅲ＋Ⅳ期、NREM期及REM期睡眠比例比较差异均无统计学意义（P〉0．05）；但对照组患者总NERM睡眠高于观察组，觉醒时间低于观察组。结论躁狂症患者睡眠障碍以睡眠时间减少为主，多导脑电睡眠监测表现为0波增多或异常改变为主。因此可根据脑电睡眠监测结果评估患者病情，具有一定临床意义。Objective To study the EEG characteristics of polysomnography in 160 patients with sleep disorders. Methods from January 2013 to January 2015 in our hospital,160 cases of manic patients with sleep disorders and a total of 160 cases of patients with no sleep disorders were studied. All of the patients in the study group were treated with polysomnography. The EEG monito- ring results,indexes and sleep structure were compared between the two groups. Results Two groups of patients with multichannel EEG monitoring results showed normal sleep respectively accounted for 85 % and 68.75 %;mild abnormalities accounted for 15%, 24.38% ; the observation group and severe abnormal accounted for 6.87% ;two groups of patients with abnormal EEG theta wave increased or abnormal changes lthe observation group EEG sleep monitoring results,theta significantly more than the control group （P〈~0.05）. Two groups of multi-channel monitoring results of electric sleep EEG showed no significant difference in the total sleep time （P〈0.05）;but the total time of awakening and sleep latency time in the observation group than in the control group（P〈0. 05） ,sleep efficiency of the observation group is lower than that of control group （P〈0.05）. In the proportion of stage Ⅰ , Ⅱ ,Ⅲ ＋ Ⅳ, NREM and REM phases of sleep were compared between the two groups, no significant difference（P〉0.05） l however, the con- trol group total NERM sleep wake time higher than the observation group,lower than the observation group. Conclusion Sleep dis- order manic patients mainly reduced sleep time, multichannel EEG sleep monitoring showed theta increased or abnormal change Therefore,it can be used to assess the patient＇s condition according to the results of EEG monitoring.

关 键 词：躁狂症 睡眠障碍 脑电图分析 

分 类 号：R720.597[医药卫生—急诊医学]