合并惊恐障碍对OSAS患者睡眠质量的影响  

Effect of Combined Panic Disorder on Sleep Quality in OSAS Patients

作　　者：王雯[1] 窦荣花[1] 黄静[1] 毕振云[1] 马翠霞[1] 庞伟[1] WANG Wen;DOU Ronghua;HUANG Jing(Brain Disease Department 2,Cangzhou Integrated Traditional Chinese and Western Medicine Hospital,Hebei Province,Cangzhou 061000,China)

机构地区：[1]河北省沧州中西医结合医院脑病二科,沧州061000

出　　处：《国际精神病学杂志》2024年第2期584-586,共3页Journal Of International Psychiatry

摘　　要：目的探讨合并惊恐障碍对阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea syndrome,OSAS)患者多导睡眠监测结果的影响。方法本研究对象为河北省沧州中西医结合医院105例OSAS患者,采用中文版惊恐障碍严重程度量表(panic disorder severity scale-chinese version,PDSS-CV)进行惊恐障碍评估,比较惊恐组与无惊恐组患者汉密尔顿焦虑量表(hamilton anxiety scale,HAMA)、匹兹堡睡眠质量指数(pittsburgh sleep quality index,PSQI)、多导睡眠监测结果。结果105例OSAS患者23例合并惊恐障碍,占比21.9%;惊恐组HAMA评分、PSQI指数显著高于无惊恐组(t=7.772,t=5.250,P均<0.001);惊恐组总睡眠时间(total sleep time,TST)、N2期、N3期、快动眼睡眠期百分比显著低于无惊恐组,觉醒时间(wake time after sleep onset,WASO)、睡眠潜伏期(sleep latency,SL)、N1期百分比显著高于无惊恐组(t=2.622,t=7.694,t=10.865,t=9.552,t=2.797,t=9.650,t=7.765,P均<0.001)。结论合并惊恐障碍会加重OSAS患者焦虑情绪以及睡眠障碍,睡眠时间减少,入睡、觉醒时间增加。Objective To explore the impact of combined panic disorder on the results of polysomnography in patients with obstructive sleep apnea hypopnea syndrome(OSAS).Methods A total of 105 OSAS patients from Cangzhou integrated traditional chinese and western medicine hospital in Hebei province were selected as the study subjects.The Chinese version of the Panic Disorder Severity Scale machine version(PDSS-CV)were used to evaluate the panic disorder.The Hamilton Anxiety Scale(HAMA),Pitsburgh sleep quality index(PSQI),and polysomnography monitoring results between patients in the panic and non panic groups were compared.Results Among 105 OSAS patients,23 were complicated with panic disorder,accounting for 21.9%.The HAMA score and PSQI index of the panic group were significantly higher than those of the non panic group(t=7.772,t=5.250,P<0.001).The percentage of total sleep time(TST),N2 phase,N3 phase,and rapid eye movement sleep in the panic group was significantly lower than that in the non panic group.The percentage of wake time after sleep offset(WASO),sleep latency(SL),and N1 phase in the panic group was significantly higher than that in the non panic group(t=2.622,t=7.694,t=10.865,t=9.552,t=2.797,t=9.650,t=7.765,P<0.001).Conclusion Combining panic disorder can exacerbate anxiety and sleep disorders in OSAS patients,reduce sleep time,and increase time to fall asleep and wake up.

关 键 词：惊恐障碍 阻塞性睡眠呼吸暂停低通气综合征 焦虑 多导睡眠监测 

分 类 号：R749[医药卫生—神经病学与精神病学]