影响癫痫患者睡眠质量的危险因素研究  

Study on risk factors affecting sleep quality in patients with epilepsy

作　　者：杨娜娜 赵尧辉 鲁瑶 YANG Nana;ZHAO Yaohui;LU Yao(Cardiac Intensive Care Unit/Neurology Intensive Care Unit,Luoyang First People's Hospital,Luoyang(471000),Henan,China)

机构地区：[1]洛阳市第一人民医院重症医学科,河南洛阳471000

出　　处：《癫痫与神经电生理学杂志》2025年第1期21-26,共6页Journal of Epileptology and Electroneurophysiology

基　　金：河南省医学科技攻关计划项目(20231749)。

摘　　要：目的研究影响癫痫患者睡眠质量的危险因素。方法回顾性分析2022年6月至2024年6月于洛阳市第一人民医院收治的62例癫痫患者的临床资料,评估所有患者的睡眠质量,根据患者的睡眠情况分为睡眠障碍组和睡眠良好组。收集所有癫痫患者的一般资料和疾病相关特征,通过logistic回归分析有差异项目,得出影响患者睡眠质量的危险因素。结果本研究共纳入62例癫痫患者,其中睡眠障碍组22例(35.48%),睡眠良好组40例(64.52%);睡眠障碍组的发作类型、汉密尔顿抑郁量表(HAMD)评分、服药数量及发作频率项目与睡眠良好组存在显著差异(P<0.05);经logistic回归分析发现,发作类型、HAMD评分、服药数量及发作频率均是影响癫痫患者睡眠质量的危险因素。结论影响癫痫患者睡眠质量的危险因素较多,临床需引起重视,尽早制定对应措施进行干预。Objective To investigate the risk factors affecting sleep quality in patients with epilepsy.Methods Retrospective analysis was performed on clinical data of 62 epileptic patients admitted at Luoyang First People's Hospital from June 2022 to June 2024.Sleep quality of all patients was assessed.According to their sleep status,the patients were classified into sleep disorder and good sleep groups.General information and disease-related characteristics of all patients were collected.The factors affecting the patients'sleep quality were derived by analyzing the items with differences through logistic regression.Results Among 62 patients in this study,there were 22 cases(35.48%)in sleep disorder group and 40 cases(64.52%)in good sleep group.There were significant differences in seizure type,Hamilton Depression Rating Scale(HAMD)score,Medication dosage and seizure frequency between sleep disorder and good sleep groups(P<0.05).Logistic regression analysis revealed that seizure type,HAMD score,medication dosage and seizure frequency were risk factors affecting the sleep quality of the patients with epilepsy.Conclusion There are many risk factors affecting sleep quality of patients with epilepsy,which need to be taken seriously in clinical practice and corresponding measures should be formulated for intervention as early as possible.

关 键 词：癫痫 中枢神经系统 睡眠质量 全身性发作 发作频率 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R395.6[医药卫生—临床医学]