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标题:成人癫痫的主客观睡眠质量分析 作者:吴伟博,郭丽冰,杜韵华 卷次: 2021年32卷8期
佛山市第三人民医院神经内科,广东 佛山 528041【摘要】 目的 研究成人癫痫的主客观睡眠质量。方法 选取2017年6月至2020年5月佛山市第三人民医院神经内科收治的32例成人癫痫患者(癫痫组)进行研究,另选同期门诊健康体检者32例作为对照组,采用匹兹堡睡眠质量指数量表(PSQI)评价两组受检者的主观睡眠质量,采用多导睡眠图(PSG)评价其客观睡眠质量。结果 癫痫组和对照组受检者的PSQI总分[(6.17±0.94)分vs (4.38±0.65)分]、主观睡眠潜伏期[(39.19±5.81) min vs (30.54±4.03) min]、主观睡眠时间[(438.09±68.73) min vs (492.08±77.56) min]、主观睡眠效率[(80.01±5.04)% vs (86.19±5.73)%]比较差异均有统计学意义(P<0.05);癫痫组和对照组受检者的客观睡眠时间[(486.93±78.06) min vs (528.97±83.04) min]、客观睡眠潜伏期[(31.98±6.04) min vs (26.06±4.02) min]、客观睡眠效率[(82.77±5.04)% vs (89.01±3.04)%]、客观觉醒次数[(7.87±0.68)次/晚 vs (4.92±0.45)次/晚]、睡眠分期N1 [(59.81±8.13) min vs (36.77±5.06) min]、睡眠分期N2 [(65.17±9.01) min vs (58.33±6.55) min]、快速眼动睡眠潜伏期[(88.11±17.04) min vs (76.04±13.22) min]、睡眠分期N3+N4[(20.48±2.03) min vs (24.79±2.69) min]、快速眼动睡眠期[(82.18±14.03) min vs (102.79±11.64) min]、快速眼动睡眠期比例[(17.04±1.25)% vs (19.74±1.16)%]、快速眼动睡眠潜伏期[(88.11±17.04) min vs (76.04±13.22) min]比较差异均有统计学意义(P<0.05);癫痫组和对照组受检者的主客观睡眠时间差值[(48.84±6.84) min vs (36.89±3.73) min]、主客观睡眠潜伏期差值[(7.21±0.91) min vs (4.48±0.67) min]比较,癫痫组明显大于对照组,差异均有统计学意义(P<0.05);癫痫组患者的主客观睡眠效率差值为(2.76±0.39)%,与对照组的(2.82±0.35)%比较差异无统计学意义(P>0.05)。结论 成人癫痫患者较正常人群更容易发生睡眠障碍,且癫痫患者的主客观睡眠质量之间存在明显差异,PGS监测能有效检测出癫痫患者睡眠生理指标的紊乱。【关键词】 成人癫痫;主观睡眠质量;客观睡眠质量;匹兹堡睡眠质量指数量表;多导睡眠图【中图分类号】 R742.1 【文献标识码】 A 【文章编号】 1003—6350(2021)08—0970—04Subjective and objective analysis of sleep quality in adult epilepsy. WU Wei-bo, GUO Li-bing, DU Yun-hua.Department of Neurology, the Third People's Hospital of Foshan City, Foshan, 528041, Guangdong, CHINA【Abstract】 Objective To study the subjective and objective sleep quality of adult epilepsy. Methods A total of32 adult patients with epilepsy, who admitted to Department of Neurology, the Third People's Hospital of Foshan City fromJune 2017 to May 2020, were selected for the epilepsy group, and 32 healthy outpatients in the same period were selected asthe control group. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the subjective sleep quality of the twogroups, and polysomnography (PSG) was used to evaluate their objective sleep quality. Results The PSQI total score, sub-jective sleep latency, subjective sleep time, the subjective sleep efficiency in the epilepsy group were (6.17±0.94) points,(39.19±5.81) min, (438.09±68.73) min, (80.01±5.04)%, as compared with corresponding (4.38±0.65) points, (30.54±4.03) min, (492.08±77.56) min, (86.19±5.73)% in the control group, and the differences were statistically significant (all P<0.05); the objective sleep time, objective sleep latency, objective sleep efficiency, frequency of objective arousal, sleepstage N1, sleep stage N2, REM sleep latency, sleep stage N3 + N4, REM sleep, REM sleep latency in the epilepsygroup were (486.93 ± 78.06) min, (31.98 ± 6.04) min, (82.77 ± 5.04)% , (7.87 ± 0.68) times/night, (59.81 ± 8.13) min,(65.17±9.01) min, (88.11±17.04) min, (20.48±2.03) min, (82.18±14.03) min, (17.04±1.25)%, (88.11±17.04) min, respec-tively, as compared with corresponding (528.97±83.04) min, (26.06±4.02) min, (89.01±3.04)%, (4.92±0.45) times/night,(36.77±5.06) min, (58.33±6.55) min, (76.04±13.22) min, (24.79±2.69) min, (102.79±11.64) min, (19.74±1.16)%, (76.04±13.22) min in the control group, and the differences were statistically significant (all P<0.05); the difference of subjectiveand objective sleep time, subjective and objective sleep latency in the epilepsy group were (48.84±6.84) min and (7.21±0.91) min, respectively, which were significantly higher than correspoding (36.89±3.73) min and (4.48±0.67) min in thecontrol group (P<0.05), the difference of subjective and objective sleep efficiency in epilepsy group was (2.76±0.39)%versus (2.82±0.35)% in the control group (P>0.05). Conclusion Adult epilepsy patients are more prone to sleep disor-ders than normal people, and there are obvious differences between subjective and objective sleep quality of epilepsy pa-tients. PSG monitoring can effectively detect the disorder of sleep physiological indexes of epilepsy patients.【Key words】 Adult epilepsy;
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