失眠患者与健康人睡眠感知水平的对比分析

摘要

Objective: To investigate the differences of the insomnia patients and healthy people between the subjective perception of sleep and objective evaluation, analyze the characteristic of primary insomnia patients with sleep perceive. Methods: 120 patients treated in neurology clinic of our hospital from March 2006 to December 2010 were selected. 60 patients with primary insomnia(insomnia group) and 60 cases of sex, age-matched healthy control subjects(control group). All sub -jects were underwent overnight polysomnography monitoring, and were completed the questionnaire in the morning [to assess perception of sleep, sleep perception (%)=subjective sleep time/sleep time, objective ×l00%]. The insomnia severity index, anxiety and depression self-rating scale and other self-rating scale were used to described the extent of insomnia and asso -ciated analysis. Results: The subjects self-assessment of sleep parameters of the control group SL (18.75 ±5.59) min, WT (27.00± 6.08) min, SE (90.40±6.07)%, TST (438.00±41.75) min; insomnia group SL (62.97±35.56) min, WT (174.22±93.90) min, SE (54.78± 17.36)%, TST (285.94±90.48) min; the difference was statistically significant (all P<0.01). In the control group, ISR(1.69±2.19) scores, SAS(27.91 ±3.37) scores, SDS(0.29±0.03) scores; In the insomnia group ISR(20.59±6.14) scores, SAS(46.62± 11.64) scores, SDS(0.53±0.10) scores; insomnia group subjects by self-rating anxiety scale score and self-rating depression scale score was significantly higher (P<0.01). Conclusion: Patients with insomnia show a clear perception of sleep disorders in the clinical diagnosis and we should pay attention to it.%目的:探讨失眠患者与健康人之间对睡眠状况主观感知和客观评价的差异,分析原发性失眠患者的睡眠感知特点.方法:选取在我院2006年3月~2010年12月神经内科就诊患者120例,60例原发性失眠患者(失眠组)及60例性别、年龄相匹配的健康对照者(对照组).所有受试者均进行整夜多导睡眠图监测,并完成早晨问卷[用于评估睡眠知觉,睡眠知觉(%)=主观睡眠时间/客观睡眠时间×100%].采用失眠严重程度指数(ISR)、焦虑自评量表(SAS)和抑郁自评量表(SDS)等描述失眠程度并进行相关分析.结果:受试者的睡眠自我评估参数对照组睡眠潜伏期(SL)(18.75±5.59)min、觉醒时间(WT)(27.00±6.08)min、睡眠效率(SE)为(90.40±6.07)%、总睡眠时间(TST)(438.00±41.75)min,失眠组SL(62.97±35.56)min、WT(174.22±93.90)min、SE为(54.78±17.36)%、TST(285.94±90.48)min,两组比较,差异均有高度统计学意义(均P<0.01).对照组ISR(1.69±2.19)分、SAS评分(27.91±3.37)分、SDS评分(0.29±0.03)分;失眠组ISR(20.59±6.14)分、SAS评分(46.62±11.64)分、SDS评分(0.53±0.10)分;失眠组受试者焦虑自评量表评分和抑郁自评量表评分高于对照组,差异均有高度统计学意义(P<0.01).结论:失眠患者表现出明显的睡眠知觉紊乱,在临床诊断和治疗时应引起重视.