门诊老年失眠症患者生活质量及苯二氮(草)类药物使用情况

摘要

Objective;To explore quality of life in outpatients of senile insomnia and the condition of u-sing Benzodiazepines to improve sleep. Method: 88 outpatients of senile insomnia and 88 non-insomnia coming form community were evaluated with generic quality of life inventory-74 ( GQOLI-74) and Pittsburgh sleep quality(PSQI). Results; The patients of seniie insomnia showed loewer total score of GQOIL and the dimensional scores of material Life, mental function and social function than the aged with non-insomnia and higher score of PSQI than them. The general quality of life,mental function and social function in outpatients of senile insomnia were significantly negetive correlated with the quality of sleep. The average time of using benzodiazepines was (12. 10 ±4.40) month. The incidence of the dependence was 71.59%. Alprazolam and estazolam were taking at the most. Conclusion: The quality of life in patients of senile insomnia with serious negative e-motion and the bad support form marriage and family is rather bad. Most of them administered benzodiazepines to change sleep,the time is too long,and they depend on them obviously.%目的:了解门诊老年失眠症患者生活质量与睡眠的关系及使用苯二氮(草)类药(BZDs)改善睡眠的情况.方法:对老年失眠症患者和来自社区的无失眠症状的老年人各88例,采用生活质量综合评定问卷( GQOLI-74)、匹兹堡睡眠指数(PSQI)和进行测评. 结果:老年失眠症患者的GQOLI总分及物质生活维度、心理功能维度和社会功能维度的得分均显著低于无失眠症状的老年人；而PSQI得分显著高于无失眠症状的老年人.老年失眠症患者总体生活质量及心理功能、社会功能与睡眠质量存在显著负相关.平均使用BZDs时间(12.10 ±4.40)个月,依赖发生率71.59％,使用较多者为艾司唑仑、阿普唑仑. 结论:老年失眠症患者的生活质量较差,多数人服用BZDs改善睡眠,存在使用时间过长,有较高药物依赖发生.