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慢性失眠症患者对睡眠的主观评估特征 被引量:5

Characteristics of subjective evaluation on sleep of patients with chronic insomnia
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摘要 目的:探讨慢性失眠症患者对睡眠后主观评估的特点。方法:2000-10/2003-09对新乡医学院第二附属医院收治的37例慢性失眠症患者和30名健康成人分别进行多导睡眠图和睡眠自评量表主客观评估。结果:失眠症患者不但有睡眠量的减少,同时存在有睡眠时间的判断错误,其中对睡眠潜伏期、总睡眠时间、总觉醒时间及快速动眼睡眠时间这4个睡眠参数主客观评价分别为(67.43±29.32,37.83±13.73);(155.19±40.70,295.54±59.71);(208.84±56.67,110.86±20.77);(52.27±16.84,37.81±12.26)min,与对照组比较和自身比较差异有显著性意义(P<0.001)。女性在各项指标主观评估上明显差于男性,女性和男性对4个参数的评估分别为(83.31±22.05,50.61±12.70);(136.47±36.95,184.89±25.65);(273.84±63.88,135.50±24.29);(78.68±22.00,26.28±6.34)min(P<0.01)。结论:慢性失眠症有着过分夸张症状的特征,女性比男性更明显。 AIM:To investigate the characteristics of post sleep subjective evaluation in patients with chronic insomnia. METHODS:Polysomnography and self rating sleep scale(SSS) were tested for subjective objective evaluation in 37 patients with chronic insomnia and 30 normal healthy controls.All the patients with chronic insomnia were selected from the Second Affiliated Hospital of Xinxiang Medical College during October 2000 and September 2003. RESULTS:The patients with insomnia had not only decrease of sleep,but also wrong judgement of sleep time,and the subjective and objective scores of sleep latencies and total sleep time and time of awakenings and arousals,duration of rapid eye movement sleep were(67.43±29.32),(37.83±13.73);(155.19±40.70),(295.54±59.71),(208.84±56.67),(110.86±20.77);(52.27±16.84),(37.81±12.26) minutes,there were significant differences as compared with the control group and themselves(P< 0.001).The subjective evaluations of the 4 indexes were obviously worse in females[(83.31±22.05),(136.47±36.95),(273.84±63.88),(78.68±22.00) minutes] than in males [(50.61±12.70),(184.89±25.65),(135.50±24.29),(26.28±6.34) minutes](P< 0.01). CONCLUSION:Patients with chronic insomnia have the characteristics of over exaggeration,which is more obvious in females than in males.
出处 《中国临床康复》 CSCD 北大核心 2005年第8期28-29,共2页 Chinese Journal of Clinical Rehabilitation
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