摘要
目的调查原发性三叉神经痛患者的睡眠质量,并探讨睡眠质量与年龄、性别、职业、抑郁焦虑、疼痛评分、受累部位等因素之间的关系。方法选择于2006年7月—2008年1月在宣武医院疼痛科病房入院的原发性三叉神经痛患者共170例,对患者的一般情况、抑郁焦虑情况及睡眠情况进行调查,分析睡眠质量与各因素之间的关系。主要应用的量表包括匹兹堡睡眠质量指数问卷(PSQI)、贝克抑郁量表(BDI)及贝克焦虑量表(BAI)等。结果约一半的患者存在睡眠障碍(47.1%,PSQI>5分)。睡眠问题的出现与疼痛程度、抑郁焦虑严重度有关,并与受累部位的多少有关;回归分析发现,疼痛部位的多少和是否存在抑郁状态可以预测睡眠问题的发生。结论原发性三叉神经痛患者的睡眠问题较严重,并与疼痛评分、抑郁焦虑及受累分支范围有关,提示对这类问题的干预可以减轻患者的疼痛程度,降低抑郁焦虑的评分,减少传统药物的服用剂量,降低药物并发症,实现多方面多角度治疗慢性三叉神经痛。
Objective This study was to investigate the nature of sleep problems in patients with idiopathic trigeminal neuralgia. Finding relationships between sleep problem and other conditions such as pain scores, age, career, involved branches, etc. Attempt to perspective the management for sleeping problem of trigeminal neuralgia patient and gain more perfect therapeutic schedule. Methods Totally 170 patients with primary trigeminal neuralgia hospitalized in pain wards of Xuanwu hospital from July 2006 to January 2008 were enrolled. The Pittsburgh Sleep Quality Index （PSQI） , Beck Depression Inventory （BDI） and Beck Anxiety Inventory （BAI） were used to survey the general conditions, depression and anxiety, and sleep of the patients, and then analyze the relationship between the sleep quality and various factors. Results Almost a half of the patients had poor sleep quality （47. 1%, PSQI 〉 5 ）. And the sleep problem was associated with pain severity, degrees of depression and anxiety, as well as the areas of involved parts. The regression analysis showed that the quantity of pain and depression could predict the onset of sleep problem. Conclusion Conclusion The primary trigeminal neuralgia patients have serious sleep problem, which is associated with scores of depression, anxiety and pain, and the involved region. This suggests intervention to this problem may reduce the patients＇ pain degree, decrease the scores of depression and anxiety, and reduce doses of traditional drugs and their side effects, and thus treating the chronic trigeminal neuralgia from muhiple aspects.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第1期39-41,共3页
Chinese General Practice
