CAJ | 학술논문

目的:探讨失眠症患者睡眠结构改变与状态焦虑和特质焦虑的关系.方法:对31例失眠症患者和20例正常对照者进行状态-特质焦虑问卷调查和整夜多导睡眠图描记,失眠症组于症状缓解出院后3~4月回访时重复检查.结果:(1)在睡眠结构上,与对照组相比,失眠症组呈现睡眠时间减少[(333.71±84.33)min vs.(403.65±19.29)min]、睡眠效率下降[(70.41±17.35) % vs.(83.45±4.42) %]、睡眠潜伏期[(39.48±24.24) min vs.(19.65±8.57) min]和快速眼动睡眠潜伏期延长[(106.60±42.89) min vs.(86.80±12.25) min],S_1睡眠时间比例增加[( 25.36±14.22) %vs.(8.86±1.77) %]、觉醒次数增多[(4.45±2.51) vs.(1.75±1.07)].S_(3+4)睡眠[(7.38±9.70)% vs.(13.78±4.24)%]和快速眼动睡眠时间比例[( 14.54±5.61) %vs.(19.18±2.14) %]减少 (Ps<0.05).(2)在状态-特质焦虑问卷评分上,失眠症组状态焦虑[(47.94 ±8.96) vs.(39.15±4.51)]和特质焦虑[(49.94 ±8.90) vs.(42.05±7.13)]得分均高于对照组(Ps<0.05).状态焦虑与睡眠潜伏期、快眼动睡眠潜伏期、觉醒次数和S_1睡眠时间比例均呈正相关(r=0.25~0.44,Ps<0.05),而与快眼动睡眠时间比例呈负相关(r=-0.41,P<0.01);特质焦虑与睡眠潜伏期和觉醒次数正相关(r=0.37,0.29;均Ps<0.05).(3)回访时患者睡眠结构改善,状态焦虑得分下降,特质焦虑无明显变化.结论:失眠症患者有明显的睡眠结构改变和较高的状态焦虑和特质焦虑,其睡眠结构改变与状态焦虑和特质焦虑相关.
목적:탐토실면증환자수면결구개변여상태초필화특질초필적관계.방법:대31례실면증환자화20례정상대조자진행상태-특질초필문권조사화정야다도수면도묘기,실면증조우증상완해출원후3~4월회방시중복검사.결과:(1)재수면결구상,여대조조상비,실면증조정현수면시간감소[(333.71±84.33)min vs.(403.65±19.29)min]、수면효솔하강[(70.41±17.35) % vs.(83.45±4.42) %]、수면잠복기[(39.48±24.24) min vs.(19.65±8.57) min]화쾌속안동수면잠복기연장[(106.60±42.89) min vs.(86.80±12.25) min],S_1수면시간비례증가[( 25.36±14.22) %vs.(8.86±1.77) %]、각성차수증다[(4.45±2.51) vs.(1.75±1.07)].S_(3+4)수면[(7.38±9.70)% vs.(13.78±4.24)%]화쾌속안동수면시간비례[( 14.54±5.61) %vs.(19.18±2.14) %]감소 (Ps<0.05).(2)재상태-특질초필문권평분상,실면증조상태초필[(47.94 ±8.96) vs.(39.15±4.51)]화특질초필[(49.94 ±8.90) vs.(42.05±7.13)]득분균고우대조조(Ps<0.05).상태초필여수면잠복기、쾌안동수면잠복기、각성차수화S_1수면시간비례균정정상관(r=0.25~0.44,Ps<0.05),이여쾌안동수면시간비례정부상관(r=-0.41,P<0.01);특질초필여수면잠복기화각성차수정상관(r=0.37,0.29;균Ps<0.05).(3)회방시환자수면결구개선,상태초필득분하강,특질초필무명현변화.결론:실면증환자유명현적수면결구개변화교고적상태초필화특질초필,기수면결구개변여상태초필화특질초필상관.
Objective:To explore the relationship between sleep structure changes and state or trait anxiety in patients with insomnia.Methods:Investigations were conducted with the State-trait Anxiety Inventory (STAI) and whole-night ploysomnography (PSG) recorded in 31 patients with insomnia and 20 normal controls.Repeated examinations were conducted in return visits 3～4 months after discharge.Results:Compared to control group,the patients with insomnia had decreased sleep time[(333.71±84.33) min vs.(403.65±19.29) min] and sleep efficiency[(70.41±17.35) % vs.(83.45±4.42) %],and increased sleep latency[(39.48±24.24) min vs.(19.65±8.57) min],REM sleep latency[(106.60±42.89) min vs.(86.80±12.25) min],proportion of S_1 sleep time[(25.36±14.22) % vs.(8.86±1.77) %]and awakening times[(4.45±2.51)vs.(1.75±1.07)].The proportions of S_(3+4) time[(7.38±9.70) % vs.(13.78±4.24) %] and REM sleep time reduced[(14.54±5.61) % vs.(19.18±2.14)%] (Ps<0.05).According to the STAI,scores of both state anxiety[(47.94±8.96) vs.(39.15±4.51)] and trait anxiety[(49.94±8.90) vs.(42.05±7.13)] were significantly higher in insomnia group than in control group (Ps<0.05).State anxiety was positively correlated with sleep latency (r=0.42),REM sleep latency (r=0.25),awakening times (r=0.44) and proportion of S_1 sleep time (r=0.34) (Ps<0.05),and negatively correlated with proportion of REM sleep time (r=-0.41,P<0.01).Trait anxiety was positively correlated with sleep latency (r=0.37,P<0.01) and wakefulness frequency (r=0.29,P<0.05).In return visits,the sleep structure improved,state anxiety score reduced,and trait anxiety had no significant changes.Conclusion:Patients with insomnia have significant sleep structural changes and higher state and trait anxiety.Their sleep structural changes are possilly related to state and trait anxiety.