中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2010年
7期
587-590
,共4页
吴君平%宋震亚%徐毅%张益民%沈荣海
吳君平%宋震亞%徐毅%張益民%瀋榮海
오군평%송진아%서의%장익민%침영해
肠易激综合征%睡眠异常%焦虑自评量表%抑郁自评量表%Pittsburgh睡眠质量指数量表
腸易激綜閤徵%睡眠異常%焦慮自評量錶%抑鬱自評量錶%Pittsburgh睡眠質量指數量錶
장역격종합정%수면이상%초필자평량표%억욱자평량표%Pittsburgh수면질량지수량표
Irritable bowel syndrome%Dyssomnias%Self-rating anxiety scale%Self-rating depression scale%Pittsburgh sleep quality index
目的 分析伴焦虑抑郁和无焦虑抑郁的肠易激综合征(IBS)患者睡眠质量的差别,探讨IBS患者的睡眠特征.方法 采用pittsburgh睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对IBS患者(145例)及健康体检志愿者(59例)进行问卷调查,再根据焦虑或抑郁评分对IBS患者分为无焦虑抑郁亚组和伴焦虑抑郁亚组,进行统计学分析.结果 在SAS、SDS量表中,IBS组的SAS粗分、SDS粗分及SAS粗分阳性率均比健康对照组高(29.43±15.24比26.10±11.55,31.29±13.32比26.51±13.91,12.41%比3.39%),差异均有统计学意义(P值均＜0.05),SDS粗分阳性率与健康对照组相比,差异无统计学意义(P＞0.05).在PSQI量表中,IBS组及无焦虑抑郁IBS亚组在睡眠质量、睡眠障碍、日间功能障碍等3个因子及PSQI总分比健康对照组高,差异有统计学意义(P＜0.05);伴焦虑抑郁的IBS亚组在睡眠质量、入睡时间、睡眠效率、睡眠障碍、睡眠时间、日间功能障碍等6个因子和PSQI总分比健康对照组高,差异有统计学意义(P＜0.05);伴焦虑抑郁的IBS亚组在所有7个因子和PSQI总分均比无焦虑抑郁的IBS亚组高,差异有统计学意义(P＜0.05).结论 IBS患者存在睡眠异常,主要表现在睡眠质量、睡眠障碍、日间功能障碍3个因子和PSQI总分异常,这些因子的异常独立于患者的情绪障碍,但情绪障碍会加重IBS患者的睡眠异常.
目的 分析伴焦慮抑鬱和無焦慮抑鬱的腸易激綜閤徵(IBS)患者睡眠質量的差彆,探討IBS患者的睡眠特徵.方法 採用pittsburgh睡眠質量指數量錶(PSQI)、焦慮自評量錶(SAS)和抑鬱自評量錶(SDS)對IBS患者(145例)及健康體檢誌願者(59例)進行問捲調查,再根據焦慮或抑鬱評分對IBS患者分為無焦慮抑鬱亞組和伴焦慮抑鬱亞組,進行統計學分析.結果 在SAS、SDS量錶中,IBS組的SAS粗分、SDS粗分及SAS粗分暘性率均比健康對照組高(29.43±15.24比26.10±11.55,31.29±13.32比26.51±13.91,12.41%比3.39%),差異均有統計學意義(P值均＜0.05),SDS粗分暘性率與健康對照組相比,差異無統計學意義(P＞0.05).在PSQI量錶中,IBS組及無焦慮抑鬱IBS亞組在睡眠質量、睡眠障礙、日間功能障礙等3箇因子及PSQI總分比健康對照組高,差異有統計學意義(P＜0.05);伴焦慮抑鬱的IBS亞組在睡眠質量、入睡時間、睡眠效率、睡眠障礙、睡眠時間、日間功能障礙等6箇因子和PSQI總分比健康對照組高,差異有統計學意義(P＜0.05);伴焦慮抑鬱的IBS亞組在所有7箇因子和PSQI總分均比無焦慮抑鬱的IBS亞組高,差異有統計學意義(P＜0.05).結論 IBS患者存在睡眠異常,主要錶現在睡眠質量、睡眠障礙、日間功能障礙3箇因子和PSQI總分異常,這些因子的異常獨立于患者的情緒障礙,但情緒障礙會加重IBS患者的睡眠異常.
목적 분석반초필억욱화무초필억욱적장역격종합정(IBS)환자수면질량적차별,탐토IBS환자적수면특정.방법 채용pittsburgh수면질량지수량표(PSQI)、초필자평량표(SAS)화억욱자평량표(SDS)대IBS환자(145례)급건강체검지원자(59례)진행문권조사,재근거초필혹억욱평분대IBS환자분위무초필억욱아조화반초필억욱아조,진행통계학분석.결과 재SAS、SDS량표중,IBS조적SAS조분、SDS조분급SAS조분양성솔균비건강대조조고(29.43±15.24비26.10±11.55,31.29±13.32비26.51±13.91,12.41%비3.39%),차이균유통계학의의(P치균＜0.05),SDS조분양성솔여건강대조조상비,차이무통계학의의(P＞0.05).재PSQI량표중,IBS조급무초필억욱IBS아조재수면질량、수면장애、일간공능장애등3개인자급PSQI총분비건강대조조고,차이유통계학의의(P＜0.05);반초필억욱적IBS아조재수면질량、입수시간、수면효솔、수면장애、수면시간、일간공능장애등6개인자화PSQI총분비건강대조조고,차이유통계학의의(P＜0.05);반초필억욱적IBS아조재소유7개인자화PSQI총분균비무초필억욱적IBS아조고,차이유통계학의의(P＜0.05).결론 IBS환자존재수면이상,주요표현재수면질량、수면장애、일간공능장애3개인자화PSQI총분이상,저사인자적이상독립우환자적정서장애,단정서장애회가중IBS환자적수면이상.
Objective To investigate the sleep features in the patients with irritable bowel syndrome (IBS) and compare the sleep quality between those IBS patients who were with and without anxiety and depression.Methods Pittsburgh sleep quality index questionnaire (PSQI), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were measured in the 145 IBS patients and 59 regular physical examination volunteers.IBS patients were also divided into two subgroups-patients with or without anxiety and depression based on cutoff scores of SAS and SDS.Comparisons of sleep quality were made between subgroups, and between IBS patients and volunteer controls.Results Compared with the controls,the SAS raw score, SDS raw score and SAS positive incidence in IBS patients were shown statistically significant differences (P ＜ 0.05 ), while the SDS positive incidence had no statistically significant difference(P ＞ 0.05 ).PSQI total scores were significantly higher in the IBS patients without anxiety and depression (P ＜ 0.05), 3 domains (sleep quality, sleep disturbances and daytime function disorder) were also found statistically significant differences ( P ＜ 0.05 ), compared with the controls.The IBS patients with anxiety and depression were statistically significantly different from the controls ( P ＜ 0.05 ) in 6 domains (sleep quality, sleep latency, sleep efficiency, sleep disturbances, sleep time and daytime function disorder) and significantly higher PSQI total scores( P ＜ 0.05 ).Statistically significant differences (P ＜0.05) were also found in all 7 domains and with higher PSQI total scores in IBS patients with anxiety and depression, compared with IBS patients without anxiety and depression.Conclusions IBS patients were more likely to have sleep abnormality, mainly in sleep quality, sleep disturbances and daytime function disorder and PSQI total scores.The abnormalities of these factors were independent of emotional disorder.However, emotional disorder worsened the sleep disorder in IBS patients.
