CAJ | 학술논문

目的：比较不安腿综合征和原发性失眠患者夜间多导睡眠图的差异。方法收集2009-2012年在首都医科大学宣武医院睡眠门诊就诊的患者，其中原发性不安腿综合征60例，原发性失眠60例，排除其他干扰因素以及明显的焦虑、抑郁状态，对其进行整夜多导睡眠图的监测，并对睡眠总时间、睡眠效率、入睡潜伏期、睡眠中清醒时间、睡眠各期比例、REM期睡眠潜伏期、周期性腿动指数、与周期性腿动指数相关的觉醒次数、AHI等进行统计分析。结果与原发性失眠患者比较，不安腿综合征患者的总睡眠时间、睡眠效率有明显的减少；睡眠中觉醒的次数明显增多；周期性腿动指数明显增多；腿动造成的觉醒次数明显增多，差异均有统计学意义。结论不安腿综合征的患者往往伴随明显的睡眠障碍，其睡眠障碍比原发性失眠患者严重，严重影响患者的生理和心理健康，要引起临床医生的重视。
목적：비교불안퇴종합정화원발성실면환자야간다도수면도적차이。방법수집2009-2012년재수도의과대학선무의원수면문진취진적환자，기중원발성불안퇴종합정60례，원발성실면60례，배제기타간우인소이급명현적초필、억욱상태，대기진행정야다도수면도적감측，병대수면총시간、수면효솔、입수잠복기、수면중청성시간、수면각기비례、REM기수면잠복기、주기성퇴동지수、여주기성퇴동지수상관적각성차수、AHI등진행통계분석。결과여원발성실면환자비교，불안퇴종합정환자적총수면시간、수면효솔유명현적감소；수면중각성적차수명현증다；주기성퇴동지수명현증다；퇴동조성적각성차수명현증다，차이균유통계학의의。결론불안퇴종합정적환자왕왕반수명현적수면장애，기수면장애비원발성실면환자엄중，엄중영향환자적생리화심리건강，요인기림상의생적중시。
Objective To analyze the difference of polysomnogram(PSG) between restless legs syndrome(RLS) and primary insomnia. Methods We recruited patients treated at Xuanwu Hospital sleep disorders clinic from 2009 to 2012. After eliminated other influences and excluded patients with anxiety and depression, 60 patients with RLS and 60 with pri-mary insomnia were enrolled. All of them underwent PSG and the following data were analyzed: the total sleep time, sleep efficiency, sleep latency, wake time during sleep, proportion of each sleep stage, stage REM latency, periodic leg movement index, number of awakening related to periodic leg movement index and AHI. Results The total sleep time and sleep ef-ficiency were significantly decreased in RLS patients than primary insomnia patients. On one hand, wake time during sleep, periodic leg movement index, number of awakening related to periodic leg movement index of RLS patients were signifi-cantly higher compared with primary insomnia patients. Conclusion RLS patients are usually associated with sleep disor-ders and this is the major problem for them to see doctor. RLS patients have more serious sleep disorders than primary in-somnia patients. RLS has important effect on patients' physical and mental health. Clinicians should pay more attention to this problem.