中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
14期
10-13
,共4页
不宁腿综合征%严重度%睡眠%情绪
不寧腿綜閤徵%嚴重度%睡眠%情緒
불저퇴종합정%엄중도%수면%정서
Restless leg syndrome%Severity%Sleep%Mood
目的 探讨不同程度不宁腿综合征(RLS)对老年男性睡眠和情绪的影响.方法 采用横断面对照研究,将确诊RLS的114例老年男性根据RLS严重程度评分分为重度、中度及轻度组,选取年龄、文化程度、婚姻状况相匹配的65例非RLS男性老年人作为对照组,三组分别与对照组比较反映睡眠和情绪状况的一些指标,并研究RLS严重度与这些指标的相关关系.结果 重度RLS组与对照组比较,PSQI、睡眠潜伏期、一夜睡眠时间、睡眠效率、夜间觉醒次数、ESS评分和HAD焦虑、抑郁评分差异有统计学意义(P＜0.05).中度和轻度RLS组与对照组ESS评分比较差异有统计学意义(P＜0.05).相关回归分析显示:PSQI、睡眠潜伏期、一夜睡眠时间、睡眠效率、夜间觉醒次数分别与RLS严重度评分存在线性相关回归关系.结论 重度RLS全面影响老年男性患者的睡眠质量(包括睡眠效率、睡眠时间等),老年男性RLS患者的日间功能较差,但尚达不到EDS的诊断标准.重度RLS可对患者的情绪造成部分影响.
目的 探討不同程度不寧腿綜閤徵(RLS)對老年男性睡眠和情緒的影響.方法 採用橫斷麵對照研究,將確診RLS的114例老年男性根據RLS嚴重程度評分分為重度、中度及輕度組,選取年齡、文化程度、婚姻狀況相匹配的65例非RLS男性老年人作為對照組,三組分彆與對照組比較反映睡眠和情緒狀況的一些指標,併研究RLS嚴重度與這些指標的相關關繫.結果 重度RLS組與對照組比較,PSQI、睡眠潛伏期、一夜睡眠時間、睡眠效率、夜間覺醒次數、ESS評分和HAD焦慮、抑鬱評分差異有統計學意義(P＜0.05).中度和輕度RLS組與對照組ESS評分比較差異有統計學意義(P＜0.05).相關迴歸分析顯示:PSQI、睡眠潛伏期、一夜睡眠時間、睡眠效率、夜間覺醒次數分彆與RLS嚴重度評分存在線性相關迴歸關繫.結論 重度RLS全麵影響老年男性患者的睡眠質量(包括睡眠效率、睡眠時間等),老年男性RLS患者的日間功能較差,但尚達不到EDS的診斷標準.重度RLS可對患者的情緒造成部分影響.
목적 탐토불동정도불저퇴종합정(RLS)대노년남성수면화정서적영향.방법 채용횡단면대조연구,장학진RLS적114례노년남성근거RLS엄중정도평분분위중도、중도급경도조,선취년령、문화정도、혼인상황상필배적65례비RLS남성노년인작위대조조,삼조분별여대조조비교반영수면화정서상황적일사지표,병연구RLS엄중도여저사지표적상관관계.결과 중도RLS조여대조조비교,PSQI、수면잠복기、일야수면시간、수면효솔、야간각성차수、ESS평분화HAD초필、억욱평분차이유통계학의의(P＜0.05).중도화경도RLS조여대조조ESS평분비교차이유통계학의의(P＜0.05).상관회귀분석현시:PSQI、수면잠복기、일야수면시간、수면효솔、야간각성차수분별여RLS엄중도평분존재선성상관회귀관계.결론 중도RLS전면영향노년남성환자적수면질량(포괄수면효솔、수면시간등),노년남성RLS환자적일간공능교차,단상체불도EDS적진단표준.중도RLS가대환자적정서조성부분영향.
Objectives To investigate the effect of different severity of restless legs syndrome (RLS) symptoms on sleep and mood of elderly male.Methods A cross-sectional controlled study,one hundred and fourteen elder male patients confirm diagnosed as RLS were divided into severe,moderate and mild groups based on scores of the RLS symptom severity scale,65 non-RLS male elders matched with age,education,marriage were selected as control group.Sleep and mood index were compared among each RLS group and control group.Results Significant differences were found in PSQI global score,sleep latency,sleep duration,sleep efficiency,nocturnal awake frequency,scores of ESS and HAD scores,between severe RLS group and control group (P ＜ 0.05).When mild and moderate RLS group was compared to control group respectively,only scores of ESS were found significantly different(P ＜ 0.05).Correlation and regression analysis showed that PSQI global score,sleep latency,sleep duration,sleep efficiency,nocturnal awake frequency and scores of ESS were significantly related to severity of RLS symptoms respectively,while no mood items correlated with severity of RLS symptoms.Conclusions Severe RLS impact sleep quality of the elderly male patients (including sleep efficiency,sleep time,daytime),senile male patients with RLS have got poor function during daytime,but it is not up to the standard of the diagnosis of EDS.Severe RLS can cause some impact on patients' emotion.
