中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2012年
5期
295-298
,共4页
安翠霞%许顺江%宋美%于鲁璐%王岚%朱颀峰%贾海玲%刘可智%王学义
安翠霞%許順江%宋美%于魯璐%王嵐%硃頎峰%賈海玲%劉可智%王學義
안취하%허순강%송미%우로로%왕람%주기봉%가해령%류가지%왕학의
睡眠%轻度认知功能损害%蒙特利尔认知评定量表%简易精神状态检查量表%匹兹堡睡眠质量指数量表
睡眠%輕度認知功能損害%矇特利爾認知評定量錶%簡易精神狀態檢查量錶%匹玆堡睡眠質量指數量錶
수면%경도인지공능손해%몽특리이인지평정량표%간역정신상태검사량표%필자보수면질량지수량표
Sleep%Mild cognitive impairment%Montreal Cognitive Assessment%Mini-Mental State Examination%Pittsburgh Sleep Quality Index
目的 比较轻度认知功能损害(mild cognitive impairment,MCI)患者与正常老年人睡眠质量的差异,并分析睡眠与认知功能之间可能的关系.方法 采取随机整群抽样方法,对320例MCI患者(MCI组)和相匹配的630名健康老年人(对照组)使用匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)评估睡眠情况,使用简易精神状态检查量表(Mini-Mental State Examination,MMSE)和蒙特利尔认知评定量表(Montreal Cognitive Assessment,MoCA)进行认知功能的检测.结果 MCI组有睡眠障碍者110例,占34.3％,对照组有睡眠障碍者170名,占27.0％,2组比较差异有统计学意义(x2=7.35,P＜0.01)；MCI组与对照组PSQI总分[(6.11±4.29)分∶(5.46±3.94)分]、睡眠时间因子Ⅲ[(0.98±0.98)分∶(1.14±1.06)分]、睡眠效率因子Ⅳ[(0.81±1.06)分∶(1.04±1.18)分]较差异有统计学意义(F=4.21,P=0.04;F =6.90,P=0.00；F=7.51,P=0.00),MMSE评分和MoCA评分均与PSQI总分呈负相关(r=-0.09,P=0.00；r=-0.12,P=0.00).结论 MCI患者存在睡眠障碍,其认知功能减退与睡眠质量下降存在一定的关系.
目的 比較輕度認知功能損害(mild cognitive impairment,MCI)患者與正常老年人睡眠質量的差異,併分析睡眠與認知功能之間可能的關繫.方法 採取隨機整群抽樣方法,對320例MCI患者(MCI組)和相匹配的630名健康老年人(對照組)使用匹玆堡睡眠質量指數量錶(Pittsburgh Sleep Quality Index,PSQI)評估睡眠情況,使用簡易精神狀態檢查量錶(Mini-Mental State Examination,MMSE)和矇特利爾認知評定量錶(Montreal Cognitive Assessment,MoCA)進行認知功能的檢測.結果 MCI組有睡眠障礙者110例,佔34.3％,對照組有睡眠障礙者170名,佔27.0％,2組比較差異有統計學意義(x2=7.35,P＜0.01)；MCI組與對照組PSQI總分[(6.11±4.29)分∶(5.46±3.94)分]、睡眠時間因子Ⅲ[(0.98±0.98)分∶(1.14±1.06)分]、睡眠效率因子Ⅳ[(0.81±1.06)分∶(1.04±1.18)分]較差異有統計學意義(F=4.21,P=0.04;F =6.90,P=0.00；F=7.51,P=0.00),MMSE評分和MoCA評分均與PSQI總分呈負相關(r=-0.09,P=0.00；r=-0.12,P=0.00).結論 MCI患者存在睡眠障礙,其認知功能減退與睡眠質量下降存在一定的關繫.
목적 비교경도인지공능손해(mild cognitive impairment,MCI)환자여정상노년인수면질량적차이,병분석수면여인지공능지간가능적관계.방법 채취수궤정군추양방법,대320례MCI환자(MCI조)화상필배적630명건강노년인(대조조)사용필자보수면질량지수량표(Pittsburgh Sleep Quality Index,PSQI)평고수면정황,사용간역정신상태검사량표(Mini-Mental State Examination,MMSE)화몽특리이인지평정량표(Montreal Cognitive Assessment,MoCA)진행인지공능적검측.결과 MCI조유수면장애자110례,점34.3％,대조조유수면장애자170명,점27.0％,2조비교차이유통계학의의(x2=7.35,P＜0.01)；MCI조여대조조PSQI총분[(6.11±4.29)분∶(5.46±3.94)분]、수면시간인자Ⅲ[(0.98±0.98)분∶(1.14±1.06)분]、수면효솔인자Ⅳ[(0.81±1.06)분∶(1.04±1.18)분]교차이유통계학의의(F=4.21,P=0.04;F =6.90,P=0.00；F=7.51,P=0.00),MMSE평분화MoCA평분균여PSQI총분정부상관(r=-0.09,P=0.00；r=-0.12,P=0.00).결론 MCI환자존재수면장애,기인지공능감퇴여수면질량하강존재일정적관계.
Objective To assess the sleep quality in the aged with mild cognitive impairment (MCI).Methods Altogether 320 MCI elderly and 630 elderly without MCI were assessed the quality of sleeping with the Pittsburgh Sleep Quality Index (PSQI),and cognitive functioning with the Montreal Cognitive Assessment(MoCA) and Mini-Mental State Examination (MMSE).Results There were 34.3 percent of MCI elderly and 27.0 percent of controls had sleep problems,and the difference between the two groups was significant(x2=7.35,P ＜ 0.01).The mild correlations between the scores of MoCA and PSQI (r =-0.12,P =0.00),MMSE and PSQI(r =-0.09,P =0.00) were significant.Conclusions The aged with MCI have lower sleep quality than ones with normal cognition,which may be correlated with their cognitive impairments.
