临床精神医学杂志
臨床精神醫學雜誌
림상정신의학잡지
JOURNAL OF CLINICAL PSYCHOLOGICAL MEDICINE
2015年
1期
20-22
,共3页
梁学军%甘景梨%冯纳婷%高存友%段惠峰
樑學軍%甘景梨%馮納婷%高存友%段惠峰
량학군%감경리%풍납정%고존우%단혜봉
军人%创伤后应激障碍%多导睡眠图%事件相关电位
軍人%創傷後應激障礙%多導睡眠圖%事件相關電位
군인%창상후응격장애%다도수면도%사건상관전위
soldier%post-traumatic stress disorder%polysomnography%efent-related potentials
目的：探讨创伤后应激障碍（ PTSD）军人患者多导睡眠图（ PSG）和事件相关电位P300特征。方法：对36例PTSD军人患者（研究组）PSG和P300检测，并与随机抽取某部32名官兵（对照组）进行比较。结果：PSG检测示：研究组较对照组总睡眠时间缩短，睡眠效率（ SE）降低，觉醒次数（ AT）增加，慢波睡眠（ SWS）S1期延长，S3和S4期缩短，快眼动睡眠（ REM）缩短，差异具有统计学意义（P﹤0.05或P﹤0.01）。P300检查示：与对照组比较，研究组N2和P3潜伏期（PL）显著延长，P3波幅（Amp）显著降低（P均﹤0.01）；研究组N2、P3潜伏期与AT 和睡眠潜伏期（SL）呈正相关（r＝0.21~0.28，P﹤0.05或P﹤0.01），与SE和REM呈负相关（r＝－0.22~－0.39，P﹤0.05或P﹤0.01）；P3 Amp与AT和SL呈负相关（r＝－0.22~－0.23，P均﹤0.05），与SE和 REM呈正相关（r＝0.25~0.28，P﹤0.05或P﹤0.01）。结论：PTSD军人患者存在睡眠结构紊乱和认知功能损伤，且二者相互影响。
目的：探討創傷後應激障礙（ PTSD）軍人患者多導睡眠圖（ PSG）和事件相關電位P300特徵。方法：對36例PTSD軍人患者（研究組）PSG和P300檢測，併與隨機抽取某部32名官兵（對照組）進行比較。結果：PSG檢測示：研究組較對照組總睡眠時間縮短，睡眠效率（ SE）降低，覺醒次數（ AT）增加，慢波睡眠（ SWS）S1期延長，S3和S4期縮短，快眼動睡眠（ REM）縮短，差異具有統計學意義（P﹤0.05或P﹤0.01）。P300檢查示：與對照組比較，研究組N2和P3潛伏期（PL）顯著延長，P3波幅（Amp）顯著降低（P均﹤0.01）；研究組N2、P3潛伏期與AT 和睡眠潛伏期（SL）呈正相關（r＝0.21~0.28，P﹤0.05或P﹤0.01），與SE和REM呈負相關（r＝－0.22~－0.39，P﹤0.05或P﹤0.01）；P3 Amp與AT和SL呈負相關（r＝－0.22~－0.23，P均﹤0.05），與SE和 REM呈正相關（r＝0.25~0.28，P﹤0.05或P﹤0.01）。結論：PTSD軍人患者存在睡眠結構紊亂和認知功能損傷，且二者相互影響。
목적：탐토창상후응격장애（ PTSD）군인환자다도수면도（ PSG）화사건상관전위P300특정。방법：대36례PTSD군인환자（연구조）PSG화P300검측，병여수궤추취모부32명관병（대조조）진행비교。결과：PSG검측시：연구조교대조조총수면시간축단，수면효솔（ SE）강저，각성차수（ AT）증가，만파수면（ SWS）S1기연장，S3화S4기축단，쾌안동수면（ REM）축단，차이구유통계학의의（P﹤0.05혹P﹤0.01）。P300검사시：여대조조비교，연구조N2화P3잠복기（PL）현저연장，P3파폭（Amp）현저강저（P균﹤0.01）；연구조N2、P3잠복기여AT 화수면잠복기（SL）정정상관（r＝0.21~0.28，P﹤0.05혹P﹤0.01），여SE화REM정부상관（r＝－0.22~－0.39，P﹤0.05혹P﹤0.01）；P3 Amp여AT화SL정부상관（r＝－0.22~－0.23，P균﹤0.05），여SE화 REM정정상관（r＝0.25~0.28，P﹤0.05혹P﹤0.01）。결론：PTSD군인환자존재수면결구문란화인지공능손상，차이자상호영향。
Objective:To infestigate the characteristics of the polysomnography( PSG)and efent-related potentials P300 in military patients with post-traumaticstress disorder( PTSD). Method:Thirty-six PTSD mili-tary patients( study group)were detected by PSG and efent-related potentials P300;and the results were com-pared with 32 healthy soldiers( control group ) assigned randomly. Results:PSG:Compared to the control group,the total sleep time and sleep efficiency( SE)in the study group were significantly reduced,awakening times(AT)was significantly increased(P﹤0. 05 or P﹤0. 01);slow wafe sleep(SWS)S1 stage was extended, S3,S4 and rapid eye mofement sleep(REM)were shorter(P﹤0. 05 or P﹤0. 01). P300:Compared to the control group,the N2 and P3 latency( PL)in the study group were significantly extended,P3 amplitude( Amp)was sig-nificantly lower(all P﹤0. 01). In the study group,the PLs of N2,P3 were positifely correlated with AT and sleep latency(SL)(r=0. 21-0. 28,P﹤0. 05 or P﹤0. 01),negatifely correlated with SE and REM(r= -0. 22-0. 39,P﹤0. 05 or P﹤0. 01);Amp of P3 was negatifely correlated with AT and SL( r= -0. 22-0. 23;all P﹤0. 05),and positifely correlated with SE and REM(r=0. 25-0. 28,P﹤0. 05 or P﹤0. 01). Conclusion:The sleep structure and cognitife function in PTSD military patients are impared,and both influence each other.
