CAJ | 학술논문

目的：探讨军人失眠症患者的脑干听觉诱发电位（BAEP）的变异特点及其与心身症状的关系。方法对48例军人失眠症患者（研究组）进行BAEP检测，采用中国心身健康量表（CPSHS）对心身症状进行评定，并同50名对照组进行对比。结果研究组与对照组比较，Ⅲ、Ⅴ波潜伏期（PL）和Ⅰ～Ⅲ波间期（IPL）均延迟，Ⅲ～Ⅴ波间期缩短，Ⅴ／Ⅰ波幅比值降低（P＜0．05或0．01）；研究组CPSHS总分、呼吸系统、心血管系统、消化系统、骨骼肌肉、焦虑、抑郁因子分显著高于对照组（P＜0．05或0．01）；研究组BAEP各波的观察指标与大部分心身症状均呈显著性相关（r＝0．31～0．63，P＜0．05或0．01）。结论军人失眠症患者的BAEP存在明显异常，并与身心症状密切相关。因此，BAEP可以作为失眠症诊断的一种辅助的手段。
목적：탐토군인실면증환자적뇌간은각유발전위（BAEP）적변이특점급기여심신증상적관계。방법대48례군인실면증환자（연구조）진행BAEP검측，채용중국심신건강량표（CPSHS）대심신증상진행평정，병동50명대조조진행대비。결과연구조여대조조비교，Ⅲ、Ⅴ파잠복기（PL）화Ⅰ～Ⅲ파간기（IPL）균연지，Ⅲ～Ⅴ파간기축단，Ⅴ／Ⅰ파폭비치강저（P＜0．05혹0．01）；연구조CPSHS총분、호흡계통、심혈관계통、소화계통、골격기육、초필、억욱인자분현저고우대조조（P＜0．05혹0．01）；연구조BAEP각파적관찰지표여대부분심신증상균정현저성상관（r＝0．31～0．63，P＜0．05혹0．01）。결론군인실면증환자적BAEP존재명현이상，병여신심증상밀절상관。인차，BAEP가이작위실면증진단적일충보조적수단。
Objective To explore the relationship of the brain stem auditory evoked potential (BAEP) and psychosomatic symptom of the soldiers with insomnia. Method The 48 soldiers with insomnia and 50 normal controls were measured with BAEP and Chinese Psychosomatic Health Scale(CPSHS). Results Compared with the control group,the soldiers with insomnia showed more prolonged wave Ⅲ, Ⅴ latency and wave Ⅰ-Ⅲ inter-peak latency,shorter wave Ⅲ-Ⅴ inter-peak latency,and amplitude ratio of wave Ⅴ/Ⅰ,and higher scores of CPSHS, systema respiratorium,cardiovascular system,digestive system,somatic muscle,anxiety and depression (P<0.05 or 0.01). Most items of BAEP were significantly related to psychosomatic symptoms (r=0.31-0.63,P<0.05 or 0.01). Conclusion There is the significant difference of BAEP with soldiers with insomnia,which is correlated evidently to psychosomatic health. BAEP test can provides one adjunctive means in diagnosis of insomnia.