安徽医科大学学报
安徽醫科大學學報
안휘의과대학학보
Acta Universitatis Medicinalis Anhui
2015年
9期
1330-1333
,共4页
孔晓明%孙艳%张丽%谢成娟%张许来%洪青%张洪琴%胡英%朱德发
孔曉明%孫豔%張麗%謝成娟%張許來%洪青%張洪琴%鬍英%硃德髮
공효명%손염%장려%사성연%장허래%홍청%장홍금%호영%주덕발
抑郁症%年龄%多导睡眠监测
抑鬱癥%年齡%多導睡眠鑑測
억욱증%년령%다도수면감측
epression%age%polysomnography
目的 比较老年期与非老年期抑郁症患者客观睡眠情况的差别. 方法 对老年组(n=43)、非老年组(n=28)以及对照组(n=20)抑郁症患者进行多导睡眠监测(PSG)检查,获得客观睡眠数据. 将数据进行组间对比分析. 结果与对照组比较,老年组与非老年组实际睡眠时间( AST)、快眼动睡眠潜伏期( REML)、快眼动睡眠期( REM)、快眼动睡眠期比例( REM%)均出现降低;在非快眼动睡眠期( NREM)中,老年组与非老年组在非快眼动睡眠1期( N1 )时间及其所占比例( N1%)、非快眼动睡眠2 期( N2 )时间及其比例( N2%)、非快眼动期睡眠时间比例( NREM%)较对照组均有显著差异(P<0. 05). 老年组较对照组睡眠潜伏期(SL)延长,睡眠效率( SE)降低,N3、N3%、NREM降低,睡眠呼吸暂停与低通气指数( AHI )升高,睡眠平均和最小血氧饱和度、REM及NREM期血氧饱和度降低. 与非老年组比较,老年组AST缩短, SL延长, REML缩短, NREM与N3 期下降,而NREM%升高;AHI偏高、睡眠平均和最小血氧饱和度、REM及NREM期血氧饱和度偏低,组间差异有统计学意义(P<0. 05). 结论 老年期与非老年期抑郁症患者较健康对照均存在睡眠结构及睡眠呼吸的异常,而老年期抑郁症患者睡眠结构及睡眠呼吸异常情况更为严重.
目的 比較老年期與非老年期抑鬱癥患者客觀睡眠情況的差彆. 方法 對老年組(n=43)、非老年組(n=28)以及對照組(n=20)抑鬱癥患者進行多導睡眠鑑測(PSG)檢查,穫得客觀睡眠數據. 將數據進行組間對比分析. 結果與對照組比較,老年組與非老年組實際睡眠時間( AST)、快眼動睡眠潛伏期( REML)、快眼動睡眠期( REM)、快眼動睡眠期比例( REM%)均齣現降低;在非快眼動睡眠期( NREM)中,老年組與非老年組在非快眼動睡眠1期( N1 )時間及其所佔比例( N1%)、非快眼動睡眠2 期( N2 )時間及其比例( N2%)、非快眼動期睡眠時間比例( NREM%)較對照組均有顯著差異(P<0. 05). 老年組較對照組睡眠潛伏期(SL)延長,睡眠效率( SE)降低,N3、N3%、NREM降低,睡眠呼吸暫停與低通氣指數( AHI )升高,睡眠平均和最小血氧飽和度、REM及NREM期血氧飽和度降低. 與非老年組比較,老年組AST縮短, SL延長, REML縮短, NREM與N3 期下降,而NREM%升高;AHI偏高、睡眠平均和最小血氧飽和度、REM及NREM期血氧飽和度偏低,組間差異有統計學意義(P<0. 05). 結論 老年期與非老年期抑鬱癥患者較健康對照均存在睡眠結構及睡眠呼吸的異常,而老年期抑鬱癥患者睡眠結構及睡眠呼吸異常情況更為嚴重.
목적 비교노년기여비노년기억욱증환자객관수면정황적차별. 방법 대노년조(n=43)、비노년조(n=28)이급대조조(n=20)억욱증환자진행다도수면감측(PSG)검사,획득객관수면수거. 장수거진행조간대비분석. 결과여대조조비교,노년조여비노년조실제수면시간( AST)、쾌안동수면잠복기( REML)、쾌안동수면기( REM)、쾌안동수면기비례( REM%)균출현강저;재비쾌안동수면기( NREM)중,노년조여비노년조재비쾌안동수면1기( N1 )시간급기소점비례( N1%)、비쾌안동수면2 기( N2 )시간급기비례( N2%)、비쾌안동기수면시간비례( NREM%)교대조조균유현저차이(P<0. 05). 노년조교대조조수면잠복기(SL)연장,수면효솔( SE)강저,N3、N3%、NREM강저,수면호흡잠정여저통기지수( AHI )승고,수면평균화최소혈양포화도、REM급NREM기혈양포화도강저. 여비노년조비교,노년조AST축단, SL연장, REML축단, NREM여N3 기하강,이NREM%승고;AHI편고、수면평균화최소혈양포화도、REM급NREM기혈양포화도편저,조간차이유통계학의의(P<0. 05). 결론 노년기여비노년기억욱증환자교건강대조균존재수면결구급수면호흡적이상,이노년기억욱증환자수면결구급수면호흡이상정황경위엄중.
Objective To explore the situation of the characteristics of polysomnography ( PSG ) in depressed pa-tients of different age. Methods Polysomnography was used to assess the sleep condition, 43 elder patients( aged 60 years and above) and 28 adult patients( aged 18~59 years) and 20 healthy controls( aged 18~59 years) were included. Assessment was conducted with the Hamilton Depression Scale (HAMD)for three groups,polysomnograms was analyzed. Results Compared to the healthy controls,both adult and elder patients showed reduced actual sleep time ( AST ) , decreased rapid eye movement ( REM ) sleep duration and REM latency ( REML ) as well as percentage of REM sleep( REM%) . In the non-rapid eye movement( NREM) sleep,there was statistically significant difference between the healthy controls and two patients groups, such as the first period of NREM( N1 ) ,the percentage of N1 ( N1%) , the second period of NREM ( N2 ) , the percentage of N2 ( N2%) and the percentage of NREM sleep (NREM%)(P<0. 05). Compared to the adult patients,in elder patients, AST was shortened,sleep latency(SL) was prolonged, REML decreased,NREM duration and the third period of NREM( N3 ) decreased too,but NREM%increased,apnea-hyponea index( AHI) increased,mean and lowest saturation of blood oxygen of sleep decreased, mean saturation of blood oxygen of REM and NREM sleep decreased too, with a statistically significant difference (P<0. 05). Conclusion Compared to the healthy controls,both adult and elder patients have disordered sleep and respiration in sleep. The elder patients of depression have more serious sleep disorder and more abnormal respi-ration in sleep than adult patients.