原发性失眠患者的主客观睡眠特征研究

The Comparative Research of Subjective Sleep and Objective Sleep in Primary Insomina Patients

目的:了解原发性失眠患者的睡眠特点,探讨其主客观睡眠的异同点。方法:对15例原发性失眠患者、20例正常人的主观睡眠(PSQI)和客观睡眠(PSG)特点进行比较,对原发性失眠患者进行主观睡眠(PSQI)和客观睡眠(PSG)的比较。结果:原发性失眠的PSG多项指标(睡眠总时间、睡后觉醒次数、觉醒总时间、睡眠潜伏期、睡眠效率、觉睡比、睡眠维持率、REM睡眠时间和REM百分比、REM睡眠潜伏期和REM活动密度)等方面与正常对照有显著差异(p<0.05或p<0.01);原发性失眠的PSQI多项指标(PSQI总分、睡眠效率、睡眠时间、睡眠潜伏期)方面与正常组对照差异显著(p<0.01)。原发性失眠的PSQI和PSG在睡眠效率、实际睡眠时间、睡眠潜伏期方面存在显著差异(p<0.01)。结论:原发性失眠患者的PSQI和PSG均存在一定程度的异常,原发性失眠患者有高估自己睡眠障碍的倾向。

Objective：To explore differences and similarities of objective sleep and subjective sleep in primary insomnia patients.Methods：Comparative research of sleep disorder was given to 15 cases of insomnia and 20 normals.Comparative research of objective sleep and subjective sleep was given to 15 cases of primary insomnia.Results：The indicators of PSG（sleep time,awakening number,awakening time,sleep latency,AT/TST%,sleep efficiency,sleep maintenance,RT,RT%,RL,RD）in primary insomnia patients are significantly different from those in controls（p0.05 or p0.01）.The indicators of PSQI（PSQI total score,sleep efficiency,total sleep time,sleep latenc）in primary insomnina patients are significantly different from those in controls（p0.01）.The sleep efficiency and sleep time of objective sleep in primary insomnia patients are distinguished higher than those of subjective sleep,however,the sleep latency of objective sleep is shorter（p0.01）.Conclusions：Subjective sleep and objective sleep in primary insomnia patients are abnormal in a certain degree,and primary insomnia patients tend to exaggerate their sleep disorders.