三叉神经痛患者的睡眠质量影响因素分析

Analysis of factors influencing sleep quality of patients with prosopalgia

目的探讨影响原发性三叉神经痛老年患者的睡眠质量的相关因素。方法回顾性分析我院自2008年6月～2011年6月收治的96例原发性三叉神经痛患者的临床资料,通过调查问卷方式对其睡眠质量进行调查分析。结果本组研究对象焦虑总平均分为(49.02±11.08)分,抑郁总平均分为(50.78±8.84)分,睡眠指数总平均分为(7.02±4.07)分;以睡眠指数为因变量,焦虑、抑郁、性别、婚姻状况、文化程度、月收入、疼痛部位和VAS评分为自变量,应用统计学软件进行Logistic模型拟合,表明患者焦虑、抑郁和疼痛部位均为睡眠指数的危险因素,患者抑郁情况影响程度最大(OR=15.01),其次是患者疼痛部位(OR=8.68),患者的焦虑影响最小(OR=5.19)。结论焦虑、抑郁和疼痛部位是影响原发性三叉神经痛老年患者睡眠质量的因素。

Objective To investigate relevant factors influencing the sleep quality of elderly patients with primary trigemi- hal neuralgia. Methods Clinical data of 96 patients with primary trigeminal neuralgia admitted to our hospital from June 2008 to June 2011 were analyzed retrospectively. Their sleep quality was investigated through a questionnaire survey. Results This group of patients had an average total anxiety score of （49.02 ＋ 11.08） points, an average total depression score of （50.78 ~ 8.84） points and an average total sleep index score of （7.02 ＋ 4.07） points. With sleep index as the dependent variable and anxiety, depression, sex, marital status, education level, monthly income, location of pain and VAS score as independent variables, Logistic model fitting was carried out using a statistical software. The model showed that patients＇ anxiety, depression and location of pain were risk factors for sleep index, of which depression had the greatest influence （OR = 15.01）, followed by the location of pain （OR = 8.68）, and anxiety had the least influence （OR = 5.19）. Conclusion Anxiety, depression and the location of pain are factors influencing the sleep quality of elderly patients with primary trigeminal neuralgia.