社区精神病患者白日过度嗜睡的患病率及相关因素分析

Morbidity rate and its influencing factors of excessive daytime sleepiness in community psychotic

目的调查白日过度嗜睡（EDS）在社区精神病患者中的患病率，并探讨相关影响因素。方法对160例社区精神病患者采用Epworth嗜睡量表（ESS）进行调查，收回有效问卷151份，对影响EDS的因素采用多因素Logistic回归分析。结果以ESS评分≥10分定义为EDS，社区精神病患者EDS的患病率为25．8％。以EDS为应变量，经多元逐步回归分析，体重指数（BMI）、吸烟史、抗精神病药物用药史、夜间打鼾史4个因素进入回归模型，相对危险度分别为1．103，1．703，2．103，1．481。结论BMI、吸烟史、抗精神病药物用药史、夜间打鼾史是导致社区精神病患者EDS的独立危险因素。

Objective To investigate the morbidity rate and influencing factors of excessive daytime sleepiness （EDS） in community psychiatric patients. Methods Epworth Sleep Scales （ESS） was used among 160 community psychiatric patients and 151 qualified questionnaire were returned for analysis by multiple factor Logistic regression analysis. Results The ESS score more than 10 points was defined as EDS, so the morbidity rate was 25.8%. Using EDS as dependent variable, 4 factors including the BMI, history of smoking, medication history of antipsychotic drug, history of night-time snoring, after multiple stepwise regression analysis, were included in regression modal, and their risk degress were 1. 103, 1. 703, 2. 103, 1. 481. Conclusions BMI, history of smoking, history of antipsychotic drug use and history of snoring at night are considered the independent risk factors for EDS in the community psychiatric patients.