失眠障碍患者主客观评价参数的相关性研究

The correlation between the subjective and objective assessment in patients with insomnia disorder

目的:探索主客观方法评价的失眠障碍患者睡眠参数间的相关性。方法:慢性失眠患者61例,其中慢性失眠障碍(CID)31例、抑郁共病性失眠(ICD)30例。患者完成汉密尔顿抑郁17项量表(HAMD17)、匹兹堡睡眠质量指数(PSQI)和阿森斯失眠量表(AIS)评估和整夜多导睡眠图(PSG)监测。结果:CID患者仅PSQI睡眠障碍因子分低于ICD患者(Ps<0.05),PSG N3%高于ICD组(P<0.05),其余主客观睡眠参数均无显著性差异(Ps>0.05);全部患者的偏相关分析(控制年龄、性别、教育年限、体重指数、HAMD17总分)的显示PSQI和AIS 2个量表的总分和各因子分彼此间相关性较好,但就与PSG睡眠参数的相关性而言,PSQI的相关项目更多(Ps<0.05)。结论:PSQI和AIS量表彼此间有良好的一致性,但PSQI与PSG睡眠参数的相关性可能更好。

Objective： To explore the correlations among the parameters obtained with respectively subjective and objective evaluations in the patients with insomnia disorder. Methods： 61 patients with insomnia disorder were collected,including 31 cases of chronic insomnia disorder（ CID） and 30 cases of depression and comorbid insomnia（ ICD）. The subjects were evaluated with the 17-term Hamilton Depression Scale（ HAMD17）,the Pittsburgh Sleep Quality Index（ PSQI） and the Athens Insomnia Scale（ AIS）. The objective sleep condition was evaluated by overnight polysomnography（ PSG）. Results： The significant differences between the CID and ICD patients only occurred in the sleep disorder factor score of PSQI（ Ps〈0. 05） and the N3% in the PSG sleep parameters（ P〈0. 05）. After controlling the confounding factors（ e. g. gender,age,education,body mass index and total HAMD17score）,the partial correlation analysis showed there were many positive correlations among the total scores and different-factor scores in PSQI and AIS（ Ps〈0. 05）. However,regarding of the correlations between subjective and objective sleep parameters,the terms that were related to the PSG parameters in the PSQI were more than those in the AIS（ Ps〈0. 05）. Conclusion： There was good coherence between PSQI and AIS scales,but to some degree,the PSQI scale might be more correlated with the sleep parameters recorded by PSG.