[1]刘 雨,王修哲,郭起浩,等.多导睡眠监测对主观认知下降患者睡眠结构特点的分析[J].医学信息,2023,36(05):98-101.[doi:10.3969/j.issn.1006-1959.2023.05.018]
　LIU Yu,WANG Xiu-zhe,GUO Qi-hao,et al.Analysis of Sleep Structure Characteristics in Patients with Subjective Cognitive Decline by Polysomnography[J].Journal of Medical Information,2023,36(05):98-101.[doi:10.3969/j.issn.1006-1959.2023.05.018]
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多导睡眠监测对主观认知下降患者睡眠结构特点的分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年05期
页码:
98-101
栏目:
论著
出版日期:
2023-03-01

文章信息/Info

Title:
Analysis of Sleep Structure Characteristics in Patients with Subjective Cognitive Decline by Polysomnography
文章编号:
1006-1959（2023）05-0098-04
作者:
刘 雨; 王修哲; 郭起浩; 等
（1.上海市第八人民医院内科，上海 200235；2.上海交通大学附属第六人民医院睡眠监测室，上海 200233；3.上海交通大学附属第六人民医院老年病科，上海 200233；4.上海交通大学附属第六人民医院神经内科，上海 200233）
Author(s):
LIU Yu; WANG Xiu-zhe; GUO Qi-hao; et al.
(1.Department of Internal Medicine,Shanghai Eighth People’s Hospital,Shanghai 200235,China;2.Sleep Monitoring Room,Shanghai Jiaotong University Affiliated Sixth People’s Hospital,Shanghai 200233,China;3.Department of Geriatrics,Shanghai Jiaotong University Affiliated Sixth People’s Hospital,Shanghai 200233,China;4.Department of Neurology,Shanghai Jiaotong University Affiliated Sixth People’s Hospital,Shanghai 200233,China)
关键词:
主观认知下降; 睡眠障碍; 多导睡眠图; 睡眠结构
Keywords:
Subjective cognitive decline; Sleep disorders; Polysomnography; Sleep structure
分类号:
TN911.7；R749.1
DOI:
10.3969/j.issn.1006-1959.2023.05.018
文献标志码:
A
摘要:
目的 利用多导睡眠图（PSG）监测技术分析主观认知下降（SCD）患者的睡眠结构特点。方法 选择2019年4月-2022年9月上海市第六人民医院神经内科记忆障碍门诊和老年病科认知障碍诊治中心所有以主观认知下降为主诉就诊的患者116例为研究对象，记录患者的性别、年龄、文化程度、既往史等基线资料。运用MMSE、MoCA等神经心理量表进行认知评估，匹兹堡睡眠质量指数（PSQI）评估患者的睡眠质量，根据结果分为睡眠正常（0~5分）组44例，睡眠障碍（6~21分）组72例。其中85例患者（睡眠正常者29例，睡眠障碍者56例）进行PSG监测，评估其睡眠结构特点。结果 与睡眠正常组比较，睡眠障碍组患者总睡眠时间明显缩短，睡眠效率降低，入睡后觉醒时间增加，REM期占比明显缩短，差异有统计学意义（P＜0.01）。结论 SCD伴睡眠障碍患者睡眠结构紊乱，可能导致主观认知下降。
Abstract:
Objective To analyze the characteristics of sleep structure in patients with subjective cognitive decline (SCD) by polysomnography (PSG).Methods From April 2019 to September 2022, 116 patients with subjective cognitive decline as the main complaint were selected from the Department of Neurology, Shanghai Sixth People’s Hospital.Baseline data such as gender, age, education level and past history were recorded. Cognitive assessment was performed using neuropsychological scales such as MMSE and MoCA. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep quality of patients. According to the results, 44 patients were divided into normal sleep (0-5 scores) group and 72 patients were divided into sleep disorder (6-21 scores) group. PSG monitoring was performed in 85 patients (29 patients with normal sleep and 56 patients with sleep disorders) to evaluate their sleep structure characteristics.Results Compared with the normal sleep group, the total sleep time of patients in the sleep disorder group was shortened, the sleep efficiency was reduced, the awakening time after falling asleep was increased, and the proportion of REM period was significantly shortened, the difference was statistically significant (P<0.01).Conclusion The sleep structure disorder in SCD patients with sleep disorders may lead to subjective cognitive decline.

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更新日期/Last Update: 1900-01-01