抑郁症睡眠障碍的脑电图特点分析

Analysis of Electroencephalogram Characteristics of Sleep Disorders in Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(5)
作者
作者单位

河南科技大学第一附属医院脑电图室 ;

摘要
【摘要】 研究抑郁症睡眠障碍的脑电图特点。方法 选择本院2019年3月到2020年10月90例抑郁症患者作为研究对象,根据是否存在睡眠障碍分为睡眠障碍组50例和无睡眠障碍组40例,另选择同期的40例体检健康者设为对照组。三组均进行脑电图检查,比较三组的抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)、脑电图参数。结果 睡眠障碍组的SDS、PSQI显著高于无睡眠障碍组和对照组,无睡眠障碍组的SDS、PSQI显著高于对照组,差异均有统计学意义(P<0.05)。睡眠障碍组的睡眠总时间、S1期、S2期、S3期、S4期、REM、睡眠效率显著低于无睡眠障碍组和对照组,睡眠障碍组的睡眠潜伏期、觉醒时间、觉醒次数显著高于无睡眠障碍和对照组,无睡眠障碍组的睡眠效率显著低于对照组,差异均有统计学意义(P<0.05);无睡眠障碍组和对照组的睡眠总时间、睡眠潜伏期、觉醒时间、觉醒次数、S1期、S2期、S3期、S4期、REM比较,差异均无统计学意义(P>0.05)。结论 抑郁症睡眠障碍患者的脑电图变化以睡眠总时间变短,睡眠潜伏期和觉醒时间延长等为主,临床宜根据患者实际情况进行干预。
Abstract
[Abstract] Objective To study the electroencephalogram characteristics of sleep disorders in depression. Methods Ninety patients with depression in our hospital from March 2019 to October 2020 were selected as the research objects. According to whether there were sleep disorders, they were divided into 50 patients in the sleep disorder group and 40 patients in the non-sleep disorder group. In addition, 40 healthy patients during the same period were selected to set as the control group. All three groups underwent EEG examinations, and the self-rating depression scale (SDS), Pittsburgh sleep quality index (PSQI) and EEG parameters of the three groups were compared. Results The SDS and PSQI of the sleep disorder group were significantly higher than those of the non-sleep disorder group and the control group, and the SDS and PSQI of the non-sleep disorder group were significantly higher than those of the control group, and the differences were statistically significant (P<0.05). The total sleep time, S1, S2, S3, S4, REM, and sleep efficiency of the sleep disorder group were significantly lower than those of the non-sleep disorder group and the control group. The sleep latency, awakening time, and number of awakenings of the sleep disorder group were significantly higher than There was no sleep disturbance and the control group. The sleep efficiency of the non-sleep disturbance group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05). There was no significant difference in total sleep time, sleep latency, wake time, number of wakes, S1, S2, S3, S4, REM between the non-sleep disorder group and the control group (P>0.05). Conclusion The EEG changes of patients with depression and sleep disorders are mainly the shortening of the total sleep time, the prolonged sleep latency and awakening time, etc., and clinical intervention should be carried out according to the actual situation of the patient.
关键词
【关键词】抑郁症;睡眠障碍;脑电图;睡眠潜伏期;睡眠效率
KeyWord
Key words Depression; Sleep disorders; EEG; Sleep latency; Sleep efficiency
基金项目
页码 825-828
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黄高雅*. 抑郁症睡眠障碍的脑电图特点分析 [J]. 国际精神病学杂志. 2021; 48; (5). 825 - 828.

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