老年慢性失眠患者睡眠质量改变与认知功能的相关性分析

Correlation analysis of sleep quality changes and cognitive function in elderly patients with chronic insomnia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(2)
作者
作者单位

北京市隆福医院老年病科 ;

摘要
【摘要】 研究老年慢性失眠患者睡眠质量改变与认知功能的相关性。方法 选取我院2019年8月至2020年8月收治的120例老年慢性失眠患者为观察组,选择同期健康体检老年群体120例为对照组。对比两组匹兹堡睡眠指数(PSQI)评分及蒙特利尔认知功能评估量表(MoCA)评分,分析老年慢性失眠患者PSQI评分与认知功能的相关性。结果 观察组睡眠效率、入睡时间、日间功能障碍、睡眠时间、睡眠障碍、睡眠质量、睡眠药物及总分均高于对照组(P<0.05)。观察组抽象、注意、语言、视功能与执行功能、延迟回忆、命名、定向及总分均低于对照组(P<0.05)。经Pearson检验,睡眠质量、睡眠时间、睡眠效率、入睡时间评分及PSQI总分与视功能与执行功能评分呈负相关(P<0.05);睡眠效率、日间功能障碍评分及PSQI总分与命名评分呈负相关(P<0.05);日间功能障碍评分及PSQI总分与注意评分呈负相关(P<0.05);PSQI总分与语言评分呈负相关(P<0.05);睡眠效率、入睡时间评分及PSQI总分与抽象评分呈负相关(P<0.05);睡眠时间、日间功能障碍、睡眠障碍评分及PSQI总分与延迟回忆评分呈负相关(P<0.05);睡眠药物、入睡时间、睡眠质量评分及PSQI总分与定向评分呈负相关(P<0.05);睡眠时间、睡眠质量、睡眠药物、日间功能障碍、入睡时间、睡眠效率评分与MoCA总分呈负相关(P<0.05)。结论 老年慢性失眠患者睡眠质量改变与认知功能变化有一定相关性。
Abstract
【Abstract】Objective To study the correlation between sleep quality changes and cognitive function in elderly patients with chronic insomnia. Methods A total of 120 elderly patients with chronic insomnia admitted to our hospital from August 2019 to August 2020 were selected as the observation group, and 120 elderly patients with healthy physical examination during the same period were selected as the control group. The Pittsburgh Sleep Index (PSQI) score and the Montreal Cognitive Function Assessment Scale (MoCA) score were compared between the two groups, and the correlation between PSQI score and cognitive function in elderly patients with chronic insomnia was analyzed. Results The sleep efficiency, time to fall asleep, day dysfunction, sleep time, sleep disturbance, sleep quality, sleep medication and total score in the observation group were higher than those in the control group (P<0.05). The observation groups abstraction, attention, language, visual function and executive function, delayed recall, naming, orientation and total scores were lower than those of the control group (P<0.05). According to Pearson test, sleep quality, sleep time, sleep efficiency, sleep time score and total PSQI score were negatively correlated with visual and executive function scores (P<0.05); sleep efficiency, daytime dysfunction score, and total PSQI score and nomenclature The score was negatively correlated (P<0.05); the daytime dysfunction score and the total PSQI score were negatively correlated with the attention score (P<0.05); the total PSQI score was negatively correlated with the language score (P<0.05); sleep efficiency, falling asleep Time score and total PSQI score were negatively correlated with abstract score (P<0.05); sleep time, day dysfunction, sleep disorder score, and PSQI total score were negatively correlated with delayed recall score (P<0.05); sleep medication, falling asleep Time, sleep quality score and total PSQI score were negatively correlated with orientation score (P<0.05); sleep time, sleep quality, sleep medication, day dysfunction, time to fall asleep, sleep efficiency score were negatively correlated with MoCA total score (P<0.05).Conclusion There is a certain correlation between changes in sleep quality and cognitive function in elderly patients with chronic insomnia.
关键词
【关键词】慢性失眠;睡眠质量;认知功能
KeyWord
[Keywords] Chronic insomnia; Sleep quality; Cognitive function
基金项目
页码 251-254
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陈敏*. 老年慢性失眠患者睡眠质量改变与认知功能的相关性分析 [J]. 国际精神病学杂志. 2021; 48; (2). 251 - 254.

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