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海洛因依赖者多导睡眠图与主观评估对比分析
引用本文:肖乐,任艳萍,张国富,罗小年.海洛因依赖者多导睡眠图与主观评估对比分析[J].临床精神医学杂志,2009,19(6).
作者姓名:肖乐  任艳萍  张国富  罗小年
作者单位:首都医科大学附属北京安定医院精神病学系,100088
基金项目:,国家重点基础研究发展规划(973计划),北京市卫生局科学研究项目
摘    要:目的:探讨海洛因依赖者美沙酮替代治疗早期的主客观睡眠特征. 方法:选择20例美沙酮替代治疗早期的海洛因依赖者(海洛因依赖组)和20名正常人为对照(对照组),进行全夜多导睡眠图(PSG)的监测,以评估受试者的客观睡眠状况;采用匹兹堡睡眠质鼍指数问卷(PSQI)、爱泼沃斯嗜睡评分量表(ESS)评估受试者的主观睡眠状况. 结果:与对照组比较,海洛因依赖组主客观睡眠时间缩短,睡眠效率降低,主观入睡潜伏期延长(P<0.01);主观睡眠时间、入睡潜伏期、睡眠效率与PSG检测结果差异有统计学意义(P<0.01);海洛因依赖组PSQI及ESS评分均显著高于对照组(P<0.01).ESS评分与慢波睡眠的减少呈显著负相关(r=-0.614,P=0.004). 结论:海洛因依赖者美沙酮替代治疗早期睡眠质量差,主客观睡眠评估不一致,患者白天困倦感与慢波睡眠减少相关.

关 键 词:海洛因依赖  多导睡眠图  主观睡眠质量  美沙酮治疗

Comparative analysis of subjective estimation and polysomnography of sleep in heroine dependence patients
XIAO Le,REN Yan-ping,ZHANG Guo-fu,LUO Xiao-nian.Comparative analysis of subjective estimation and polysomnography of sleep in heroine dependence patients[J].Journal of Clinical Psychological Medicine,2009,19(6).
Authors:XIAO Le  REN Yan-ping  ZHANG Guo-fu  LUO Xiao-nian
Institution:XIAO Le,REN Yan-ping,ZHANG Guo-fu,LUO Xiao-nian.Beijing Anding Hospital,Beijing 100088,China
Abstract:Objective:To investigate the subjective and objective characteristics of sleep with heroin dependent patients in methadone maintain treatment.Method:20 heroine dependent patients(heroine dependent group) and 20 normal controls(control group) were recruited,using overnight polysomnography(PSG) to assess the objective sleep.Also the subjective sleep was rated with Pittsburgh sleep quality index(PSQI) and Epworth sleepiness scale(ESS).Results:Compared with normal controls,the patients heroine dependent group h...
Keywords:heroin dependence  polysomnography  subjective sleep quality  methadone treatment  
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