伴中重度阻塞性睡眠呼吸暂停低通气 综合征(OSAHS)的抑郁症患者 多导睡眠监测(PSG)特点
Polysomnography characteristics of depression patients with moderate to severe obstructive sleep apnea hypopnea syndrome.
投稿时间:2021-04-07  修订日期:2021-10-13
DOI:
中文关键词:  抑郁症  阻塞性睡眠呼吸暂停低通气综合征  多导睡眠监测
英文关键词:Depression  Obstructive sleep apnea hypopnea syndrome  Polysomnography
基金项目:江苏省卫生计生委面上项目(H2017069);苏州市精神疾病临床医学中心青年科教项目(gjyy201705);苏州市姑苏卫生人才培养项目(GSWS2019070);苏州市2017年度产业技术创新专项(民生科技-医疗卫生应用基础研究【第二批】)项目(SYSD2017137);苏州市精神疾病临床医学中心(Szzx201509);苏州市姑苏卫生人才计划(GSWS2020097)
作者单位地址
叶刚 苏州市广济医院 江苏省苏州市相城区广前路11号
李哲* 苏州市广济医院 江苏省苏州市相城区广前路11号
潘雯 苏州市广济医院 
高士更 苏州市广济医院 
沈颖颖 苏州市广济医院 
刘颖 苏州市广济医院 
殷铭 苏州市广济医院 
刘果瑞 苏州市广济医院 
赵宇 苏州市广济医院 
沈建红 苏州市广济医院 
杜向东 苏州市广济医院 
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中文摘要:
      目的 探讨伴中重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的抑郁症患者多导睡眠监测(PSG)睡眠进程、睡眠结构和呼吸相关指标特征。方法 回顾性分析2017年12月-2019年10月在苏州市广济医院睡眠医学中心完成整夜多导睡眠监测(PSG)的门诊、住院患者和进行多导睡眠监测(PSG)的健康人群,从中筛选出四组被试,分别为伴中重度OSAHS的抑郁症患者(n=31)、不伴OSAHS的抑郁症患者(n=79)、中重度OSAHS患者(n=96)和正常对照组(n=32)。比较四组被试睡眠进程中相关指标(总睡眠时间、睡眠潜伏期、觉醒次数)、睡眠结构相关指标(N1、N2、N3期及REM睡眠占比,REM潜伏期、REM持续时间)、睡眠呼吸相关指标(氧减指数)等相关参数。结果 睡眠进程方面,四组被试总睡眠时间、睡眠潜伏期、觉醒次数差异均有统计学意义(F=2.874、3.959、12.291,P<0.05或0.01)。睡眠结构方面,四组被试N2期、N3期占睡眠时间百分比差异有统计学意义(F=13.885、48.013,P均<0.05);四组被试REM潜伏期、REM期持续时间、REM睡眠比例差异有统计学意义(F=41.492、11.827、10.552,P均<0.01)。呼吸相关指标方面,四组被试氧减指数差异有统计学意义(F=170.585,P<0.05)。结论 共病中重度OSAHS的抑郁症患者存在严重的睡眠进程和结构紊乱,同时伴有更频繁和更严重的呼吸相关事件。
英文摘要:
      Objective To explore the parameters of polysomnography (PSG) of depressive patients with moderate to severe obstructive sleep apnea hypopnea syndrome (OSAHS). Methods The participants who completed all night polysomnography (PSG) in the sleep medical center of Suzhou Guangji hospital from December 2017 to October 2019 were analyzed retrospectively. Four groups of subjects were selected: 31 depression patients with OSAHS, 79 depression patients without OSAHS, 96 patients with moderate to severe OSAHS and 32 normal controls. All night sleep was monitored by PSG to obtain the total sleep time, sleep latency, awakening times, sleep efficiency, N1, N2, N3 and REM sleep proportion, REM latency, REM duration, oxygen reduction index and other related parameters. Results In terms of sleep process, there were significant differences in total sleep time sleep time,sleep latency and awakening times among the four groups(F=41.492,11.827,10.552,P<0.05 or 0.01). In terms of sleep structure, there were significant differences in the percentage of N2 phase and N3 phase in sleep time among the four groups (F=13.885,48.013P<0.05); there were significant differences in REM latency , REM duration and REM sleep proportion among the four groups (F=41.492,11.827,10.552,P<0.01) .In terms of respiratory related indexes, there were significant differences among the four groups (F=170.585, P<0.05). Conclusion Depression patients with comorbid moderate to severe OSAHS suffer from severe sleep process and structural disturbances, accompanied by more frequent and severe respiratory related events.
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