原发性失眠患者认知功能改变及其影响因素分析.docVIP

精品论文 参考文献 原发性失眠患者认知功能改变及其影响因素分析 浙江省温州市第七人民医院 浙江 温州325000 作者简介：郭辉（1968-）女、湖北人 副主任医师，从事临床心理学研究。 通讯作者：丁万涛 摘要：目的 探讨原发性失眠患者认知功能改变及其影响因素影响因素。方法 对40例失眠患者（失眠组）和48例正常睡眠者（对照组）进行匹兹堡睡眠质量指数（PSQI）、情景记忆测试和蒙特利尔认知评估（MoCA）测验。结果 失眠者MoCA测试的总分（t=3.240,P=0.002）、命名（t=3.174,P=0.002）成绩较对照组差，即刻记忆（t=3.326,P=0.001）、延迟回忆（t=6.046,P=0.001）成绩较对照组差。不同失眠程度的被试组在命名(F=7.559,P=0.001)、语言(F=3.221,P=0.045)、总分(F=6.721,P=0.002)、延迟记忆(F=8.408，P=0.001)、延迟回忆(F=22.667，P=0.001)差异显著。且原发性失眠患者的年龄与MoCA总分、即刻记忆、延迟回忆和延迟再认功能相关显著??受教育年限与 MoCA总分、视空间与执行功能、命名、注意、语言、抽象等功能相关显著。结论 原发性失眠患者存在认知功能损害；且失眠程度越严重，认知功能损害范围越广，程度越重。 关键词： 原发性失眠；认知功能；情景记忆；影响因素 【中图分类号】R969.4【文献标识码】A【文章编号】1001-5213(2016)08-0017-02 Changes in cognitive function and its influencing factors in patients with primary insomnia Abstract:Objective To investigate the changes in cognitive function in patients with primary insomnia; investigate the effect of different degrees of insomnia on cognitive function; understand the factors that influence primary insomnia, changes in cognitive function.Methods 40 cases of patients with insomnia (insomnia group) and 48 normal sleepers (control group) Pittsburgh Sleep Quality Index (PSQI), episodic memory test and Montreal cognitive Assessment (MoCA) Beijing version of the test.Result Insomnia MoCA test scores (t = 3.240, P = 0.002), named (t = 3.174P = 0.002) scores worse than the control group, immediate memory (t = 3.326, P = 0.001), delayed recall (t = 6.046 , P = 0.001) scores worse than the control group.Different degrees of insomnia subjects named group (F = 7.559, P = 0.001), language (F = 3.221, P = 0.045), score (F = 6.721, P = 0.002), delayed memory (F = 8.408, P = 0.001), delayed recall (F = 22.667, P = 0.001) were significantly different.And primary insomnia patients age and MoCA score, immediate memory, delayed recall and delayed recognition function associated significantly with years of education MoCA score, visuospatial and executive function, naming, attention, language, abstract etc. significant correlation.Co