情绪障碍及认知障碍与睡眠呼吸暂停综合征相关性分析.docVIP

情绪障碍及认知障碍与睡眠呼吸暂停综合征相关性分析 　　[摘要] 目的 分析情绪障碍（抑郁、焦虑障碍）及认知障碍与睡眠呼吸暂停综合征（SAS）的相关性。 方法 2009年12月～2012年12月在本院五官科就诊的120例老年患者，应用多导睡眠图仪（PSG）进行监测，按严重程度分组：对照组（无SAS）30例、轻度组23例、中度组48例、重度组19例，分别应用Zung抑郁自评量表、Zung焦虑自评量表、简易智能精神状态检查量表进行评分，比较各组数据的差异。将同期在本院神经内科就诊的存在情绪障碍的90例患者和存在认知障碍的90例患者，按年龄分组：59岁以下组、60～74岁组、75岁以上组，分别应用Zung抑郁自评量表、Zung焦虑自评量表、简易智能精神状态检查量表进行评分，并应用多导睡眠图仪进行监测，了解是否存在睡眠呼吸暂停综合征及严重程度。 结果 睡眠呼吸暂停综合征患者，不同严重程度分组间各项量表评分比较差异有统计学意义（P 0.05）；认知障碍患者多存在睡眠呼吸暂停综合征，其发生比例和严重程度与年龄及量表评分均呈正相关（P 　　[关键词] 情绪障碍；认知障碍；睡眠呼吸暂停综合征；相关性分析 　　[中图分类号] R563.9 [文献标识码] A [文章编号] 1674-4721（2013）06（c）-0033-03 　　Analysis of the relativity between mood disorder，cognitive impairment and sleep apnea syndrome 　　YE Xin1 YAO Danmian2 CHEN Rijian1 　　1.Internal Medicine Department，Shantou Central Hospital of Guangdong Province，Shantou 515000，China；2.ENT Department，Shantou Central Hospital of Guangdong Province，Shantou 515000，China 　　[Abstract] Objective To analyse the relativity between dysthymic disorder（depressive disorder，anxiety disorder），cognitive disorder and sleep apnea syndrome （SAS）. Methods 120 cases of elderly patients in ophthalmology and otorhinolaryngology department for treated in our hospital from December 2009 to December 2012，used the guide more sleep figure meter （PSG） to monitor the patients，they were divided into four groups according to the severity： the control group （no SAS） in 30 cases， mild group in 23 cases， moderate group in 48 cases， serious groups in 19 cases，used Zongs self-rating depression scale，Zongs self-rating anxiety scale and mini-mental state examination to assess their diseases.At the same time，divide 90 patients with dysthymic disorder and 90 patients with cognitive impairment into three groups according to the age：under the age of 59 group，between 60 and 74 years old group，more than 75 years old group，used Zongs self-rating depression scale，Zongs self-rating anxiety scale and mini-mental state examination to assess their diseases，and monitor them by used polysomnography to mak