摘要
目的探讨重度男性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者焦虑抑郁症状情况。方法选取2012年10月—2013年5月在我院就诊的152例男性OSAHS患者,根据睡眠呼吸暂停低通气指数(AHI)将患者分为轻度(n=56)、中度(n=36)、重度(n=60)3组。记录患者一般资料,采用多导睡眠仪(PSG)检测患者AHI、睡眠呼吸暂停指数(AI)、睡眠呼吸低通气指数(HI)、夜间最低血氧饱和度(LSaO2)及夜间平均血氧饱和度(MSaO2),并进行抑郁自评量表(SDS)、焦虑自评量表(SAS)评分。结果重度组男性OSAHS患者SAS标准分〔(52.0±6.7)分〕高于轻度〔(45.0±8.7)分〕、中度〔(46.9±11.7)分〕组患者,差异有统计学意义(P<0.05);重度组男性OSAHS患者SDS标准分〔(53.4±6.9)分〕亦高于轻度〔(45.7±11.3)分〕、中度〔(49.3±12.8)分〕组患者,差异有统计学意义(P<0.05);男性OSAHS患者的SAS、SDS标准分别与吸烟指数、AHI、HI、AI呈正相关,与LSaO2、MSaO2呈负相关。结论重度男性OSAHS患者的焦虑抑郁标准分高于轻、中度OSAHS男性患者;男性OSAHS患者焦虑抑郁标准分与患者的吸烟指数及PSG指标密切相关。
Objective To investigate the anxiety and depression in maid patients with obstructive sleep apnea and hy- popnea syndrome. Methods 152 male patients with OSAHS were collected from the First Affiliated Hospital of China Medical University and were divided into three groups according to apnea -hypopnea index （AHI）, including mild group （56）, moderate group （36） and severe group （60） . Record their general information and detect AHI, AI, HI, I-SaO2 and MSaO2 at night by PSG, finally assess them by Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） . Results The result showed that the standard scores of SAS and SDS were significantly higher in the severe （51.99 ±6. 73, 53.42 ±6. 87） male group than those in the mile （44. 95 ± 8.74, 45.67 ± 11.25 ） and moderate （46. 88 ± 11.74, 49. 27± 12. 76） groups （ P 〈 0.05） . The standard scores of SAS and SDS were positively related to smoking index, AHI, HI, AI and negatively related to LSaO2, MSaO2. Conclusion Compared with the mild and moderate male OSAHS patients, the standard scores of SAS and SDS of the severe male OSAHS patients were significantly higher. The standard scores of SAS and SDS were closely related to smoking index and PSG indexes.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第25期3009-3012,共4页
Chinese General Practice
基金
辽宁省科学技术计划项目(2012225021)
