阻塞性睡眠呼吸暂停低通气综合征患者的心理状况和生活质量现状分析(1)
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[摘要] 目的：探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)对患者心理状况及生活质量的影响。方法：选择92例OSAHS患者及44例正常体检者，进行SCL-90和SF-36量表测定。结果：OSAHS组与正常体检组相比，在SCL-90总分、躯体化、人际关系敏感、抑郁、焦虑、恐怖等的得分明显降低，差异具有显著性(P<0.05)；OSAHS组SF-36各维度得分均显著低于正常体检组(P<0.05)。结论：OSAHS患者存在严重的心理问题，生活质量明显下降，应给予针对性的心理干预，促进疾病的全面康复。
[关键词] 阻塞性睡眠呼吸暂停低通气综合征；心理健康；生活质量
[中图分类号] R56[文献标识码]B [文章编号]1673-7210(2009)06(c)-113-02
Investigation on mental status and quality of life on patients with obstructive sleep apnea hypopnea syndrome
GUO Jiefeng, LI Xiaomin, ZHAO Xiaoming
(Department of Otorhinolaryngology, the People′s Hospital of Zhuhai, the Third Affiliated Hospital of Ji′nan University, Zhuhai519000, China)
[Abstract] Objective: To investigate on mental status and quality of life on patients with obstructive sleep apnea hypopnea syndrome. Methods: 92 patients with obstructive sleep apnea hypopnea syndrome and 44 normal medical examination people were assessed by SCL-90 and SF-36. Results: The SCL-90 total scores and the scores of somatization, interpersonal sensitivity, depression, anxiety, phobophobia were markedly higher in obstructive sleep apnea hypopnea syndrome patients than in the normal medical examination people(P<0.05). The scores of each dimensions were lower in obstructive sleep apnea hypopnea syndrome patients than in the normal medical examination people(P<0.05). Conclusion: Obstructive sleep apnea hypopnea syndrome patients have a reduced status of mental health and quality of life were obviously descended, so actively directe mental intervention can encourage total rehabilitation on patients with obstructive sleep apnea hypopnea syndrome.
[Key words] Obstructive sleep apnea hypopnea syndrome; Psychological health; Quality of life
阻塞性睡眠呼吸暂停低通气综合征(OSAHS)是目前临床常见疾病，是以睡眠结构紊乱和反复发作低氧血症为特征的一种睡眠障碍性疾病。研究表明，OSAHS与高血压、心率失常、冠心病、心力衰竭、脑卒中等疾病密切相关[1]，严重影响患者的生活质量。近年来的研究发现其与患者心理状况改变相关，并可引起认知等功能受损[2-3]。本研究对我院2007年11月～2008年11月收治的92例OSAHS患者的心理状况及生活质量进行分析，现报道如下：
1 资料与方法
1.1 一般资料
选择2007年11月～2008年11月在本院就诊，有睡眠时打鼾、呼吸暂停、白天嗜睡等症状，经多导睡眠仪进行睡眠监测(polysomnography, PSG)确诊的92例OSAHS男性患者。OSAHS诊断依据中华医学会呼吸病学分会睡眠呼吸疾病学组诊断标准[4] ......
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