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目的比较不安腿综合征和原发性失眠患者夜间多导睡眠图的差异。方法收集2009-2012年在首都医科大学宣武医院睡眠门诊就诊的患者,其中原发性不安腿综合征60例,原发性失眠60例,排除其他干扰因素以及明显的焦虑、抑郁状态,对其进行整夜多导睡眠图的监测,并对睡眠总时间、睡眠效率、入睡潜伏期、睡眠中清醒时间、睡眠各期比例、REM期睡眠潜伏期、周期性腿动指数、与周期性腿动指数相关的觉醒次数、AHI等进行统计分析。结果与原发性失眠患者比较,不安腿综合征患者的总睡眠时间、睡眠效率有明显的减少;睡眠中觉醒的次数明显增多;周期性腿动指数明显增多;腿动造成的觉醒次数明显增多,差异均有统计学意义。结论不安腿综合征的患者往往伴随明显的睡眠障碍,其睡眠障碍比原发性失眠患者严重,严重影响患者的生理和心理健康,要引起临床医生的重视。
Objective To compare the difference of nighttime polysomnography between restless leg syndrome and primary insomnia. Methods A total of 60 patients with primary restless legs syndrome and 60 primary insomnia were excluded from Xuanwu Hospital Sleep Clinic from 2009 to 2012. The other interference factors and obvious anxiety and depression status were excluded. All-night polysomnography was used to monitor the total sleep time, sleep efficiency, latency to sleep, awake sleep time, the proportion of sleep period, REM sleep latency, periodic leg movement index, and periodic leg movement index The number of awakenings, AHI and other statistical analysis. Results Compared with patients with primary insomnia, the total sleep time and sleep efficiency in patients with restless legs syndrome were significantly decreased, the number of awakenings in sleep significantly increased, the periodic leg movement index increased significantly, and the number of awakenings caused by leg movements increased significantly , The differences were statistically significant. Conclusions Patients with restless legs syndrome are often accompanied by obvious sleep disorders. Their sleep disorders are more serious than those with primary insomnia, which seriously affect their physical and mental health. Therefore, it is necessary for clinicians to pay attention to them.