接受单疗法和多疗法的患者的睡眠概况:一个比较的横截面研究
Alireza Arvin1, Morvarid Taebi2, Zahra Khazaeipour3
1School of Medicine, Tehran University of Medical Sciences (TUMS), Iran; Center for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran.
Epilepsy & behavior : E&B
|April 20, 2024
概括
服用多种抗发作药物 (ASM) 的患者可能会经历更多的失眠和白天嗜睡. 然而,抑郁情绪是睡眠障碍的更强的预测因素,而不是使用的ASM的数量.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 和抗发作药物 (ASM) 显著影响睡眠质量.
- ,ASM和睡眠障碍之间存在双向关系,影响了发作的频率.
- 这项研究调查了接受单疗法或多疗法患者的睡眠状况.
研究的目的:
- 为了探索患者的主观睡眠障碍.
- 为了比较ASM单疗法和多疗法组之间的睡眠概况.
- 为了确定中睡眠障碍的预测因素.
主要方法:
- 176名患者填写了评估睡眠质量 (PSQI),失眠 (ISI),白天嗜睡 (ESS) 和抑郁症 (PHQ-9) 的问卷.
- 统计分析包括千平方,曼-惠特尼U测试和后勤回归.
- 分析的变量:睡眠质量,失眠,过度白天嗜睡 (EDS) 和抑郁症状.
主要成果:
- 与单一治疗相比,多疗组的失眠和EDS的发病率较高.
- 单疗法和多疗法组之间没有观察到总体睡眠质量的显著差异.
- 抑郁情绪是睡眠障碍的重要预测因素,而治疗类型不是.
结论:
- ASM的数量不能独立预测睡眠障碍.
- 为控制发作,可能需要处方多种ASM.
- 综合性管理应包括治疗情绪症状以及控制发作.
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