睡眠架构,睡眠质量和疼痛经验在患有持续腰痛和无症状对照者的个体中
Xuewen Wang1, Jennifer M C Vendemia2, Erin E Kishman1
1Department of Exercise Science, University of South Carolina School of Public Health, Columbia, South Carolina, United States of America.
PloS one
|April 29, 2025
概括
慢性疼痛,特别是持续的腰痛 (pLBP),与深度睡眠的减少有关. 这种睡眠障碍可能会影响pLBP患者的疼痛感知和日常功能.
科学领域:
- 睡眠科学 睡眠科学
- 疼痛研究 疼痛研究
- 临床健康 临床健康
背景情况:
- 睡眠和疼痛显著影响整体健康和福祉.
- 疼痛和睡眠之间存在双向关系,但慢性关联尚未完全理解.
- 持续性腰部疼痛 (pLBP) 影响着相当一部分人群,通常伴随着同时发生的睡眠障碍.
研究的目的:
- 调查睡眠架构,睡眠质量和pLBP患者的疼痛经验之间的关系.
- 为了将pLBP患者的睡眠模式与无症状对照组的睡眠模式进行比较.
- 探索PLBP睡眠障碍与疼痛强度,心理社会因素和功能限制的关系.
主要方法:
- 一组20名pLBP患者 (症状>3个月) 和19名无症状对照参与了这项研究.
- 家庭睡眠测试 (Zmachine® Insight®+) 进行了三晚,以评估睡眠架构和质量.
- 标准化的评估评估了疼痛,心理社会因素和腰部运动控制.
主要成果:
- 与对照组 (1.7 ± 0.3小时) 相比,患有pLBP的参与者表现出明显较短的深度睡眠时间 (1.4 ± 0.4小时).
- 在pLBP组中,较短的深度睡眠时间和较差的睡眠质量测量与与疼痛相关的焦虑,功能障碍和对日常生活的影响增加相关.
- 这些关联是独立于总睡眠时间的,这表明睡眠架构的特定作用.
结论:
- 睡眠架构和质量被证明与患有pLBP的个体的疼痛经历有关.
- 与其他睡眠阶段相比,深度睡眠阶段似乎特别容易受到慢性疼痛的影响.
- 调查结果强调了解决睡眠障碍在治疗慢性疼痛疾病 (如pLBP) 时的重要性.
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