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Int J Chron Obstruct Pulmon Dis:COPD患者睡眠障碍与健康状况的关系

2018-08-12 MedSci MedSci原创

假设COPD患者失眠的检测率显著低于实际患病率。在这项研究中,我们使用两个相当简单和直接的调查问卷调查了COPD患者失眠的患病率和失眠与健康状况之间的关系:COPD评估测试(CAT)和失眠严重程度指数(ISI)。2015年12月至2016年8月期间,使用来自韩国天主教大学圣保罗医院接受COPD治疗的患者的数据进行横断面研究。根据ISI评分将患者分为三组:“临床失眠”组(ISI≥15),“亚阈值失眠

假设COPD患者失眠的检测率显著低于实际患病率。在这项研究中,我们使用两个相当简单和直接的调查问卷调查了COPD患者失眠的患病率和失眠与健康状况之间的关系:COPD评估测试(CAT)和失眠严重程度指数(ISI)。

2015年12月至2016年8月期间,使用来自韩国天主教大学圣保罗医院接受COPD治疗的患者的数据进行横断面研究。根据ISI评分将患者分为三组:“临床失眠”组(ISI≥15),“亚阈值失眠”组(ISI 8-15)和“非失眠”组(ISI <8)。收集并分析临床参数,包括既往病史,肺功能检查和问卷数据。

结果,研究招募了192名患者,其中25.0%患有临床失眠症(ISI≥8)。除咳嗽外,失眠严重程度与所有CAT成分相关,CAT评分较高的患者通常有较严重的失眠。Logistic回归分析显示CAT评分与这些患者的失眠显著相关(优势比,1.23; 95%CI,1.13-1.34; p <0.0001)。 CAT评分也是失眠的重要预测因子(受试者操作特征曲线下的面积,0.779; p <0.001)。最佳预测截断值是CAT评分> 14,敏感性和特异性分别为66.7%和71.5%。

综上所述,该研究结果表明,CAT评分与COPD患者的失眠严重程度密切相关。使用CAT评分来评估这些患者中失眠的存在和严重程度可以更好的检测和管理并改善临床实践。

原始出处:

Ban WH, Joo H, et al., The relationship between sleep disturbance and health status in patients with COPD. Int J Chron Obstruct Pulmon Dis. 2018 Jun 28;13:2049-2055. doi: 10.2147/COPD.S167678. eCollection 2018.

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    2019-06-06 日月
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    2018-08-14 gous
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