Tse Winona, Liu Yiming, Barthlen Gabriele M, Hälbig Thomas D, Tolgyesi Sonia V, Gracies Jean-Michel, Olanow C Warren, Koller William C
Department of Neurology, The Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, USA.
Parkinsonism Relat Disord. 2005 Aug;11(5):317-21. doi: 10.1016/j.parkreldis.2005.02.006.
To test the usefulness of the Parkinson's disease sleep scale (PDSS) in identifying sleep disorders in the clinical practice setting.
Sixty-two PD patients were evaluated with the PDSS and the Epworth sleepiness scale (ESS). A cut-off of less than five for each PDSS item as an indicator of substantial sleep disturbance was chosen. If the ESS was equal to or greater than eight, patients were referred to a sleep disorder specialist and possible polysomnography.
The mean total PDSS score was 104.7+/-21.5,which correlated with the mean Hoehn and Yahr score (1.9+/-0.9) as well as the mean ESS score (9.7+/-4.7). A significant correlation was also found between the ESS score and several items of the PDSS.
The PDSS was useful in identifying sleep disturbances which were not previously diagnosed, such as sleep maintenance insomnia and excessive daytime sleepiness. Problems with the PDSS include ambiguities of some questions, lack of quantification and an inability to identify specific sleep disturbances such as sleep apnea.
检验帕金森病睡眠量表（PDSS）在临床实践中识别睡眠障碍的效用。
对62例帕金森病患者进行PDSS和爱泼沃斯思睡量表（ESS）评估。选择每个PDSS项目得分低于5分作为严重睡眠障碍的指标。如果ESS等于或大于8分，患者将被转诊至睡眠障碍专科医生处并可能接受多导睡眠图检查。
PDSS总分均值为104.7±21.5，与Hoehn和Yahr评分均值（1.9±0.9）以及ESS评分均值（9.7±4.7）相关。ESS评分与PDSS的几个项目之间也存在显著相关性。
PDSS有助于识别先前未被诊断出的睡眠障碍，如睡眠维持性失眠和日间过度嗜睡。PDSS的问题包括一些问题含糊不清、缺乏量化以及无法识别特定的睡眠障碍，如睡眠呼吸暂停。
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