Mold James W, Goodrich Suanne, Orr William
Department of Family and Preventative Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
J Am Board Fam Med. 2008 Mar-Apr;21(2):96-100. doi: 10.3122/jabfm.2008.02.070125.
In 2 previous studies, patients reporting night sweats were found to be more likely to have other sleep-related symptoms. Sleep apnea is often mentioned as a possible cause of night sweats, but there is little evidence to support this assertion.
Retrospective review of data from 2 sleep laboratories in Oklahoma City, Oklahoma. Analyses included bivariate and multivariate tests of associations between reported night sweats and other sleep-related symptoms, scores on specific sleep inventories, and findings from polysomnography.
Patients who reported night sweats were more likely to report daytime fatigue (P = .001); creepy/crawly feelings in their legs (P = .003); kicking during sleep (P = .004); snoring (P = .03); nighttime breathing trouble (P < .0001); awakening in the night with aches and pains (P < .0001); and waking in the morning with a headache (P = .0002) and still tired (P = .002) as compared with those who did not report night sweats. They also had higher mean scores on the Epworth Sleepiness Scale (P < .0001). However, there was no statistically significant association between reported night sweats and sleep onset latency, arousal index, apnea hypopnea index, periodic leg movement index, or total sleep time.
Subjective night sweats are associated with a variety of other sleep-related symptoms, but we could find no evidence for an association between subjective night sweats and objective evidence of specific sleep disorders.
在之前的两项研究中,报告有盗汗症状的患者被发现更有可能出现其他与睡眠相关的症状。睡眠呼吸暂停常被提及可能是盗汗的一个原因,但几乎没有证据支持这一说法。
对俄克拉荷马城两家睡眠实验室的数据进行回顾性分析。分析包括对报告的盗汗与其他睡眠相关症状、特定睡眠量表得分以及多导睡眠图结果之间的关联进行双变量和多变量测试。
报告有盗汗症状的患者比未报告盗汗的患者更有可能报告白天疲劳(P = 0.001);腿部有虫爬感(P = 0.003);睡眠中踢腿(P = 0.004);打鼾(P = 0.03);夜间呼吸问题(P < 0.0001);夜间因疼痛醒来(P < 0.0001);以及早晨醒来头痛(P = 0.0002)和仍感到疲倦(P = 0.002)。他们在爱泼沃斯嗜睡量表上的平均得分也更高(P < 0.0001)。然而,报告的盗汗与入睡潜伏期、觉醒指数、呼吸暂停低通气指数、周期性腿部运动指数或总睡眠时间之间没有统计学上的显著关联。
主观盗汗与多种其他睡眠相关症状有关,但我们没有发现主观盗汗与特定睡眠障碍的客观证据之间存在关联的证据。