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在慢性失眠症临床评估中使用活动记录仪与多导睡眠图(对27例患者的回顾性分析)

Using actigraphy versus polysomnography in the clinical assessment of chronic insomnia (retrospective analysis of 27 patients).

作者信息

Martoni Monica, Bayon Virginie, Elbaz Maxime, Léger Damien

机构信息

University of Bologna, Department of Psychology, 40127 Bologna, Italy.

出版信息

Presse Med. 2012 Mar;41(3 Pt 1):e95-e100. doi: 10.1016/j.lpm.2011.07.019. Epub 2011 Nov 21.

DOI:10.1016/j.lpm.2011.07.019
PMID:22104484
Abstract

AIM

The current study was conducted in order to investigate whether several different methods of characterizing sleep and insomnia symptoms produce different diagnoses.

METHOD

To this aim, we performed a retrospective study in order to compare the outcome of the assessment obtained using actigraphy with that obtained using polysomnography (PSG) in 27 outpatients complaining of chronic insomnia. Subjects were recruited from a database consisting of patients referred to the sleep centre of the Hôtel-Dieu Hospital (Paris) complaining of chronic insomnia. Patients were divided into different groups with regard to type of insomnia.

RESULTS

As far as type of insomnia was concerned, the comparison between actigraphy and PSG showed quite a good contingency coefficient value (C=0.64).

CONCLUSION

Although this was a preliminary and retrospective study, our results seemed to indicate that actigraphy and PSG were able to lead to a similar output particularly with regard to type of insomnia. Beyond PSG, actigraphy might have a clinical utility in assessing sleep disorders in adults complaining of chronic insomnia.

摘要

目的

进行本研究以调查几种不同的睡眠和失眠症状特征化方法是否会产生不同的诊断结果。

方法

为此,我们进行了一项回顾性研究,以比较27名主诉慢性失眠的门诊患者使用活动记录仪与多导睡眠图(PSG)获得的评估结果。研究对象从一个数据库中招募,该数据库由转诊至巴黎迪厄医院睡眠中心且主诉慢性失眠的患者组成。患者根据失眠类型被分为不同组。

结果

就失眠类型而言,活动记录仪与多导睡眠图之间的比较显示出相当不错的列联系数值(C = 0.64)。

结论

尽管这是一项初步的回顾性研究,但我们的结果似乎表明,活动记录仪和多导睡眠图能够得出相似的结果,尤其是在失眠类型方面。除了多导睡眠图,活动记录仪在评估主诉慢性失眠的成年人睡眠障碍方面可能具有临床实用性。

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