Seidel Stefan, Frantal Sophie, Salhofer-Polanyi Sabine, Lieba-Samal Doris, Zeitlhofer Josef, Wöber Christian
Department of Neurology, Medical University of Vienna, Austria
Department of Medical Statistics, Medical University of Vienna, Austria.
Cephalalgia. 2014 Jun;34(7):533-9. doi: 10.1177/0333102413515347. Epub 2013 Dec 10.
The objective of this study was to assess the influence of nocturnal headaches (NH) on subjective sleep parameters prospectively in habitual snorers and their bed partners.
We recruited habitual snorers and their bed partners via newspaper articles. The participants completed a semistructured interview, filled in questionnaires about quality of sleep (PSQI), daytime sleepiness (ESS), depression (SDS) and anxiety (SAS) and they kept a 90-day headache and sleep diary.
Seventy-six snorers (25 female) and 41 bed partners (31 female) completed the study recording a total of 6690 and 3497 diary days, respectively. NH were recorded on 222 (3.3%) and 79 (2.2%) days in 32 (42%) snorers and 17 (41%) bed partners, respectively. Snorers with NH showed significantly higher PSQI (5 ± 3 vs. 4 ± 2, p = 0.004), SAS (38 ± 11 vs. 31 ± 10, p = 0.011) and SDS scores (39 ± 12 vs. 34 ± 10, p = 0.048) than snorers without NH. For bed partners with NH we found a significant female predominance (sex ratio f:m = 16:1 vs. 12:12, p = 0.005) and significantly higher SAS scores (38 ± 6 vs. 33 ± 8, p = 0.030) compared with bed partners without NH. The subjective quality of sleep in habitual snorers (p < 0.001) as well as their bed partners (p = 0.017) was negatively influenced by NH, but not total sleep time.
NH occurred in around 40% of snorers and their bed partners at least once during the 90-day observation period. Our results confirmed a negative impact on the subjective quality of sleep in both groups.
本研究的目的是前瞻性地评估夜间头痛（NH）对习惯性打鼾者及其床伴主观睡眠参数的影响。
我们通过报纸文章招募了习惯性打鼾者及其床伴。参与者完成了一次半结构化访谈，填写了关于睡眠质量（PSQI）、日间嗜睡（ESS）、抑郁（SDS）和焦虑（SAS）的问卷，并记录了一份为期90天的头痛和睡眠日记。
76名打鼾者（25名女性）和41名床伴（31名女性）完成了研究，分别记录了总共6690天和3497天的日记。32名（42%）打鼾者和17名（41%）床伴分别有222天（3.3%）和79天（2.2%）记录到NH。有NH的打鼾者的PSQI（5±3 vs. 4±2，p = 0.004）、SAS（38±11 vs. 31±10，p = 0.011）和SDS评分（39±12 vs. 34±10，p = 0.048）显著高于无NH的打鼾者。对于有NH的床伴，我们发现女性占比显著更高（性别比f:m = 16:1 vs. 12:12，p = 0.005），且与无NH的床伴相比，SAS评分显著更高（38±6 vs. 33±8，p = 0.030）。习惯性打鼾者（p < 0.001）及其床伴（p = 0.017）的主观睡眠质量受到NH的负面影响，但总睡眠时间不受影响。
在90天的观察期内，约40%的打鼾者及其床伴至少出现过一次NH。我们的结果证实了NH对两组主观睡眠质量均有负面影响。
