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睡眠障碍患者与正常受试者睡眠纺锤波特征的比较分析。

A comparative analysis of sleep spindle characteristics of sleep-disordered patients and normal subjects.

作者信息

Chen Chao, Wang Kun, Belkacem Abdelkader Nasreddine, Lu Lin, Yi Weibo, Liang Jun, Huang Zhaoyang, Ming Dong

机构信息

Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, China.

Key Laboratory of Complex System Control Theory and Application, Tianjin University of Technology, Tianjin, China.

出版信息

Front Neurosci. 2023 Mar 30;17:1110320. doi: 10.3389/fnins.2023.1110320. eCollection 2023.

Abstract

Spindles differ in density, amplitude, and frequency, and these variations reflect different physiological processes. Sleep disorders are characterized by difficulty in falling asleep and maintaining sleep. In this study, we proposed a new spindle wave detection algorithm, which was more effective compared with traditional detection algorithms such as wavelet algorithm. Besides, we recorded EEG data from 20 subjects with sleep disorders and 10 normal subjects, and then we compared the spindle characteristics of sleep-disordered subjects and normal subjects (those without any sleep disorder) to assess the spindle activity during human sleep. Specifically, we scored 30 subjects on the Pittsburgh Sleep Quality Index and then analyzed the association between their sleep quality scores and spindle characteristics, reflecting the effect of sleep disorders on spindle characteristics. We found a significant correlation between the sleep quality score and spindle density ( = 1.84 × 10, -value <0.05 was considered statistically significant.). We, therefore, concluded that the higher the spindle density, the better the sleep quality. The correlation analysis between the sleep quality score and mean frequency of spindles yielded a -value of 0.667, suggesting that the spindle frequency and sleep quality score were not significantly correlated. The -value between the sleep quality score and spindle amplitude was 1.33 × 10, indicating that the mean amplitude of the spindle decreases as the score increases, and the mean spindle amplitude is generally slightly higher in the normal population than in the sleep-disordered population. The normal and sleep-disordered groups did not show obvious differences in the number of spindles between symmetric channels C3/C4 and F3/F4. The difference in the density and amplitude of the spindles proposed in this paper can be a reference characteristic for the diagnosis of sleep disorders and provide valuable objective evidence for clinical diagnosis. In summary, our proposed detection method can effectively improve the accuracy of sleep spindle wave detection with stable performance. Meanwhile, our study shows that the spindle density, frequency and amplitude are different between the sleep-disordered and normal populations.

摘要

纺锤波在密度、振幅和频率上存在差异,这些变化反映了不同的生理过程。睡眠障碍的特征是入睡困难和维持睡眠困难。在本研究中,我们提出了一种新的纺锤波检测算法,与小波算法等传统检测算法相比,该算法更有效。此外,我们记录了20名睡眠障碍患者和10名正常受试者的脑电图数据,然后比较了睡眠障碍患者和正常受试者(无任何睡眠障碍者)的纺锤波特征,以评估人类睡眠期间的纺锤波活动。具体而言,我们对30名受试者进行了匹兹堡睡眠质量指数评分,然后分析了他们的睡眠质量评分与纺锤波特征之间的关联,以反映睡眠障碍对纺锤波特征的影响。我们发现睡眠质量评分与纺锤波密度之间存在显著相关性(=1.84×10,p值<0.05被认为具有统计学意义)。因此,我们得出结论,纺锤波密度越高,睡眠质量越好。睡眠质量评分与纺锤波平均频率之间的相关性分析得出p值为0.667,表明纺锤波频率与睡眠质量评分无显著相关性。睡眠质量评分与纺锤波振幅之间的p值为1.33×10,表明纺锤波平均振幅随评分增加而降低,且正常人群的纺锤波平均振幅通常略高于睡眠障碍人群。正常组和睡眠障碍组在对称通道C3/C4和F3/F4之间的纺锤波数量上没有明显差异。本文提出的纺锤波密度和振幅差异可作为睡眠障碍诊断的参考特征,为临床诊断提供有价值的客观证据。总之,我们提出的检测方法能够有效提高睡眠纺锤波检测的准确性,性能稳定。同时,我们的研究表明,睡眠障碍人群和正常人群之间的纺锤波密度、频率和振幅存在差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11bb/10098120/4daaec601bd2/fnins-17-1110320-g001.jpg

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