Roehrs T, Conway W, Wittig R, Zorick F, Sicklesteel J, Roth T
Am Rev Respir Dis. 1985 Sep;132(3):520-3. doi: 10.1164/arrd.1985.132.3.520.
The relation of sleep complaint to sleep continuity and respiratory disturbance was studied by comparing 2 series of patients with sleep apnea, one group complaining of insomnia and the other of excessive daytime sleepiness. On polysomnographic evaluation, patients with insomnia complaints had fewer and shorter, primarily central, apneas that had little hypoxemic effects. Patients with excessive sleepiness complaints had more and longer, primarily obstructive, apneas that produced significant hypoxemia. Sleep of the excessively sleepy patients was lighter and longer, whereas that of the patients with insomnia was characterized by more wake time before and after sleep onset. The excessively sleepy patients were objectively sleepy on a test of daytime sleepiness, whereas patients with insomnia were alert.
通过比较两组睡眠呼吸暂停患者，研究了睡眠主诉与睡眠连续性及呼吸障碍之间的关系，一组主诉失眠，另一组主诉日间过度嗜睡。经多导睡眠图评估，主诉失眠的患者呼吸暂停次数较少且持续时间较短，主要为中枢性呼吸暂停，对低氧血症影响较小。主诉日间过度嗜睡的患者呼吸暂停次数更多且持续时间更长，主要为阻塞性呼吸暂停，会导致明显的低氧血症。日间过度嗜睡患者的睡眠较浅且持续时间较长，而失眠患者的睡眠特点是入睡前后的清醒时间较多。日间过度嗜睡患者在日间嗜睡测试中表现为客观嗜睡，而失眠患者则保持警觉。
