摘要
目的探讨慢性鼻-鼻窦炎患者睡眠障碍现状及其影响因素。方法选择2019年4月~2021年4月我院耳鼻喉科门诊80例慢性鼻-鼻窦炎患者为研究对象,采用匹兹堡睡眠质量指数量表(PSQI)调查患者睡眠障碍发生情况,并设为睡眠障碍组以及正常组。单因素分析两组患者性别、年龄、合并抑郁、鼻黏膜症状等资料,将差异具有统计学意义的项目纳入Logistic回归分析进行多因素分析。结果80例慢性鼻-鼻窦炎患者检测出睡眠障碍28例,发生率35.00%;睡眠障碍组以及正常组在焦虑、抑郁、阻塞性睡眠呼吸暂停(OSA)、鼻黏膜症状程度、年龄、学历、病程等差异明显(P<0.05);两组性别、居住地无明显差异(P>0.05);多因素分析显示,合并焦虑、合并抑郁、合并OSA、严重鼻黏膜症状是慢性鼻-鼻窦炎患者睡眠障碍的影响因素。结论慢性鼻-鼻窦炎患者易发生睡眠障碍,受到负性情绪、病情严重程度、合并OSA等因素的影响。
Objective To explore the current status and its influencing factors of sleep disorders in patients with chronic rhinosinusitis.Methods Eighty patients with chronic rhinosinusitis in our hospital's otolaryngology outpatient department from April 2019 to April 2021were selected as the research objects.The Pittsburgh Sleep Quality Index(PSQI)was used to investigate the occurrence of sleep disorders in patients,and set as sleep disorder group and normal group.Single factor analysis was done of the two groups of patients'gender,age,combined depression,nasal mucosal symptoms and other data.The items with statistically significant differences were included in Logistic regression analysis for multivariate analysis.Results In 80 patients with chronic rhinosinusitis,28 cases of sleep disturbance were detected,with an incidence rate of 35.00%.There were statistically significant differences between two groups in anxiety,depression,obstructive sleep apnea(OSA),nasal mucosal symptoms,age,education,and course of disease(P<0.05).There was no statistically significant difference between the two groups in gender,residence,whether to keep pets,and whether to plant flowers and plants(P>0.05).Multivariate analysis showed that combined anxiety,combined depression,combined OSA,and severe nasal mucosal symptoms were the influencing factors of sleep disorders in patients with chronic rhinosinusitis.Conclusion Patients with chronic rhinosinusitis are prone to sleep disorders,and are affected by negative emotions,severity of the disease,and OSA.
作者
余琳
王广科
郜志强
韩凯旭
YU Lin;WANG Guangke;GAO Zhiqiang(Zhengzhou West Area Hospital of tcm,Zhengzhou 450001,China)
出处
《国际精神病学杂志》
2022年第2期285-287,共3页
Journal Of International Psychiatry
关键词
慢性鼻-鼻窦炎
睡眠障碍
影响因素
Chronic rhinosinusitis
Sleep disturbance
Influencing factors
