Journal of Korean Sleep Research Society最新文献_第6页

Comparison of Sleep Quality and Polysomnographic Findings in Patients with RLS according to the Presence of Periodic Limb Movements during Sleep 根据睡眠中存在周期性肢体运动的RLS患者睡眠质量和多导睡眠图结果的比较

Journal of Korean Sleep Research Society Pub Date : 2011-06-30 DOI: 10.13078/JKSRS.11002

M. Eun, H. Seok, Jung Bin Kim, Ki-Young Jung

{"title":"Comparison of Sleep Quality and Polysomnographic Findings in Patients with RLS according to the Presence of Periodic Limb Movements during Sleep","authors":"M. Eun, H. Seok, Jung Bin Kim, Ki-Young Jung","doi":"10.13078/JKSRS.11002","DOIUrl":"https://doi.org/10.13078/JKSRS.11002","url":null,"abstract":"Address for correspondence Ki-Young Jung, MD Department of Neurology, Korea University College of Medicine, 126-1 Anam-dong 5-ga, Seongbuk-gu, Seoul 136-705, Korea Tel: +82-2-920-6649 Fax: +82-2-925-2472 E-mail: jungky@korea.ac.kr Objectives: Although it has been reported that periodic limb movements during sleep (PLMS) is present up to 80% in patients with restless legs syndrome (RLS), it is unclear that PLMS could influence on sleep quality and excessive daytime sleepiness (EDS) in patient with RLS. To investigate influence of PLMS on sleep quality and EDS, we analyzed sleep quality and EDS in patient with RLS. Methods: Fifty five RLS patients were included in this study. RLS was diagnosed according to International Restless Legs Syndrome Study Group criteria. Patients were classified into two groups according to the presence of PLMS. Group I (n=32) consisted of RLS patients without PLMS. Group II (n=23) consisted of RLS patients with PLMS. The severity of RLS symptom was assessed using International RLS Study Group Rating Scale (IRLS). Subjective sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS), and Epworth Sleepiness Scale (ESS). Serum ferritin level and polysomnographic parameters were also compared between both groups. Results: Mean age was significantly higher in RLS patients with PLMS (p<0.05). IRLS, PSQI, ESS and AIS were not significantly different between groups. Among sleep parameters on polysomnography only PLM related variables were significantly higher in RLS patients with PLMS. Conclusions: Our study suggests that presence of PLMS in patient with RLS has no significant negative effect on sleep quality and excessive daytime sleepiness. J Korean Sleep Res Soc 2011;8:4-8","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134492940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

A Case of Transient Hypersomnia with Increased Slow Wave Sleep after Unilateral Paramedian Thalamic Infarction 单侧旁位丘脑梗死后短暂性嗜睡伴慢波睡眠增加1例

Journal of Korean Sleep Research Society Pub Date : 2011-06-30 DOI: 10.13078/JKSRS.11006

Sangkil Lee, Jae-Il Kim, Geun-ho Lee, J. Kim

引用次数: 0

Idiopathic Central Sleep Apnea Presenting as Cheyne-Stokes Breathing 特发性中枢性睡眠呼吸暂停表现为Cheyne-Stokes呼吸

Journal of Korean Sleep Research Society Pub Date : 2010-12-31 DOI: 10.13078/JKSRS.10011

Kyunghun Kang, Sun-Young Kim, Sung-Pa Park, Ho-Won Lee

引用次数: 1

Influences of the Revised American Academy of Sleep Medicine Criteria for Scoring Apnea and Hypopnea on the Apnea-Hypopnea Index 修订后的美国睡眠医学会呼吸暂停和低呼吸评分标准对呼吸暂停-低呼吸指数的影响

Journal of Korean Sleep Research Society Pub Date : 2010-12-31 DOI: 10.13078/JKSRS.10007

Cheon-Sik Kim, Sang-Ahm Lee, Min Ju Kim, Eun Mi Lee, Yong Seok Lee, Yoo-Sam Chung, W. Kim

{"title":"Influences of the Revised American Academy of Sleep Medicine Criteria for Scoring Apnea and Hypopnea on the Apnea-Hypopnea Index","authors":"Cheon-Sik Kim, Sang-Ahm Lee, Min Ju Kim, Eun Mi Lee, Yong Seok Lee, Yoo-Sam Chung, W. Kim","doi":"10.13078/JKSRS.10007","DOIUrl":"https://doi.org/10.13078/JKSRS.10007","url":null,"abstract":"Address for correspondence Sang-Ahm Lee, MD, PhD Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, 86 Asanbeongwon-gil, Songpa-gu, Seoul 138-736, Korea Tel: +82-2-3010-3445 Fax: +82-2-4744691 E-mail: salee@amc.seoul.kr Objectives: The definition of accurate recording and measuring of sleep related obstructive breathing events are clinically critical as a base for quantifying disease severity in obstructive sleep apnea (OSA) syndrome. The aim of the study was to compare apnea and hypopnea indices using different scoring recommendations. Methods: We retrospectively selected total 60 patients who were diagnosed with OSA syndrome. All sleep-related parameters including apnea index, hypopnea index, and apnea-hypopnea index (AHI) were measured by two different criteria; 1999 Chicago criteria and 2007 American Academy of Sleep Medicine (AASM) criteria for scoring respiratory events. Results: Apnea index and AHI by Chicago criteria were significantly higher than those by AASM criteria (mean 21.0/hr vs. 15.1/hr, p<0.001; mean 36.8/hr vs. 29.4/ hr, p<0.001, respectively). But hypopnea index was not different between two criteria. Bland-Altman plots demonstrated a median (5th, 95th percentiles) reduction of 6.1/h (0.16, 20.57) when comparing AHI by AASM criteria to AHI by Chicago criteria. Conclusions: Our results suggested that AASM criteria intended to diagnose more confirmative OSA patients than Chicago criteria. Updated criteria may be stricter but possibly rule out mild OSA patients. J Korean Sleep Res Soc 2010;7:37-42","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"61 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114162126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Sleep Restriction-Emphasized Cognitive Behavioral Therapy for Insomnia on Sleep with Chronic Insomniacs: A Preliminary Study 以睡眠限制为主的认知行为疗法对慢性失眠症患者睡眠效果的初步研究

Journal of Korean Sleep Research Society Pub Date : 2010-12-31 DOI: 10.13078/JKSRS.10009

S. Choi, Keum-soon Kim

{"title":"The Effects of Sleep Restriction-Emphasized Cognitive Behavioral Therapy for Insomnia on Sleep with Chronic Insomniacs: A Preliminary Study","authors":"S. Choi, Keum-soon Kim","doi":"10.13078/JKSRS.10009","DOIUrl":"https://doi.org/10.13078/JKSRS.10009","url":null,"abstract":"Address for correspondence Su Jung Choi, RN, MSN Brain-Nerve Center, Samsung Medical Center, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea Tel: +82-2-3410-2851 Fax: +82-2-3410-2759 E-mail: sujungchoi@hanmail.net Objectives: Cognitive-behavioral therapy for insomnia (CBT-I) is recommended as the 1st choice of treatment for chronic insomnia patients. Among CBT-I program, sleep restriction (SR) has known as the most effective and relatively well-tolerated treatment tool, but in practice, it is not easy to apply to all insomnia patients due to a lack of properly trained therapist. This study is designed to investigate the clinical utility of SR-emphasized CBT-I (SRCBT-I) conducted by a trained nurse. Methods: Thirteen chronic insomniacs were enrolled for SRCBT-I (four biweekly-individual session) and eight (6 women; mean age 51.1 yr) of them completed the whole sessions. Control insomniacs (n=9; 7 women; age 56.8 yr) were treated with standard CBT-I. Eleven of them underwent night polysomnography before CBT-I. Main outcomes of treatment evaluation were sleep onset latency (SOL), wake time after sleep onset (WASO), total sleep time (TST), time in bed, and sleep efficiency (SE), which were determined based on patients’ sleep diary before and after CBT-I. Results: All patients with standard or SRCBT-I reported the improvement in SOL (60.2 → 10.6 min), WASO (155.0 → 20.7 min), TST (242.2 → 32.6 min), SE (51.0 → 92.0%) and sleep medication (1.0 → 0.25 tablet). Compared to control insomniacs with standard CBT-I, patients with SRCBT-I showed a lesser WASO (Z=-2.792, p=0.005) and a higher SE (Z=-2.694, p=0.006) after CBT-I. Conclusions: Our preliminary study demonstrated that SRCBT-I is more effective than standard CBT-I especially for sleep maintenance in chronic insomnia patients. J Korean Sleep Res Soc 2010;7:49-56","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126301840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Efficacy and Safety of Long-Term Use of Hypnotics 长期使用催眠药的疗效和安全性

Journal of Korean Sleep Research Society Pub Date : 2010-12-31 DOI: 10.13078/JKSRS.10005

K. Yang, Y. Hwangbo

{"title":"The Efficacy and Safety of Long-Term Use of Hypnotics","authors":"K. Yang, Y. Hwangbo","doi":"10.13078/JKSRS.10005","DOIUrl":"https://doi.org/10.13078/JKSRS.10005","url":null,"abstract":"Received November 30, 2010 Revised December 13, 2010 Accepted December 13, 2010 Address for correspondence Kwang Ik Yang, MD Department of Neurology, College of Medicine, Soonchunhyang University, Cheonan Hospital, 23-20 Bongmyeong-dong, Cheonan 330-721, Korea Tel: +82-41-570-2290 Fax: +82-41-579-9021 E-mail: kiyang@sch.ac.kr Insomnia may present with a variety of complaint and etiology, making the evaluation and management of chronic insomnia demanding on a clinician’s time. Long-term use of hypnotics and sedatives has been discouraged for a number of reasons, including tolerance, abuse liability, and the belief that insomnia is a symptom that remit with treatment of the underlying medical or psychiatric disorder. Moreover, pharmacotherapy produces only moderate improvement during drug administration and returns toward baseline after discontinuation. Although efficacy and safety have been established for benzodiazepine receptor agonists when used for short-duration therapy, there are few data that establish their continued efficacy and safety in long-term use. Benzodiazepine hypnotics have been implicated as a cause of numerous adverse events, including dependency, withdrawal, rebound symptom, daytime sedation, fall, and hip fracture, especially in older people. In order to use hypnotic properly, correct diagnosis of the underlying causes of sleep disturbance is acquired at first and extreme caution of hypnotics use to primary sleep disorders is needed, especially in sleep related breathing disorders. Physicians and patients should be cautioned about the potential adverse effects and using of hypnotics. After initial treatment, clinical efficacy and side effect should be observed regularly. Easy accessibility of cognitive behavior therapy for patient can be also a coping with long-term use of hypnotics. J Korean Sleep Res Soc 2010;7:25-31","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134355633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Obstructive Sleep Apnea Syndrome in Women 女性阻塞性睡眠呼吸暂停综合征

Journal of Korean Sleep Research Society Pub Date : 2010-12-31 DOI: 10.13078/jksrs.10006

Hyeri Park, Hyunwoo Nam

引用次数: 0

The Validation of Actigraphy for Detection of Periodic Leg Movement in Obstructive Sleep Apnea 活动描记术检测阻塞性睡眠呼吸暂停患者周期性腿部运动的有效性

Journal of Korean Sleep Research Society Pub Date : 2010-12-31 DOI: 10.13078/JKSRS.10008

Y. H. Yun, Min Ju Kim, Min Hwan Lee, Cheon-Sik Kim, Yoo-Sam Chung, W. Kim, Sang-Ahm Lee

{"title":"The Validation of Actigraphy for Detection of Periodic Leg Movement in Obstructive Sleep Apnea","authors":"Y. H. Yun, Min Ju Kim, Min Hwan Lee, Cheon-Sik Kim, Yoo-Sam Chung, W. Kim, Sang-Ahm Lee","doi":"10.13078/JKSRS.10008","DOIUrl":"https://doi.org/10.13078/JKSRS.10008","url":null,"abstract":"Address for correspondence Sang-Ahm Lee, MD Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, 86 Asanbeongwon-gil, Songpa-gu, Seoul 138-736, Korea Tel: +82-2-3010-3445 Fax: +82-2-474-4691 E-mail: salee@amc.seoul.kr Objectives: Several validation studies of actigraphy for periodic limb movements (PLMs) detection reported a high sensitivity and specificity in restless leg syndrome and periodic limb movement disorder. But PLMs also arise in association with a variety of other sleep disorders such as the sleep apnea syndrome. We compared PLM counts obtained with polysomnography (PSG) to those obtained from actigraphy with PAM-RL and assess the validity in patients with obstructive sleep apnea. Methods: Sixty patients with obstructive sleep apnea underwent actigraphy from both legs and simultaneous PSG during awakeness and sleep. Each of left and right PLM indices by unilateral actigraphy were calculated automatically and compared to PLM index by PSG of ipsilateral leg. Additionally, a comparison among the severity of apnea-hypopnea index (AHI) in obstructive sleep disorder was performed. Results: PLM index obtained with actigraphy were not different from PLM index by PSG [7.93(±11.65)/h vs. 6.50(±12.45)/h; p=0.257]. The sensitivity and specificity of actigraphy identifying patients with PLM index ≥15/h against respective PLM index determined by PSG were calculated (sensitivity/specificity: 0.53/0.88). The actigraphy didn’t overestimate PLM in overall OSA, but overestimate only in severe OSA. Conclusions: This discrepancy between PSG and actigraphy in patient with OSA may be due to overestimate of actigraphy in severe OSA and to underestimate of PLM as PLM index increases. Actigraphy can’t replace PSG in the diagnostic assessment of PLM using cut-off values in patients with obstructive sleep apnea on account of this problem. J Korean Sleep Res Soc 2010;7:43-48","PeriodicalId":243131,"journal":{"name":"Journal of Korean Sleep Research Society","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121277010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long term complication of oral appliance for obstructive sleep apnea 口腔矫治器治疗阻塞性睡眠呼吸暂停的远期并发症

Journal of Korean Sleep Research Society Pub Date : 2009-12-31 DOI: 10.13078/JKSRS09017

Kang Jin Kyu

引用次数: 0

Sleep and Epilepsy 睡眠与癫痫

Journal of Korean Sleep Research Society Pub Date : 2009-12-31 DOI: 10.13078/JKSRS09014

K. Heo

引用次数: 1