65岁以上老年人睡眠障碍的主观评价。

A Piani, S Brotini, P Dolso, R Budai, G L Gigli
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引用次数: 24

摘要

老年人的睡眠表现出由一般衰老过程引起的进行性变化。医学文献中描述了几种变化:睡眠/觉醒节律的变化以及睡眠持续时间和睡眠结构的改变。我们研究的目的是通过一份睡眠问卷来评估有和没有认知障碍的老年人的睡眠障碍。我们的人口包括1000名65岁以上的受试者,按性别和年龄分层。本报告包括了前600次访谈。所有患者都进行了迷你精神状态检查(MMSE)和关于白天过度嗜睡的问卷调查。在我们的总样本中,我们发现白天过度嗜睡、失眠、夜间醒来、打鼾、不安和睡眠时周期性腿部运动的发生率很高。认知功能障碍患者入睡困难较少,夜间醒来次数较少;他们打鼾的频率更低,是唯一出现遗尿和从床上摔下来的人。此外,认知障碍患者白天嗜睡过度,且嗜睡强度和频率不同。总之,我们的研究结果表明,健康受试者和认知障碍患者在睡眠障碍方面存在显著差异。此外,我们的主观评价似乎是一种有效的方法来评估老年人的睡眠障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep disturbances in elderly: a subjective evaluation over 65.

Sleep in elderly people shows progressive changes caused by general aging processes. Several alterations are described in medical literature: changes of sleep/wake rhythm and modifications both in sleep duration and in sleep architecture. The aim of our study was to evaluate sleep disturbances in elderly people, with and without cognitive impairment,through a sleep questionnaire. Our population included 1000 subjects, over 65 years of age, stratified by sex and age. The first 600 interviews were included in this report. All patients underwent a mini mental state examination (MMSE) and a questionnaire concerning excessive daytime sleepiness. In our total sample, we found a high prevalence of excessive daytime sleepiness, insomnia, nighttime awakenings, snoring, restlessness and periodic leg movements during sleep. Patients with cognitive dysfunctions showed less difficulty in falling asleep and fewer nighttime awakenings; they snored less frequently and were the only ones to present enuresis and to fall off the bed. Moreover, patients with cognitive impairment presented excessive daytime sleepiness with variable intensity and frequency. In conclusion, our results indicate significant differences in sleep disorders between healthy subjects and patients cognitively impaired. Besides, our subjective evaluation seems to be a useful method to perform an assessment of sleep disturbances in elderly people.

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