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持续性姿势知觉性头晕患者睡眠障碍和认知功能障碍临床分析

Correlation between sleep disorder and cognitive dysfunction in patients with persistent postural-perceptual dizziness

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目的 分析持续性姿势知觉性头晕患者睡眠障碍、认知功能障碍情况及相关性.方法 选取2019年12月至2020年6月就诊门诊及住院治疗的81例持续性姿势知觉性头晕患者作为研究组,对照组为2019年12月至2020年3月头晕发作缓解、没有应用精神类药物,以及流行病学特点高发病率的患者81例.应用简易智力状态检查量表(MMSE),蒙特利尔量表(MOCA),匹兹堡睡眠质量指数量表(PSQI),分别对患者的睡眠质量与认知能力进行测量,并分析其睡眠与认知之间的相关性.结果 研究组患者记忆力、注意力、计算力、回忆能力4个维度评分及MMSE总分与对照组比较差异有统计学意义(P<0.05);2组患者定向力、语言能力评分差异无统计学意义(P>0.05).研究组患者注意与集中、记忆、抽象思维、MOCA总分均显著低于对照组,差异有统计学意义(P<0.05);2组患者执行功能、语言、视结构技能、计算和定向力评分差异无统计学意义(P>0.05).研究组患者主观睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍6个维度PSQI评分均显著高于对照组,差异有统计学意义(P<0.05);2组患者催眠药物维度PSQI评分差异无统计学意义(P>0.05).结论 持续性姿势知觉性头晕患者普遍存在中度睡眠障碍,并且在睡眠时间、睡眠质量和认知功能之间存在显著的相关性.
Objective To explore the correlation between sleep disorder and cognitive dysfunction in patients with persistent postural-perceptual dizziness(PPPD).Methods A total of 81 PPPD patients who were treated in the our hospital from December 2019 to June 2020 were enrolled as the study group,in addition,81 patients with high incidence of dizziness treated in the our hospital from December 2019 to March 2020 were as the control group,although who didn't take any psychotropic drugs due to the remission of dizziness symptoms.The patients'sleep quality and cognitive ability were measured by the Mini-Mental State Examination(MMSE),the Montreal Cognitive Assessment(MoCA)and the Pittsburgh Sleep Quality Index(PSQI)were assessed,and the correlation between sleep and cognition was analyzed.Results There were significant differences in the four dimension(memory,attention,calculation and recall ability)and the total score of MMSE between the study group and the control group(P<0.05).There was no significant difference in the scores of orientation and language ability between groups(P>0.05).The dimension(attention and concentration,memory,abstract thinking)and total scores of MOCA in the study group were significantly lower than those of the control group(P<0.05).The scores of executive function,language,visual structure skills,calculation,and directional force in the study group were comparable to those of the control group(P>0.05).The six dimensions(subjective sleep quality,time before falling asleep,sleep duration,sleep efficiency,sleep disturbance and daytime dysfunction)and total scores of PSQI were significantly higher than those of the control group(P<0.05),but the dimensions score of PSQI for hypnotic drug was similar(P>0.05).Conclusion Patients with PPPD generally have moderate sleep disorders,and there is a significant correlation between sleep time and sleep quality with cognitive function.

persistent postural-perceptual dizzinesssleep disorderscognitive dysfunctioncorrelation

邹双骏、安红贤、胡凤英

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063000 河北省唐山市,唐山中心医院神经内科

063000 河北省唐山市,唐山中心医院消化内科

063000 河北省唐山市,唐山中心医院心内科

持续性姿势知觉性头晕 睡眠障碍 认知功能障碍 相关性

河北省卫生健康委医学科学研究课题计划项目

2021633

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(15)
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