| 失眠的预后及影响因素分析 |
| 投稿时间：2011-10-11 修订日期：2011-10-20 点此下载全文 |
| 引用本文：蒋尚融,王传刘,林子江,敖文玲,何金彩.失眠的预后及影响因素分析[J].医学研究杂志,2012,41(4):38-40 |
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| 基金项目:国家“十一五”科技支撑计划项目（2006BAI13B06） |
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| 中文摘要:目的调查失眠患者一般情况以及预后影响因素。方法自制问卷，按照《中国失眠定义、诊断及药物治疗专家共识(草案)》，对2007年8～9月温州医学院附属第一医院睡眠中心初诊失眠患者进行调查,所有患者采用个体化药物治疗辅以睡眠卫生宣教，6个月后进行电话随访，观察患者病情转归与药物依从性以及睡眠卫生宣教的关系。结果共有123例患者完成调查，发现其中以女性患者、慢性失眠、31~40岁患者、脑力劳动者、合并轻度或无焦虑抑郁症状占多数，绝大部分失眠有明显诱因，诱因多数为生活应激性事件，坚持睡眠卫生宣教以及药物依从性好的患者病情转归较好，结果有统计学意义（P＜0.05）。结论慢性失眠、女性患者、31~40岁患者、脑力劳动者等占失眠多数，进行睡眠卫生宣传教育以及提高药物依从性可以增加好转率。 |
| 中文关键词:失眠 调查 预后分析 |
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| Analysis of Prognosis of Insomnia and Its Influence Factors |
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| Abstract:ObjectiveTo investigate the general conditions and prognosis factors for patients with insomnia.MethodsThe questionnaire self-made in accordance with the Consensus on definition and treatment in insomnia (draft) was used in the Sleep Center of First Affiliated Hospital of Wenzhou Medical College for the investgation on patients newly diagnosed with insomnia from Aug to Sept,2007.All the patients were subjected to the individualized drug therapy which was supplemented with dormancy hygiene education,and then a telephone follow-up after 6 months.The process was targeted at observing the relationship of the disease outcome with drug compliance and dormancy hygiene education.ResultsA total of 123 patients completed the investigation.It was found that these insomnia patients mainly included female patients,chronic insomnia patients,patients aged 31-40 years,mental workers,and patients with insomnia combined with mild or anxiety-free depression.Most had inducing factors that maily were stress events in the life.Patients adhering to dormancy hygiene advice and having good drug compliance produced a better outcome and the results were significant difference (P<005). ConclusionChronic insomnia patients,female patients,31-40 years old patients,mental working patients and so on account for the majority,and the better outcome may be attributable to the dormancy health education and drug compliance improvement. |
| keywords:Insomnia Investigation Prognostic analysis |
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