Sleep disorders in patients with chronic fatigue.
Sleep disorders in patients with chronic fatigue.
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慢性疲劳患者的睡眠障碍。
DOI：
10.1093/clinids/18.supplement_1.s68
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Kith,P
中科院分区：
文献类型：
--
作者：
Buchwald,D;Pascualy,R;Bombardier,C;Kith,P
这项前瞻性队列研究调查了精心挑选的慢性疲劳患者中睡眠障碍的患病率。根据筛查问卷中提示睡眠病理学的回答，来自大学慢性疲劳诊所的 59 名接受过医学和精神评估的患者接受了多导睡眠图检查。 64% 的患者满足慢性疲劳综合症 (CFS) 标准，41% 的患者满足当前精神疾病标准。总体而言，41% 的患者多次睡眠潜伏期测试结果异常，81% 的患者至少患有一种睡眠障碍，最常见的是睡眠呼吸暂停 (44%) 和特发性睡眠过度 (12%)。在比较符合和不符合 CFS 标准的患者时，没有发现个体睡眠症状或睡眠障碍存在显着差异。同样，症状和睡眠障碍与精神病诊断无关。总之，具有暗示性症状的长期疲劳患者可能患有可治疗的共存睡眠障碍，这些障碍与符合慢性疲劳综合症或当前精神疾病的标准无关。
This prospective, cohort study examined the prevalence of sleep disorders among highly selected patients with chronic fatigue. On the basis of responses suggestive of sleep pathology on a screening questionnaire, 59 patients from a university-based clinic for chronic fatigue who had undergone a medical and psychiatric evaluation underwent polysomnography. Criteria for chronic fatigue syndrome (CFS) were met by 64% of patients and those for a current psychiatric disorder were met by 41%. Overall, 41% of patients had abnormal results for a multiple sleep latency test and 81% had at least one sleep disorder, most frequently sleep apnea (44%) and idiopathic hypersomnia (12%). In comparing patients who did and did not meet CFS criteria, no significant differences were found in individual sleep symptoms or sleep disorders. Likewise, symptoms and sleep disorders were unrelated to psychiatric diagnoses. In conclusion, chronically fatigued patients with suggestive symptoms may have potentially treatable coexisting sleep disorders that are not associated with meeting criteria for CFS or a current psychiatric disorder.