Performance of an ambulatory electroencephalogram sleep monitor in patients with psychiatric disorders
Performance of an ambulatory electroencephalogram sleep monitor in patients with psychiatric disorders
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DOI：
10.1111/jsr.13273
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发表时间：
2020-12-28
影响因子：
4.4
通讯作者：
Ozaki, Norio
中科院分区：
文献类型：
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作者：
Miyata, Seiko;Iwamoto, Kunihiro;Ozaki, Norio
在精神障碍患者中观察到的主要临床症状包括入睡或维持睡眠困难、睡眠质量差和做噩梦。睡眠障碍患者通常表现出对睡眠质量、时间和数量不满意的症状，这些症状对功能和生活质量产生不利影响。对于对环境变化敏感的精神疾病患者来说，微创技术是更可取的。因此，我们评估了Zmachine Insight Plus（一种动态脑电图睡眠监测仪）在精神疾病患者中的表现。103名接受多导睡眠描记术的患者参加了这项研究。Zmachine Insight Plus与多导睡眠图同时进行。评估总睡眠时间、睡眠效率、睡眠后醒来、快速眼动（REM）睡眠、浅睡眠（N1和N2阶段）和深度睡眠（N3阶段）。Zmachine Insight Plus的总睡眠时间、睡眠效率、醒后觉醒、快速眼动睡眠持续时间和非快速眼动睡眠持续时间与多导睡眠图结果显著相关。睡眠效率降低、入睡后醒来次数增加、多导睡眠图唤醒指数、呼吸暂停低通气指数与两种方法睡眠参数差异显著相关。对于对环境变化敏感的精神障碍患者，Zmachine Insight Plus将是客观评估睡眠质量的有用技术。
Key clinical symptoms observed among individuals with psychiatric disorders include difficulty falling asleep or maintaining sleep, poor sleep quality and nightmares. Those suffering from sleep disorders often present with symptoms of discontent with regard to sleep quality, timing and quantity, and these symptoms have an adverse impact on function and quality of life. A minimally invasive technique would be preferable in patients with psychiatric disorders, who tend to be sensitive to environmental change. Accordingly, we evaluated the performance of Zmachine Insight Plus, an ambulatory electroencephalography sleep monitor, in patients with psychiatric disorders. One hundred and three patients undergoing polysomnography were enrolled in this study. Zmachine Insight Plus was performed simultaneously with polysomnography. Total sleep time, sleep efficiency, wake after sleep onset, rapid eye movement (REM) sleep, light sleep (stages N1 and N2) and deep sleep (stage N3) were assessed. Total sleep time, sleep efficiency, wake after sleep onset, REM sleep duration and non-REM sleep duration of Zmachine Insight Plus showed a significant correlation with those of polysomnography. Lower sleep efficiency and increased frequency of waking after sleep onset, the arousal index and the apnea-hypopnea index on polysomnography were significantly associated with the difference in sleep parameters between the two methods. Among patients with psychiatric disorders who are sensitive to environmental change, Zmachine Insight Plus would be a useful technique to objectively evaluate sleep quality.