Sleep disturbances in the spinal cord injured: an epidemiological questionnaire investigation, including a normal population
Sleep disturbances in the spinal cord injured: an epidemiological questionnaire investigation, including a normal population
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DOI：
10.1038/sj.sc.3101197
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发表时间：
2001-10-01
期刊：
影响因子：
2.2
通讯作者：
Biering-Sorensen, M
中科院分区：
文献类型：
--
作者：
Biering-Sorensen, F;Biering-Sorensen, M
7 研究设计：流行病学回顾。目的：评估脊髓损伤患者的睡眠障碍。地点：丹麦哥本哈根霍恩贝克/哥本哈根大学医院截瘫和四肢瘫痪诊所。方法：对 1968 年至 1987 年 20 年间因创伤性 SCI 入院的所有患者进行回顾。正常人口为 339 人，其中男性 222 人，韩元 117 人。这些小组被要求填写包含 21 个问题的自填式北欧睡眠问卷 (NSQ)。添加了有关就业、吸烟、饮酒的问题。咖啡或茶的消耗量、身高和体重。 SCI 个体的问卷包括有关膀胱排空方法、活动能力和痉挛的问题。对于 SCI 人群受伤时的年龄。损伤原因，神经水平。结果：408 名 SCI 个体，其中男性 331 名，女性 77 名，回答了 NSQ，应答率为 83.8%。百分之四十七的人有颈髓病变，大约一半的人有完全的运动病变。与正常人群相比，SCI 个体入睡困难更大，醒来更频繁，主观睡眠质量较差，更常服用安眠药。睡了更多小时。小睡的时间越来越长，打鼾次数也越来越多，持续的时间也越来越长。特别是痉挛。疼痛、感觉异常和排尿困难被认为是睡眠问题的一部分。结论：尽管正常人的平均年龄和体重指数高于 SCI 人群。 SCI 个体比正常人群表现出明显更多的睡眠问题。
7Study design: Epidemiological review.Objective: To evaluate sleep disturbances in the spinal cord injured.Setting: The Clinic for Para- and Tetraplegia, Hornbaek/Copenhagen, Copenhagen University hospital, Denmark.Methods: All patients admitted with traumatic SCI during the 20-year period 1968 - 1987 were reviewed. The normal population consisted of 339, 222 men and 117 won-ten. These groups were asked to fill in the self-administered Nordic Sleep Questionnaire (NSQ) containing 21 questions. Questions were added regarding employment, smoking, alcohol. coffee or tea consumption, height and weight. The questionnaire for SCI individuals included questions about bladder emptying method, mobility, and spasms. For the SCI population age at injury. cause of injury, neurological level. and functional class were retrieved.Results: Four hundred and eight SCI individuals, 331 men and 77 women, answered the NSQ corresponding to a response rate of 83.8%. Forty-seven per cent had a cervical cord lesion and about half of the population had a complete motor lesion. In comparison with the normal population the SCI individuals had greater difficulty in falling asleep, described more frequent awakenings, slept subjectively less well, were more often prescribed sleeping pills. slept more hours. took more and longer naps, and snored more and for more years. In particular, spasms. pain, paraesthesia, and troubles with voiding were claimed to be part of the sleep problems.Conclusion: In spite of the same average age and a higher body mass index in the normal than the SCI population. the SCI individuals showed significantly more sleep problems than the normal population.