Sleep Med：中国老年人失眠的患病率及危险因素

2015-11-26 MedSci MedSci原创

在河北省社区老年人群中失眠非常普遍。失眠的老年患者定期服用安眠药的百分比很低。经常抱怨患有失眠投诉的老年人身心健康不佳,可能需要更多的医疗照顾。涉及心理和个人行为的综合措施可以有助于缓解老年人失眠。

北京大学第六医院国家精神障碍临床研究中心精神卫生研究所Lin Lu和同事进行一项在中国河北省四个城市以社区为基础的研究，分析老年人失眠的患病率及其危险因素。研究结果2015年11月18日在Sleep Medicine在线发表。

目标：研究中国河北省社区老年人睡眠问题和失眠的流行病学特征，调查临床和药物使用相关的潜在社会人口因素。

方法：社区成人横断面研究,受试者居住在河北省四个主要城市，年龄在60岁及以上。收集和分析基本的社会人口学和临床资料。共有3176名老年人(1292名男性，平均年龄70.2±6.8岁;1884名女性,平均年龄68.8±6.7岁)接受了采访。所有的参与者都填写了一个标准化问卷,并进行了失眠筛查。

结果：失眠的发病率为37.75%。最常见的一种睡眠障碍是难以维持睡眠，其次是入睡困难和清晨觉醒。

从不吸烟,父母去世,冠心病史和抑郁症状是男性受试者失眠的独立危险因素。偶尔饮酒对男性失眠来说是一个独立的保护因素。老龄、抑郁症状、脑出血史、高脂血症、独居、轻度认知障碍是女性失眠的独立危险因素。

患有失眠的受试者只有11.1%定期服用安眠药。

结论：在河北省社区老年人群中失眠非常普遍。失眠的老年患者定期服用安眠药的百分比很低。经常抱怨患失眠的老年人身心健康不佳，可能需要更多的医疗照顾。涉及心理和个人行为的综合措施可以有助于缓解老年人失眠。

原始出处：

Yu-Mei Wang, Hong-Guang Chen, Mei Song, et all. Prevalence of insomnia and its risk factors in older individuals: A community-based study in four cities of Hebei Province, China. Sleep Medicine. Available online 23 November 2015.

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2016-04-22 忠诚向上

值得学习

120 0
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2016-04-22 忠诚向上

值得学习

110 0
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2016-04-22 忠诚向上

值得学习

49 0
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2016-04-22 忠诚向上

值得学习

92 0
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2016-04-22 忠诚向上

值得学习

98 0
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2016-04-22 忠诚向上

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