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中华诊断学电子杂志 ›› 2019, Vol. 07 ›› Issue (03) : 159 -163. doi: 10.3877/cma.j.issn.2095-655X.2019.03.005

所属专题: 文献

睡眠障碍诊治

失眠患者临床异质性的研究现状
李训军1, 汪红琼1, 孙科1,(), 陈静1   
  1. 1. 400012 重庆市中医院脑病科
  • 收稿日期:2018-10-16 出版日期:2019-08-26
  • 通信作者: 孙科

The study advances in clinical heterogeneity of insomnia patients

Xunjun Li1, Hongqiong Wang1, Ke Sun1,(), Jing Chen1   

  1. 1. Department of Encephalopathy, Chongqing Traditional Chinese Medicine Hospital, Chongqing 400012, China
  • Received:2018-10-16 Published:2019-08-26
  • Corresponding author: Ke Sun
  • About author:
    Corresponding author: Sun Ke, Email:
引用本文:

李训军, 汪红琼, 孙科, 陈静. 失眠患者临床异质性的研究现状[J]. 中华诊断学电子杂志, 2019, 07(03): 159-163.

Xunjun Li, Hongqiong Wang, Ke Sun, Jing Chen. The study advances in clinical heterogeneity of insomnia patients[J]. Chinese Journal of Diagnostics(Electronic Edition), 2019, 07(03): 159-163.

无论是荟萃分析还是系统性回顾研究,失眠少有特征性一致的报告,包括认知、情绪、特质、生活事件及家族史等。失眠患者的异质性较为突出,这也是失眠存在很多亚型的原因,每一种失眠亚型都有特定的多变量特征。因此,笔者从人口统计学、心理和身体健康、童年创伤、生活事件、疲劳嗜睡、过度觉醒、其他睡眠障碍、睡眠史、焦虑抑郁、情绪特征、生活质量、个性、幸福感、自我意识、错误观念、自我情感管理、夜间活动、觉醒状态、食物摄取、温度知觉、享乐性评价等方面寻找失眠患者与正常睡眠者的不同。对失眠异质性的分析可以帮助人们在大样本失眠人群中找到符合自身的特征,同时,可以帮助医护人员对失眠人群更好的分类管理,促进对失眠亚型的发现,提高失眠患者的睡眠质量,为失眠患者制定个体化治疗方案提供理论依据。

In both meta-analyses and systematic review studies, there are few consistent reports of insomnia characteristics, including cognition, emotion, trait, life events and family history. In other words, the heterogeneity of patients with insomnia is relatively prominent, which is also the reason why there are many subtypes of insomnia. Insomnia subtype has specific multivariable characteristics, therefore, this article will find the difference between patients with insomnia and normal sleepers from the aspects of demography, psychological and physical health, childhood traumas and life events, fatigue, sleepiness, excessive awakening and other sleep disorders, anxiety, depression, sleep history, emotional characteristics, quality of life, personality, well-being, self-awareness, misconceptions, self emotional management, nocturnal, wakefulness, food intake, temperature perception, and hedonic evaluation. The analysis of the heterogeneity of insomnia can help people find their own characteristics in a large sample of insomnia population. Meanwhile, it can help medical staff to better classify and manage the insomnia population, promote the discovery of subtypes of insomnia, improve the sleep quality of insomnia patients, and provide theoretical basis for the development of individualized treatment programs for insomnia patients.

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