肝脏 ›› 2018, Vol. 23 ›› Issue (4): 302-304.

• 论著 • 上一篇    下一篇

慢性丙型肝炎患者睡眠现状调查

蒋莹莹, 卞丹丹, 周海洋, 段淑丽, 王钊, 刘霜, 陈煜, 郑素军, 段钟平   

  1. 100069 首都医科大学附属北京佑安医院人工肝中心(蒋莹莹,卞丹丹,刘霜,陈煜,郑素军,段钟平);吴阶平医学基金会肝病医学部(周海洋,段淑丽,王钊)
  • 发布日期:2020-05-22
  • 通讯作者: 段钟平,Email:duan2517@163.com
  • 基金资助:
    百时美施贵宝基金会(Supported by Bristol-Myers Squibb Foundation)

Sleep status investigation of patients with chronic hepatitis C

JIANG Ying-ying, BIAN Dan-dan, ZHOU Hai-yang, DUAN Shu-li, WANG Zhao, LIU Shuang, CHEN Yu, ZHENG Su-jun, DUAN Zhong-ping   

  1. Artificial liver center, Beijing Youan Hospital,Capital Medical University,Beijing 100069,China; Liver Department of Wu Jie Ping Medical foundation,Beijing 100068,China
  • Published:2020-05-22
  • Contact: DUAN Zhong-ping, Email:duan2517@163.com

摘要: 目的 调查中国部分地区慢性丙型肝炎患者的睡眠现状。方法 2015年7月至2016年6月期间,通过采取调查问卷的形式,对来自东北、西北、华北、西南、华中、华东地区的11家医院的丙型肝炎患者的睡眠状况进行了调查研究。结果 共收集有效调查问卷378份。丙型肝炎患者的失眠率高达71%,其中入睡困难型、睡眠中断型、早醒型失眠分别占63%、55%、56%,有53%的人感觉失眠给自己带来了困扰,47%的患者认为生活、工作和学习受到了失眠的影响。在所有被调查患者中,服用安眠药的患者仅占14%。六个不同地区的失眠率有所不同,组间差异有统计学意义(P<0.01),其中西北地区的失眠率高达95.4%,而华北地区失眠率仅为50.0%。结论 丙型肝炎患者的失眠率远高于普通人群,失眠类型以入睡困难型最多见。尽管失眠给丙型肝炎患者的生活、工作、学习造成了一定的影响,但是通过服用安眠药来治疗失眠的患者却很少。失眠率和收入水平在一定程度上呈负相关。

关键词: HCV, 睡眠, 调查

Abstract: Objective To investigate the sleep status in patients with chronic hepatitis C (CHC) in some areas of China. Methods From July 2015 to June 2016, questionnaires were applied to investigate the sleep status of CHC patients in 11 hospitals from northeast, northwest, northern, southwest, central and eastern China. Results A total of 378 valid questionnaires were collected. Insomnia rate in CHC patients reached 71%, including 63% with trouble falling asleep, 55% with trouble staying asleep and 56% with early morning awakening. Among these patients, 53% patients felt insomnia disturbing and 47% thought their life, work and study were affected by insomnia. There were only 14% patients taking sleeping pills. Rates of insomnia in the six areas were significantly different (P<0.01), which was 95.4% in northwest but only 50.0% in northern China. Conclusion Insomnia rate in CHC patients is much higher than that in general population (71% vs. 6%~30%), with most common insomnia type of trouble in falling asleep. Few patients take sleeping pills in spite of the effect that insomnia has on their life, work and study. Moreover, insomnia rate is negatively correlated with income level to a certain extent.

Key words: HCV, Sleep status, Investigation