基于智能无感睡眠监测系统的康养人群睡眠健康研究

马倩; 张萍淑; 王连辉; 薛晶; 欧亚; 元小冬

doi:10.16766/j.cnki.issn.1674-4152.003187

基于智能无感睡眠监测系统的康养人群睡眠健康研究

doi: 10.16766/j.cnki.issn.1674-4152.003187

马倩^{1, 2},
张萍淑^{1, 2},
王连辉^{1, 2},
薛晶^{1, 2},
欧亚¹,
元小冬^{1, 2, ,}

1.
华北理工大学附属开滦总医院神经内科，河北唐山 063000
2.
河北省神经生物重点实验室，河北唐山 063000

基金项目:

河北省重点研发计划项目 203777116D

河北省医学科学研究课题计划项目 20231854

河北省医学适用技术跟踪计划项目 GZ2020002

详细信息

通讯作者:
元小冬，E-mail：yxd69@sohu.com

中图分类号: R163 R493
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- 文章访问数: 365
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- PDF下载量: 53
- 被引次数: 0
出版历程
- 收稿日期: 2023-02-15
- 网络出版日期: 2023-11-23

Study on sleep health of convalescent population based on intelligent senseless sleep monitoring system

MA Qian^{1, 2},
ZHANG Pingshu^{1, 2},
WANG Lianhui^{1, 2},
XUE Jing^{1, 2},
OU Ya¹,
YUAN Xiaodong^{1, 2
, ,}

1.
Department of Neurology, Affiliated Kailuan General Hospital of North China University of Science and Technology, Tangshan, Hebei 063000, China

摘要

摘要: 目的应用智能无感睡眠监测技术对养老院中康养人群的睡眠结构及主要睡眠障碍进行分析。方法选择2021年8—12月于开滦荆各庄医养中心及开滦范各庄养老中心入住的志愿者共51例，应用智能床垫式睡眠状态监测平台系统(IMSMPS，SC-500型)进行夜间时段(17:00—06:00)睡眠状态的连续监测，分析连续监测7 d的数据。结果此人群7 d中第1天与第7天的浅睡眠期[(337.96±66.87)min vs. (318.18±74.05)min]与最大心率[79(76，83)次/min vs. 78(76, 81)次/min]差异有统计学意义(均P＜0.05)，其余各项睡眠监测指标差异均无统计学意义(均P＞0.05)。睡眠持续性在良好和尚可与不良三者之间波动者占23.53%(12/51)，入睡情况在良好和尚可与不良三者之间波动者占39.22%(20/51)，睡眠效率在良好和尚可与不良三者之间波动者仅占7.84%(4/51)。结论此类康养人群每天的睡眠状态具有较大的波动性，而且睡眠障碍的发病率很高，仅依据单次睡眠监测结果不足以排除睡眠障碍的诊断。
- 智能床垫式睡眠状态监测平台系统 /
- 康养人群 /
- 健康查体 /
- 睡眠状态 /
- 睡眠障碍
Abstract: Objective To analyze the sleep structure and main sleep disorders of healthy people in nursing homes using the intelligent senseless sleep monitoring technology. Methods A total of 51 volunteers admitted to Jinggezhuang Medical Center and Fangezhuang Old-age Center in Kailuan from August to December 2021 were selected. The intelligent mattress sleep state monitoring platform system (IMSMPS, SC-500) was used to continuously monitor the sleep state at night (17:00-06:00). The data of continuous monitoring for 7 days were analyzed. Results There was significant difference between shallow sleep period and maximum heart rate on day 1 and day 7 in this population [(337.96±66.87) min vs. (318.18±74.05) min; 79 (76, 83) times/min vs. 78 (76, 81) times/min, all P < 0.05], but there was no difference in other sleep monitoring indexes (all P>0.05). The sleep persistence fluctuated between good, fair and bad accounted for 23.53% (12/51), sleep condition fluctuated between good, fair and bad accounted for 39.22% (20/51), sleep efficiency fluctuated between good, fair and bad accounted for only 7.84% (4/51). Conclusion The sleep state of this kind of people has great fluctuation every day, and the incidence of sleep disorder is very high, so only based on the results of a single sleep monitoring is not enough to exclude the diagnosis of sleep disorder.
- Intelligent mattress sleep monitoring platform system /
- Convalescent population /
- Health check-up /
- Sleep state /
- Sleep disorder

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表 1 研究人群夜间睡眠相关生理指标的监测分析结果(n=51)

Table 1. The monitoring and analysis results of nocturnal sleep-related physiological indicators in the study population (n=51)

时间	夜间总睡眠时间 (x±s, min)	睡眠效率 (x±s, %)	深睡眠期 (x±s, min)	深睡眠期占比 (x±s, %)	浅睡眠期 (x±s, min)	浅睡眠期占比 (x±s, %)	REM期 (x±s, min)	REM期占比 (x±s, %)
第1天	494.53±106.58	86.20±4.93	61.38±37.29	11.95±5.33	337.96±66.87	69.00±7.73	96.14±33.68	19.25±4.89
第7天	476.28±110.52	85.22±4.75	63.10±31.85	13.03±5.65	318.18±74.05	67.23±7.28	95.00±35.92	19.75±5.27
统计量	1.450^a	1.595^a	-0.296^a	-1.029^a	2.081^a	1.337^a	0.243^a	-0.622^a
P值	0.153	0.117	0.769	0.769	0.043	0.187	0.809	0.537

时间	NREM期 (x±s, min)	NERM期占比 (x±s, %)	入睡后清醒时间 (x±s, min)	睡眠潜伏期 [M(P₂₅, P₇₅), min]	REM潜伏期 (x±s, min)	平均呼吸 [M(P₂₅, P₇₅), 次/min]		最小呼吸 [M(P₂₅, P₇₅), 次/min]
第1天	398.49±84.27	80.72±4.87	63.02±28.00	7(4, 22)	80.16±53.12	17(16, 18)		14(13, 15)
第7天	381.28±89.01	80.60±5.66	62.49±31.80	15(4, 30)	68.49±40.38	17(16, 18)		14(13, 15)
统计量	1.580^a	0.140^a	0.153^a	-1.756^b	1.349^a	-1.262^b		-0.559^b
P值	0.121	0.889	0.879	0.079	0.183	0.207		0.576

时间	最大呼吸 [M(P₂₅, P₇₅), 次/min]	平均心率 [M(P₂₅, P₇₅), 次/min]	最小心率 [M(P₂₅, P₇₅), 次/min]	最大心率 [M(P₂₅, P₇₅), 次/min]	呼吸变异指数 [M(P₂₅, P₇₅)]	心率变异指数 (x±s)		心血管健康指数 (x±s)
第1天	20(19, 22)	65(60, 70)	57(51, 61)	79(76, 83)	1.20(1.10, 1.40)	5.28±1.78		0.96±0.18
第7天	20(19, 21)	65(59, 70)	57(51, 63)	78(76, 81)	1.20(1.10, 1.40)	5.43±2.21		0.98±0.18
统计量	-1.449^b	-1.205^b	-0.558^b	-2.549^b	-0.073^b	-0.631^a		-0.971^a
P值	0.147	0.228	0.577	0.011	0.941	0.531		0.336
注：^a为t值，^b为Z值。

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