阿尔茨海默病患者睡眠与神经心理因素的相关性

李俐娟; 王琴棋; 周冰凌; 杨青; 吴潇; 徐金梅; 王婧; 梅俊华; 邵卫

doi:10.14188/j.1671-8852.2024.0275

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阿尔茨海默病患者睡眠与神经心理因素的相关性

临床医学研究 | 更新时间：2026-11-05

- 阿尔茨海默病患者睡眠与神经心理因素的相关性
- Correlation between sleep and neuropsychological factors in patients with Alzheimer's disease
- 武汉大学学报（医学版） 2025年46卷第7期页码：900-905
- 作者机构：
  
  武汉市第一医院神经内科湖北武汉 430022
- 作者简介：
  
  李俐娟，女，1979—，医学硕士，主治医师，主要从事阿尔茨海默病等各种类型痴呆的临床诊治；E⁃mail：2379276820@qq.com
  王琴棋，女，1997—，医学硕士，主要从事神经退行性疾病的基础研究，E⁃mail：13545641579@163.com
  梅俊华，女，1979—，医学硕士，副主任医师，主要从事睡眠障碍、神经心理疾病、脑炎等疾病的临床诊疗及基础研究。E⁃mail：18995635558xiaomeijh@163.com
- 基金信息：
  
  湖北省中医药管理局科研项目(ZY2023M027);湖北省中医药管理局项目(ZY2023F057);武汉市卫生健康委员会研究项目(WX21B17)
- DOI：10.14188/j.1671-8852.2024.0275
  中图分类号： R459.9
- 收稿：2024-04-16，
  
  纸质出版：2025-07-25
- 稿件说明：
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李俐娟,王琴棋,周冰凌等.阿尔茨海默病患者睡眠与神经心理因素的相关性[J].武汉大学学报（医学版）,2025,46(07):900-905.

LI Lijuan,WANG Qinqi,ZHOU Bingling,et al.Correlation between sleep and neuropsychological factors in patients with Alzheimer's disease[J].Medical Journal of Wuhan University,2025,46(07):900-905.
李俐娟,王琴棋,周冰凌等.阿尔茨海默病患者睡眠与神经心理因素的相关性[J].武汉大学学报（医学版）,2025,46(07):900-905. DOI： 10.14188/j.1671-8852.2024.0275.

LI Lijuan,WANG Qinqi,ZHOU Bingling,et al.Correlation between sleep and neuropsychological factors in patients with Alzheimer's disease[J].Medical Journal of Wuhan University,2025,46(07):900-905. DOI： 10.14188/j.1671-8852.2024.0275.

摘要

目的

研究阿尔茨海默病（AD）患者的睡眠与神经心理因素的相关性。

方法

采用简易智力状态检查量表(MMSE)、蒙特利尔认知评估量表（MoCA）、匹茨堡睡眠质量指数量表（PSQI）、患者健康问卷⁃9（PHQ⁃9）以及多导睡眠监测（PSG）共5种临床手段对30例AD患者进行睡眠质量和神经心理状况评估，分析其相关性。

结果

（1）MMSE和MoCA量表总分均提示患者在中度认知障碍的范围内；PHQ⁃9总分为（7.00±7.75）分，表示患者可能有轻度抑郁症状；PSQI总分为（7.56±4.53）分，患者存在睡眠障碍；（2）AD患者在MMSE及MoCA量表的各维度与PSQI各维度均无显著相关性。在PHQ⁃9量表中进食障碍、精神运动迟缓以及PHQ⁃9总分与PSQI中的日间功能障碍呈显著相关性（

0.05）。

结论

本研究表明AD患者的睡眠障碍与抑郁状态相关，可通过改善患者的睡眠质量以缓解其抑郁状态。

Abstract

Objective

To study the correlation between sleep and neuropsychological factors in patients with Alzheimer's disease (AD).

Methods

Mini⁃mental status examination (MMSE)

Montreal cognitive assessment (MoCA)

Pittsburgh sleep quality index (PSQI)

patient health questionnaire⁃9 (PHQ⁃9)

and polysomnography (PSG) were used to evaluate the sleep quality and neuropsychological status of 30 AD patients. Their correlation was analyzed.

Results

(1) The total scores of MMSE and MoCA indicated that the patients were within the range of moderate cognitive impairment; the total score of PHQ⁃9 was 7.00±7.75

indicating mild depressive symptoms; the total PSQI score was 7.56±4.53

with sleep disturbance. (2) There was no significant correlation between the dimensions of MMSE

MoCA

and PSQI in AD patients. In the PHQ⁃9 scale

eating disorder

psychomotor delay

and total score were significantly correlated with daytime

dysfunction on PSQI (

0.05).

Conclusion

This study shows that sleep disturbance is associated with depressive states

and the depressive state of AD patients can be alleviated by improving their quality of sleep.

关键词

Keywords

references

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