ngµç×ÓÓÎÏ·

05

¿ÆÑÐÏ£Íû

Á¥ÊôµÚÈýÒ½ÔºÄÔ²¡ÖÐÐÄÉñ¾­ÃâÒßÍŶӹØÓÚ×ÔÉíÃâÒßÐÔÄÔÑ×˯ÃßÕϰ­Ñо¿Ð§¹ûÔÚNeurology½ÒÏþ

¸å¼þȪԴ£º£º£ºÁ¥ÊôµÚÈýÒ½Ôº ±à¼­£º£º£ºÂ¬ì½Î¬ ÉóºË£º£º£ºËïÒ«±ó ÔĶÁÁ¿£º£º£º

¿ËÈÕ£¬£¬ngµç×ÓÓÎÏ·Á¥ÊôµÚÈýÒ½ÔºÄÔ²¡ÖÐÐÄÉñ¾­ÃâÒßÍŶÓÔÚÉñ¾­²¡Ñ§×ÅÃûÆÚ¿¯Neurology£¨ÖпÆÔºÒ»Çø£¬£¬Top£¬£¬IF=9.9£©½ÒÏþÁËÌâΪ¡°Cardiopulmonary coupling spectrogram as an ambulatory method for assessing sleep disorders in patients with autoimmune encephalitis¡±µÄÑо¿ÂÛÎÄ¡£¡£¡£¸ÃÑо¿Á¢ÒìÐԵؽ«CPCÓÃÓÚAEµÄ˯Ã߯À¼Û£¬£¬²¢·¢Ã÷ÁËAEµÄ˯Ã߯À¹À±ê¼ÇÎ£¬ÍØÕ¹ÁËAE˯ÃßÕϰ­µÄÆÀ¹À˼Ð÷¡£¡£¡£¸ÃÆÀ¹ÀÒªÁì¾ßÓбãЯ¡¢¡¢Ç³Òס¢¡¢¸ßЧµÄÌØµã£¬£¬ÓÐÍûÓëÆäËûÉúÎï±ê¼ÇÎïÅäºÏ¹¹½¨²¡ÇéÊӲ졢¡¢ÁÆÐ§ÆÀ¼Û¡¢¡¢Ô¤ºóÅжϵĶàά¶È¼à²âϵͳ¡£¡£¡£

×ÔÉíÃâÒßÐÔÄÔÑ×£¨AE£©ÊÇÒ»ÀàÓÉ×ÔÉíÃâÒß»úÖÆ½éµ¼µÄÄÔÑ×£¬£¬2018Äê±»¹ú¼ÒÓÐÊý²¡Ä¿Â¼ÄÉÈ룬£¬²¿·Ö»¼ÕßÔ¤ºó²î£¬£¬¸ø¼ÒÍ¥ºÍÉç»á´øÀ´¼«Öؼ縺¡£¡£¡£Ë¯ÃßÕϰ­×÷ΪAE»¼Õß³£¼ûÇÒÖ÷ÒªµÄÁÙ´²ÌØÕ÷£¬£¬ÆäÌåÏÖÖØ´ó¡¢¡¢Ö¢×´¸÷Ò죬£¬ÈÝÒ×±»ÑÚÊκöÊÓ¡£¡£¡£Ë¯ÃßÏà¹ØÖ¢×´ÈôδÄÜʵʱ»ñµÃʶ±ðºÍ³ä·ÖÖÎÀí£¬£¬¶ÔAEµÄÔçÆÚÕï¶ÏºÍ¸ÉÔ¤£¬£¬ÒÔÖ»¼ÕߵĹ¦Ð§¿µ¸´ºÍÉúÑÄÖÊÁ¿¸ÄÉÆ¾ù»á±¬·¢²»Á¼Ó°Ïì¡£¡£¡£

ÏÖÔÚ£¬£¬ÁÙ´²Í¨Àý˯Ã߯À¹ÀÒªÁì°üÀ¨Ë¯ÃßÎʾí¡¢¡¢Á¿±íÆÀ¹ÀºÍ¶àµ¼Ë¯Ãßͼ(PSG)¡£¡£¡£È»¶ø£¬£¬Ë¯ÃßÎʾíºÍÁ¿±í¾ßÓÐÒ»¶¨Ö÷¹ÛÐÔ£»£»PSGÒò²Ù×÷·±Ëö¡¢¡¢Ê×ҹЧӦ¡¢¡¢»¼ÕßÅäºÏ²»¼ÑµÈÒòËØ£¬£¬ÆäÁÙ´²Ó¦ÓÃÊܵ½ÏÞÖÆ¡£¡£¡£Òò´Ë£¬£¬ÔõÑù¿ì½Ý¡¢¡¢ÓÐÓÃµØÆÀ¹ÀAE»¼ÕßµÄ˯ÃßÕϰ­£¬£¬Ñ°ÕÒеÄ˯ÃßÉúÎï±ê¼ÇÎ£¬ÊÇÌìϹæÄ£ÄÚAEÁÙ´²Ñо¿Ø½Ðè½â¾öµÄ¿ÆÑ§ÎÊÌâ¡£¡£¡£

ÐÄ·ÎñîºÏ£¨cardiopulmonary coupling£¬£¬CPC£©ÊÖÒÕÊÇÒ»ÖÖ»ùÓÚÐĵçͼµÄ±ãЯʽ˯Ãß¼à²âÊÖÒÕ£¬£¬ÓÉÓÚÆäÆÀ¹À²Ù×÷¼òÆÓÇÒ¶Ô»¼Õß˯Ãß×Ô¼ºµÄÓ°Ïì²»´ó£¬£¬½üÄêÀ´ÔÚ¶àÖÖ¼²²¡µÄ˯Ã߯À¹ÀÖÐÖð½¥±»Ó¦Óᣡ£¡£µ«ÆäÊÇ·ñ¿ÉÓÐÓø¨ÖúAEµÄ˯ÃßÕϰ­Õï¶ÏÓëʶ±ð£¬£¬ÏÖÔÚÉÐÎÞÑо¿¡£¡£¡£

¸ÃÑо¿¶Ô×îÖÕÄÉÈëµÄ60ÃûAE»¼ÕߺÍ66Ãû¿µ½¡±ÈÕÕÊÜÊÔÕß¾ÙÐÐÆÊÎö£¬£¬²¢¶ÔÆäÖÐ14Ãû¼±ÐÔÆÚ»¼ÕßÔÚ24ÖܺóÍê³ÉÁËËæ·Ã¡£¡£¡£Í¨¹ýÅÌËãÊÜÊÔÕßÐÄÂʱäÒì¶È¡¢¡¢ÐĵçÑÜÉúµÄºôÎüÐźÅÖ®¼äµÄÏà¹ØÐÔÒÔ¼°»¥¹¦ÂÊÆ×ÌìÉú˯ÃßͼÆ×¡£¡£¡£Ð§¹ûÏÔʾ£¬£¬AE»¼Õß˯ÃßЧÂÊϽµ£¬£¬´ú±íÉî˯Ãߵď߯µñîºÏ£¨HFC£©Ï½µ£¬£¬¿ì¶¯ÑÛ˯Ãß¼°ÐѾõ±ÈÀýÆ«¸ß£¬£¬ºôÎüÔÓÂÒÖ¸ÊýÆ«¸ß£¬£¬°éÏÔÖøµÄ×ÔÖ÷Éñ¾­¹¦Ð§Õϰ­£¨Í¼1£©¡£¡£¡£

C39898F55A95C77B8320FCBD7EE_2744A7F2_D8E21

ͼ1 ¿µ½¡ÊÜÊÔÕߺÍ×ÔÉíÃâÒßÐÔÄÔÑ×»¼ÕßµÄ˯Ãßͼ¡¢¡¢LF/HF ±ÈÖµºÍ CPC ƵÆ×ͼ¡£¡£¡£¶¥²¿²î±ðµÄÑÕÉ«´ú±í²î±ðµÄ˯Ã߽׶Ρ£¡£¡£ÖÐÐĶ¯Ì¬ÇúÏßÏÔʾȫҹLF/HF±ÈµÄ¶¯Ì¬×ª±ä£¬£¬¸ÃÊýÖµÔ½¸ß£¬£¬×ÔÉíÉñ¾­¹¦Ð§ÔÓÂÒÔ½ÏÔ×Å£¬£¬Ë¯ÃßÖÊÁ¿Ô½²î¡£¡£¡£µ×²¿ÎªÈ«Ò¹Ë¯Ã߯ÚCPCƵÆ×ͼ£¬£¬°üÀ¨¸ßƵ£¨0.1-0.4 Hz£©ºÍµÍƵ£¨0.01-0.1 Hz£©ñîºÏ״̬2¸ö²î±ðµÄƵ¶Î£¬£¬ÒÔ¼°ÔöÇ¿µÄµÍƵñîºÏ£¨e-LFC£¬£¬LFCÑÇ×飬£¬·´Ó³Ë¯ÃߺôÎüÔÝÍ£/µÍÍ¨Æø£©¡£¡£¡£

ÔÚ¶¯Ì¬Ëæ·ÃÆÀ¹ÀÖУ¬£¬½ÏÁ¿14ÃûÊÜÊÔÕß¼±ÐÔÆÚ»ººÍ½âÆÚǰºó±ÈÕÕµÄЧ¹û·¢Ã÷£¬£¬»¼ÕߵĻº½âÆÚÆ¥×ȱ¤Ë¯ÃßÖÊÁ¿Ö¸Êý£¨PSQI£© ÆÀ·ÖϽµ£¬£¬Ë¯ÃßЧÂÊÔöÌí£¬£¬´ú±í˯Ãß΢¹Û½á¹¹µÄ¸ßƵñîºÏ£¨HFC£©ÒÔ¼°µÍƵñîºÏ£¨LFC£©Î´¼ûÏÔ×Åת±ä£¨Í¼2£©¡£¡£¡£

717FB274527826D277D687A1DFD_60FA7F14_2B21D

ͼ2 »ùÏߺÍËæ·Ãʱ mRS¡¢¡¢PSQI ÆÀ·ÖºÍ CPC ±äÁ¿µÄ½ÏÁ¿¡£¡£¡£Ëæ·ÃʱmRS ÆÀ·ÖºÍ PSQI ÆÀ·ÖϽµ£»£»Ëæ·Ãʱ£¬£¬CPC²ÎÊýÖеÄ˯ÃßЧÂÊÔöÌí£¨0.89 [0.76, 0.91] vs. 0.79 [0.69, 0.86]£¬£¬p=0.030£©£¬£¬ÐѾõ½µµÍ£¨0.11 [0.08;0.24] vs. 0.20 [0.11;0.30]£¬£¬ p=0.0353£©£¬£¬REM¡¢¡¢HFC¡¢¡¢LF/HFµÈ¸ÄÉÆ²»ÏÔ×Å¡£¡£¡£

¶àÔªÏßÐԻعéÅú×¢CPC²ÎÊýÖÐ˯ÃßЧÂÊ£¨SE£©ºÍLF/HF±ÈÖµÊÇÓ°ÏìAE»¼ÕßPSQIÆÀ·ÖµÄ×ÔÁ¦ÒòËØ¡£¡£¡£

»ùÓÚÉÏÊöÑо¿Ð§¹û£¬£¬¸ÃÑо¿·¢Ã÷£¬£¬Ë¯ÃßÕϰ­ÒÔ¼°×ÔÖ÷Éñ¾­¹¦Ð§Õϰ­ÆÕ±é¼ûÓÚAE»¼Õߵļ±ÐÔÆÚ»ººÍ½âÆÚ£¬£¬AE»¼Õß˯Ãß΢¹Û½á¹¹»Ö¸´ÍíÓÚÁÙ´²Ë¯ÃßÖÊÁ¿Ö¸ÊýÆÀ·ÖºÍ˯ÃßЧÂʵĸÄÉÆ¡£¡£¡£»£»ùÓÚCPCÔÚ˯Ã߯À¹ÀÖеıãЯÐÔ¡¢¡¢Ç³Ò×ÐÔºÍÃô¸ÐÐÔ£¬£¬¸ÃÊÖÒÕÔÚAE»¼Õß˯ÃßÕϰ­µÄÁÙ´²Êµ¼ù¾ßÓÐÓÅÒìµÄÓ¦ÓÃÔ¶¾°¡£¡£¡£

¸ÃÑо¿ÓÉÁ¥ÊôµÚÈýÒ½ÔºÄÔ²¡ÖÐÐÄÉñ¾­ÃâÒßÍŶÓÁªºÏ˯ÃßҽѧÖÐÐÄ¡¢¡¢´óÊý¾ÝÈ˹¤ÖÇÄÜÖÐÐÄÅäºÏÍê³É¡£¡£¡£ÄÔ²¡ÖÐÐÄÊæÑÂÇå¡¢¡¢Çñΰ¡¢¡¢Â½ÕýÆëΪÂÛÎÄÅäºÏͨѶ×÷Õߣ¬£¬Á¥ÊôµÚÈýÒ½ÔºÁνð³Ø¡¢¡¢Á¥ÊôµÚ°ËҽԺ¬ÒâΪÂÛÎÄÅäºÏµÚÒ»×÷Õߣ¬£¬´óÊý¾ÝÈ˹¤ÖÇÄÜÖÐÐÄÁõ×Ó·æ¡¢¡¢Â¬æ«ÐÀΪ¸ÃÑо¿µÄͳ¼ÆÓëÊý¾ÝÆÊÎöÌṩÁËÖ÷ÒªÖ¸µ¼ÓëÖ§³Ö¡£¡£¡£

Ô­ÎÄÁ´½Ó£º£º£ºhttps://doi.org/10.1212/WNL.0000000000209302

¡¾ÍøÕ¾µØÍ¼¡¿