阳虚抑郁症患者多导睡眠图特点的探讨
Exploration of Sleep Polysomnography Characteristics in Patients with Yang Deficiency Depression
DOI: 10.12677/tcm.2025.1411720, PDF,    科研立项经费支持
作者: 孟 倩, 董洪飞*：天津市滨海新区中医医院心身科，天津
关键词: 阳虚；抑郁症；多导睡眠图；Yang Deficiency； Depression； Polysomnography
摘要: 失眠是抑郁症状群的重要组成部分，而多导睡眠图(PSG)作为客观评估睡眠结构的重要工具，揭示了其独特的生物学特征。中医理论中的“阳虚”表现为精神萎靡、疲乏无力、畏寒肢冷等为特点，此类患者的抑郁症可能伴随特定的睡眠模式异常。本文结合现有研究，综述阳虚抑郁症患者的多导睡眠图特点，并探讨其临床意义。
Abstract: Insomnia is an important part of the depressive symptom group, and the Polysomnography (PSG), as an important tool, objectively evaluates the sleep structure and reveals its unique biological characteristics. The “Yang deficiency” in traditional Chinese medicine is characterized by mental depression, fatigue, cold limbs, etc. Depression in such patients may be accompanied by specific sleep pattern abnormalities. This article, combined with existing studies, reviews the characteristics of polysomnography in patients with Yang deficiency depression and explores its clinical significance.
文章引用：孟倩, 董洪飞. 阳虚抑郁症患者多导睡眠图特点的探讨[J]. 中医学, 2025, 14(11): 4995-4998. https://doi.org/10.12677/tcm.2025.1411720

参考文献

[1] Dombrovski, A.Y., Cyranowski, J.M., Mulsant, B.H., Houck, P.R., Buysse, D.J., Andreescu, C., et al. (2008) Which Symptoms Predict Recurrence of Depression in Women Treated with Maintenance Interpersonal Psychotherapy? Depression and Anxiety, 25, 1060-1066. [Google Scholar] [CrossRef] [PubMed]
[2] Schmitt, K., Holsboer-Trachsler, E. and Eckert, A. (2016) BDNF in Sleep, Insomnia, and Sleep Deprivation. Annals of Medicine, 48, 42-51. [Google Scholar] [CrossRef] [PubMed]
[3] 黎柱培, 蔡淑英, 吴傲雯. 失眠症患者睡眠质量及多导睡眠图研究[J]. 四川精神卫生, 2013, 26(2): 103-105.
[4] 沈渔郅. 精神病学[M]. 长春: 长春出版社, 2000: 78.
[5] 陈兴时. 张明岛. 精神病多导睡眠图(PSG)研究及评价[J]. 国外医学精神病学分册, 1990, 17(2): 65-67.
[6] 李冲, 贾福军, 谭春英, 等. 失眠症者睡眠的主观评估和多导睡眠图对比分析[J]. 中国心理卫生杂志, 2000, 14(3): 212-214.
[7] Luik, A.I., Zuurbier, L.A., Whitmore, H., Hofman, A. and Tiemeier, H. (2015) REM Sleep and Depressive Symptoms in a Population-Based Study of Middle-Aged and Elderly Persons. Journal of Sleep Research, 24, 305-308. [Google Scholar] [CrossRef] [PubMed]
[8] Wichniak, A., Wierzbicka, A. and Jernajczyk, W. (2013) Sleep as a Biomarker for Depression. International Review of Psychiatry, 25, 632-645. [Google Scholar] [CrossRef] [PubMed]
[9] Llankovic, A., Damjanovic, A., Llankovic, V., et al. (2014) Polysomnographic Sleep Patterns Indepressive, Schizophrenic and Healthy Subjects. Psychiatria Danubina, 26, 20-26.
[10] 刘永红, 杨坤, 谢光荣, 等. 重性抑郁症患者睡眠脑电特征与短期疗效的关系[J]. 中国健康心理学杂志, 2014, 22(11): 1068-1069.
[11] 邓先华, 孙学礼, 张波, 等. 抑郁症自杀倾向与多导睡眠图的关系[J]. 华西医学, 2007(1): 25-27.
[12] 张朝辉,张亚林, 穆俊林, 等. 抑郁症患者睡眠多导图分析[J]. 郑州大学学报(医学版), 2009, 44(4): 778-780.
[13] 黄燕晓, 王培源, 刘春松. OSAHS不同中医证型睡眠结构的比较研究[J]. 中国中西医结合耳鼻咽喉科杂志, 2010, 17(6): 335-336.
[14] 燕永纯. 阿尔茨海默病患者睡眠障碍特征及其与中医证候的关系[D]: [硕士学位论文]. 北京: 北京中医药大学, 2023.
[15] 闫雪. 平和、阳虚、阴虚和痰湿体质人群夜间睡眠生理参数的比较研究[D]: [硕士学位论文]. 北京: 北京中医药大学, 2011.
[16] 李俊锋, 张振贤, 阎骅, 等. 慢性疲劳综合征不同中医证型睡眠脑电特征比较[J]. 中国中西医结合杂志, 2025, 45(1): 56-63.
[17] 陈贵喜, 郭立中. 郭立中教授从扶阳论治抑郁症经验探讨[J]. 浙江中医药大学学报, 2018, 42(3): 224-227.