不同睡眠质量老年高血压病患者的晨峰血压达标率

发布时间：2018-01-07 08:37

本文关键词：不同睡眠质量老年高血压病患者的晨峰血压达标率　出处：《中国心理卫生杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的:观察不同睡眠质量老年高血压病患者晨峰血压达标率的差异。方法:采用修订的匹兹堡睡眠质量指数(PSQI)对某院心内科门诊的老年高血压患者610人进行睡眠质量评估,根据PSQI总分将患者分为睡眠优良组(0~5分)、睡眠良好组(6~10分)、睡眠较差组(11~15分)与睡眠很差组(16~21分),分别130、191、164、125人。参照中国高血压防治指南(2010年版)晨峰血压达标标准,比较不同的睡眠质量高血压患者晨峰血压达标率。结果:老年高血压病患者睡眠不良发生率为47.4%;睡眠优良组、睡眠良好组的晨峰血压达标率均高于睡眠较差组和睡眠很差组(54.2%、50.5%vs.37.8%、25.6%,均P0.05)。非条件logistic回归结果显示,晨峰血压达标率保护因素为催眠药物应用(OR=2.83,95%CI:2.13~3.82)和降压药物联合应用(OR=0.96,95%CI:0.65~1.72),危险因素是PSQI指数高(OR=-0.85,95%CI:-0.63~-1.55)和高血压分级级别高(OR=-1.81,95%CI:-1.42~-2.98)。结论:本研究显示,老年高血压患者睡眠不良发生率较高,睡眠不良与患者晨峰血压达标率低相关联。
[Abstract]:Objective : To observe the difference of peak systolic blood pressure in elderly hypertensive patients with different sleep quality . Methods : The patients were divided into sleep group ( 0 - 5 ) , sleep - good group ( 6 - 10 ) , sleep - poor group ( 11 - 15 ) and sleep - poor group ( 16 - 21 ) . The results showed that the incidence of sleep adverse events was higher in elderly patients with hypertension ( OR = - 0.85 , 95 % CI : - 1.42 ~ - 2.98 ) . Conclusion : The results showed that the incidence of sleep adverse events in elderly patients with hypertension was higher ( OR = - 1.81 , 95 % CI : - 1.42 ~ - 2.98 ) .

【作者单位】：中南大学湘雅医院心内科;
【分类号】：R544.1;R740
【正文快照】： (中国心理卫生杂志,2016,30(7):492-495.)Sleep quality and the rate of reaching target moring blood pressure surge inelderly patients with essential hypertensionHU Xing-Xiang,XU Wei-Fang,PENG Yi,YANG Tian-Lun,SUN M ei-Qun,YU Guo-Long2.98)for the reaching ta

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