中老年高血压患者主客观睡眠质量对血压的影响

发布时间：2018-07-09 23:17

本文选题：中老年 + 高血压　；参考：《中华高血压杂志》2016年11期

【摘要】：目的研究伴与不伴睡眠障碍的中老年高血压患者规律服用降压药物后血压控制的差异,探讨主客观睡眠质量对血压的影响。方法 2013年3月至2014年3月纳入门诊中老年高血压患者68例,主诉伴有睡眠障碍者为试验组(35例),不伴睡眠障碍者为对照组(33例)。采用匹兹堡睡眠质量指数(PSQI)量表、睡前问卷及睡醒问卷评估主观睡眠质量;使用多导睡眠图监测(PSG)评判客观睡眠质量,分析其对血压的影响。结果与对照组比较,试验组PSQI得分较高(11.3±3.3比3.2±3.1)、主观入睡潜伏期延长[(57.4±46.3)比(27.6±27.9)min]、总睡眠时间缩短[(305.3±57.9)比(353.4±73.4)min]、睡眠效率降低[(56.7±10.3)%比(63.7±13.6)%];客观总睡眠时间缩短[(351.4±77.3)比(396.3±56.4)min]、睡眠效率下降(68.6%比77.0%)、微觉醒指数升高(28.5比15.7)、深睡眠时间缩短[N3:(39.2±10.1)比(55.0±20.1)min,均P0.05];睡眠知觉两组间差异无统计学意义(P0.05)。与对照组比较,试验组8:00[(80.2±10.6)比(73.7±10.8)mm Hg]和20:00[(94.2±12.0)比(87.2±10.5)mm Hg]舒张压增高(均P0.05),两组间收缩压差异无统计学意义(P0.05)。结论伴有睡眠障碍的中老年高血压患者较不伴有睡眠障碍患者舒张压增高。
[Abstract]:Objective to study the difference of blood pressure control between the middle-aged and elderly hypertensive patients with and without sleep disorder, and to explore the effect of subjective and objective quality of sleep on blood pressure. Methods 68 cases of elderly hypertensive patients were included in the outpatient department from March 2013 to March 2014. The subjects complained of sleep disorders as the experimental group (35 cases) without sleep disorder. In the control group (33 cases), the subjective sleep quality was assessed by the Pittsburgh sleep quality index (PSQI) scale, the pre sleep questionnaire and the wake up questionnaire. The objective sleep quality was evaluated by polysomnography (PSG), and the effect on the blood pressure was analyzed. The results were compared with the control group. The test group had a higher score of PSQI (11.3 + 3.3 than 3.2 + 3.1) and the subjective sleep latency The duration was [(57.4 + 46.3) ratio (27.6 + 27.9) min], total sleep time shortened [(305.3 + 57.9)) (353.4 + 73.4) min], and sleep efficiency decreased [(56.7 + 10.3)% (63.7 + 13.6)]; the objective total sleep time was shortened [(351.4 +]) min], sleep sleep efficiency decreased, micro awakening index increased and deep sleep time shrinks Short [N3: (39.2 + 10.1) was (55 + 20.1) min and P0.05], and there was no statistical difference between two groups of sleep perception (P0.05). Compared with the control group, the diastolic pressure of 8:00[(80.2 + 10.6) in the experimental group was higher than (73.7 + 10.8) mm Hg] and 20:00[(94.2 + 12) ratio (87.2 + 10.5) mm Hg] diastolic pressure (P0.05), and there was no significant difference in systolic pressure between the groups (P0.05). Conclusion accompanied by conclusion. The diastolic blood pressure of middle-aged and elderly hypertensive patients with sleep disorders is higher than that of patients without sleep disorders.
【作者单位】：昆明医科大学第一附属医院干疗科;
【分类号】：R544.1;R740

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