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不同年龄高血压患者自报睡眠时间与血压控制的相关关系研究

发布时间:2018-04-26 00:15

  本文选题:高血压 + 睡眠 ; 参考:《中国全科医学》2017年23期


【摘要】:目的分析不同年龄高血压患者睡眠时间长短与血压控制的相关关系。方法 2015年3—12月在首都医科大学附属北京安贞医院门诊收集35~55岁在职以及60~69岁退休并且采取药物治疗的高血压患者,收集患者一般情况:包括性别、年龄、高血压家族史、是否诊断糖尿病、目前是否吸烟、目前是否饮酒、过去1年体力活动以及过去1个月平均每天晚上实际睡眠时间。结果共收集35~55岁高血压患者3 038例,平均睡眠时间(7.8±1.1)h/d,357例(11.8%)睡眠时间7 h/d,2 252例(74.1%)睡眠时间为7~8 h/d,429例(14.1%)睡眠时间8 h/d。60~69岁高血压患者2 291例,平均睡眠时间(7.6±1.3)h/d,468例(20.4%)睡眠时间7 h/d,1 406例(61.4%)睡眠时间7~8 h/d,417例(18.2%)睡眠时间8 h/d。35~55岁高血压患者中,不同性别、家族史、吸烟、饮酒、平均睡眠时间者血压控制未达标率比较,差异均有统计学意义(P0.05)。60~69岁高血压患者中,不同性别、体质量、体力活动者血压控制未达标率比较,差异均有统计学意义(P0.05)。多因素Losigtic回归分析结果显示,35~55岁睡眠时间≥7 h/d是高血压控制达标的保护因素(P0.05);60~69岁睡眠时间与高血压控制无相关关系(P0.05)。结论 35~55岁在职高血压患者平均睡眠时间≥7 h/d可提高血压控制率,60~69岁老年患者平均睡眠时间与血压控制无显著相关关系。
[Abstract]:Objective to analyze the relationship between sleep duration and blood pressure control in hypertensive patients of different ages. Methods from March to December 2015, patients with hypertension who were 35 or 55 years old and retired at the age of 60 to 69 years were collected from Beijing Anzhen Hospital affiliated to Capital Medical University from March to December 2015. The general information of the patients was collected, including gender, age, family history of hypertension, etc. Whether diabetes is diagnosed, whether you smoke, whether you drink alcohol, how much physical activity you have in the past year and how much sleep you've had every night in the past month. Results A total of 3 038 patients with hypertension aged 35 ~ 55 years were collected. The average sleep time was 7.8 卤1.1 h / d = 357 cases (11.8%) sleep time was 7 h / d ~ (2 252) and 74.1%) sleep time was 7 ~ 8 h / d ~ (429) (n = 14. 1) there were 2 291 cases of hypertension aged 8 h/d.60~69. The average sleep time was 7.6 卤1.3 h / d 468 cases (20.4%) sleep time was 7 h / d (1 406 cases / 61.4) sleep time was 7 ~ 8 h / d ~ (417) sleep time and 18.2%) sleep time was 8 h/d.35~55 years old patients with hypertension, who had different sex, family history, smoking, drinking, and average sleep time, the rate of blood pressure control was not up to the standard, compared with that of the patients with different sex, family history, smoking, drinking, and average sleep time. The difference was statistically significant in patients with hypertension aged 69 years old (P 0.05). There were significant differences in blood pressure control rates of patients with different sex, body weight and physical activity, and the difference was statistically significant (P 0.05). The results of multivariate Losigtic regression analysis showed that the sleep time 鈮,

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