| 摘要: |
| 目的探讨睡眠干预对老年难治性高血压患者动态血压及心理状态的影响。方法选取2015年6月至2016年12月崇州市人民医院心内科收治的64例老年性难治性高血压患者为研究对象,根据性别、年龄和匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI),将患者分为睡眠干预组和对照组,每组各32例。分别比较两组患者24、48h动态血压水平、Zung焦虑自评量表(Self-Rating Anxiety Scale,SAS)和抑郁自评量表(Self-Rating Depression Scale,SDS)评分。结果两组患者24、48h动态血压检测指标收缩压、舒张压、血压变异性、血压负荷、夜间血压下降、全日血压差值、6-10点血压升高幅度和平均动脉压的比较,差异均无统计学意义(P>0.05);睡眠干预组患者的PSQI指数、SAS评分和SDS评分均较对照组明显降低,差异均有统计学意义(P<0.05)。结论睡眠干预有利于改善老年难治性高血压患者的睡眠质量和心理状态,但对24和48h动态血压均无显著影响。 |
| 关键词: 老年难治性高血压 动态血压 睡眠干预 |
| DOI： |
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| Effect of Sleep Intervention on Ambulatory Blood Pressure and Psychological Status in Elderly Patients with Refractoryhypertension |
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Liu Yao;Li Junfeng;Gao Jinquan
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Chongzhou people’s Hospital
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| Abstract: |
| Objective To investigate the effect of sleep intervention on ambulatory blood pressure and psychological status in elderly patients with refractory hypertension. Methods 64 elderly patients with refractory hypertension treated at Department of Cardiology in Chongzhou people’s Hospital from June 2015 to December 2016 were selected as the subjects and divided into sleep intervention group and control groupaccording to gender,age and Pittsburgh sleep quality index(Pittsburgh sleep quality index,PSQI),32 cases in each group.And the ambulatory blood pressure levelsat 24 h and 48 h,the Zung self-rating Anxiety Scale(Self-Rating Anxiety Scale,SAS) and the SDS(Self-Rating Depression Scale,SDS) score between the two groups were compared.Results There were no significant differences in the comparisonof dynamic blood pressure indicators at 24 h,48 h such as systolic blood pressure,diastolic blood pressure,blood pressure variability,blood pressure load,nocturnal blood pressure drop,diurnal blood pressure difference,elevation of blood pressure at 6-10 point and mean arterial pressureofpatientsin the two groups(P>0. 05); The PSQI index,SAS score and SDS score of the sleep intervention group were significantly lower than those of the control group,statistically significant(P<0. 05). Conclusion Sleep intervention can improve the sleep quality and psychological status of elderly patients with refractory hypertension,but it has no significant effect on ambulatory blood pressure at 24 h and 48 h. |
| Key words: elderlypatientswithrefractoryhypertension ambulatorybloodpressure sleepintervention |
