观察老年高血压患者睡眠时间及睡眠质量与血压变异性的相关性

To Observe the Correlation Between Sleep Duration and Sleep Quality and Blood Pressure Variability in Elderly Patients with Hypertension

目的:观察老年高血压患者睡眠时间及睡眠质量与血压变异性的相关性。方法:选取2019年6月至2020年6月谷城县人民医院心内科收治的老年高血压患者80例作为研究对象,按照夜间睡眠时间长度不同,分为>7 h组(43例)与≤7 h组(37例),并根据是否并发阻塞性睡眠呼吸暂停低通气综合征(OSAHS),可分为非OSAHS组(51例)与OSAHS组(29例),观察老年高血压患者睡眠时间及睡眠质量与血压变异性的相关性。结果:与非OSAHS组比较,OSAHS组老年高血压患者的日间SBP-CV水平与夜间DBP-CV、SBP-CV水平更高,2组比较差异有统计学意义(P<0.05);与睡眠时间>7 h组比较,≤7 h组老年高血压患者的日间、夜间DBP-CV与SBP-CV水平更高,2组比较差异均有统计学意义(P<0.05)。结论:老年高血压患者血压增加与睡眠质量及睡眠时间密切相关,患者睡眠质量差,睡眠短,高血压发病率越高,高血压患者睡眠时间及睡眠质量与血压变异性具有一定关联性。

Objective:To observe the correlation between sleep duration,sleep quality and blood pressure variability in elderly patients with hypertension.Methods:A total of 80 elderly patients with hypertension admitted to Gucheng County People′s Hospital from June 2019 to June 2020 were selected as the research objects.According to the length of night sleep,they were divided into>7 h group(43 cases)and≤7 h group(37 cases),and according to whether complicated with obstructive sleep apnea hypopnea syndrome(OSAHS),it was divided into non-OSAHS group(51 cases)and OSAHS group(29 cases),observe the correlation between sleep duration and sleep quality and blood pressure variability in elderly patients with hypertension.Results:Compared with the non-OSAHS group,the levels of daytime SBP-CV and DBP-CV、SBP-CV in night in the OSAHS group were higher,and the difference between the two groups was statistically significant(P<0.05).Compared with the sleep time>7 h group,the dbP-CV and SBP-CV levels at daytime and night is more higher,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The increase of blood pressure in elderly patients with hypertension is closely related to sleep quality and sleep duration.Patients with poor sleep quality and short sleep have a higher incidence of hypertension.Sleep duration and sleep quality of patients with hypertension have a certain correlation with blood pressure variability.