老年高血压患者血压水平与其失眠、抑郁及焦虑状况的相关性

Correlation of blood pressure level with insomnia,depression and anxiety in elderly hypertensive patients

目的 探讨老年高血压患者血压水平与其失眠、抑郁及焦虑状况的相关性。方法 选取2018年12月至2021年12月石家庄市第一医院收治的老年高血压患者200例,其中血压控制不达标高血压患者67例为A组,血压控制达标高血压患者133例为B组,并以同期老年健康查体志愿者30名为对照组。收集三组匹兹堡睡眠质量指数量表评分(PSQI)、睡眠时间、焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)、血压水平、血压控制达标率等。比较不同血压控制达标情况患者的PSQI评分、睡眠时间、SAS评分、SDS评分,分析患者PSQI评分、睡眠时间、SAS评分、SDS评分与血压水平的关系,并分析患者PSQI评分、睡眠时间、SAS评分、SDS评分对其血压控制达标率的影响。结果 A组和B组的收缩压、舒张压、PSQI评分、SAS评分、SDS评分均高于对照组而睡眠时间短于对照组,差异有统计学意义(P<0.05);且A组收缩压、舒张压、PSQI评分、SAS评分、SDS评分均高于B组,睡眠时间短于B组,差异有统计学意义(P<0.05)。Pearson线性相关分析结果显示,老年高血压患者收缩压、舒张压与其PSQI评分、睡眠时间、SAS评分、SDS评分均相关(均P<0.05)。Logistics回归模型分析结果显示,PSQI评分、SAS评分、SDS评分均为老年高血压患者血压控制达标情况的危险因素,而睡眠时间为其血压控制达标情况的保护因素(均P<0.05)。结论 老年高血压患者血压水平与其失眠、抑郁及焦虑状况均相关,且其失眠、抑郁及焦虑状况可影响患者血压控制水平。

Objective To investigate the relationship between blood pressure level with insomnia,depression and anxiety in elderly hypertensive patients. Methods 200 elderly hypertensive patients admitted to Shijiazhuang First Hospital from December 2018 to December 2021 were selected,among which 67 patients with hypertension whose blood pressure control was not up to standard were group A,133 patients with hypertension whose blood pressure control was up to standard were group B. And 30 elderly health volunteers had physical exam in the same period were taken as the control group. The Pittsburgh Sleep Quality Index(PSQI),sleep time,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),blood pressure level,and blood pressure control compliance rate after 1 month of treatment of the three groups were collected. The PSQI score,sleep time,SAS score,and SDS score of the 3 groups were compared,the relationship between PSQI score,sleep time,SAS score,SDS score with ambulatory blood pressure level were analyzed,and the effects of PSQI score,sleep time,SAS score,and SDS score on the blood pressure control status were analyzed. Results The systolic blood pressure,diastolic blood pressure,PSQI score,SAS score,SDS score in group A and group B were higher than those in the control group,while sleep time in group A and group B were shorter that in the control group,with statistical significance(P<0.05). The systolic blood pressure,diastolic blood pressure,PSQI score,SAS score and SDS score in group A were higher than those in group B,and the sleep time was shorter than that in group B,with statistical significance(P<0.05). Pearson linear correlation analysis showed that systolic blood pressure and diastolic blood pressure in elderly hypertensive patients were correlated with PSQI score,sleep time,SAS score and SDS score(P<0.05). Logistic regression model analysis showed that PSQI score,SAS score and SDS score were the risk factors for the compliance of blood pressure control in elderly hypertensive patients,while sleep time was the protective factor for the compliance of blood pressure control(P<0.05). Conclusion The blood pressure level of elderly hypertensive patients is related to their insomnia,depression and anxiety,and their insomnia,depression and anxiety can affect the blood pressure control level of patients.