评价重症心力衰竭患者睡眠质量与心率、心律失常发生率、B型脑利钠肽水平的相关性

To Evaluate the Correlation Between Sleep Quality and Heart Rate,Arrhythmia Rate and B-type Natriuretic Peptide Level in Patients with Severe Heart Failure

目的:评价重症心力衰竭患者睡眠质量与心率、心律失常发生率、B型脑利钠肽(BNP)水平的相关性。方法:选取2022年1月至10月高唐县中医院收治的重症心力衰竭患者80例作为研究对象,采用《匹兹堡睡眠质量指数量表》(PSQI)进行睡眠质量的评定,分为观察组和对照组,其中PSQI≤7分组为观察组,PSQI>7分组为对照组,将2组患者的PSQI评分与常模值进行比较,并比较2组入院时、出院时的心率、BNP水平以及心律失常发生率。结果:在80例患者中,PSQI≤7分的有32例,>7分的有48例。和常模值对比,2组PSQI评分均要高于常模组,且观察组PSQI评分显著低于对照组(P<0.05);观察组入院时、出院时的心率、BNP水平均显著低于对照组,2组比较差异有统计学意义(P<0.05),2组出院时的心率、BNP水平均有所降低,且观察组显著低于对照组,2组比较差异有统计学意义(P<0.05)。结论:重症心力衰竭患者常有睡眠障碍问题,睡眠障碍会导致患者心率加快、BNP值升高,提高心律失常发生率,对预后产生不利影响。

Objective:To evaluate the correlation between sleep quality and heart rate,arrhythmia rate and B-type natriuretic peptide(BNP)level in patients with severe heart failure.Methods:A total of 80 patients with severe heart failure admitted to Gaotang County Hospital of Traditional Chinese Medicine from January to October 2022 were selected as the study objects,and their sleep quality was assessed by Pittsburgh Sleep Quality Index(PSQI).They were divided into observation group and control group,PSQI≤7 group was the observation group,PSQI>7 group was the control group.The PSQI scores of the two groups were compared with the normal values,and the heart rate,BNP level and the incidence of arrhythmia were compared between the two groups at admission and discharge.Results:Among the 80 patients,32 patients had PSQI≤7 points,48 patients had PSQI>7 points.Compared with the normal value,PSQI score of the 2 groups was higher than that of the normal group,and PSQI score of the observation group was significantly lower than that of the control group(P<0.05).The heart rate and BNP levels of the observation group at admission and discharge were significantly lower than those of the control group,the difference between the two groups was statistically significant(P<0.05),the heart rate and BNP levels of the two groups at discharge were decreased,and the observation group was significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion:Severe heart failure patients often have sleep disorders,sleep disorders can lead to rapid heart rate,increased BNP value,increase the incidence of arrhythmia,have adverse effects on prognosis.