目的 探讨睡眠状况对老年人群心血管疾病发病的影响。方法 选择2020-05至2021-02解放军总医院第二医学中心就诊的408例老年患者作为调查对象,采用调查问卷搜集患者人口学特征、躯体健康指标、抑郁状况、生化指标等资料,采用匹茨堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评估患者睡眠状况,采用logistic多因素回归模型分析睡眠状况对老年人群发生心血管疾病的影响。结果 408例老年患者,共收回有效问卷401例,回收率为98.28%。88例患有心血管疾病,发病率为21.95%。145例睡眠不足(36.16%),118例睡眠适度(29.43%),138例睡眠过度(34.41%)。有心血管疾病的老年患者睡眠不足39例(44.32%)和睡眠过度37例(42.05%)的占比明显高于无心血管疾病的老年患者睡眠不足的106例(33.87%)和睡眠过度的101例(33.26%),且其睡眠质量明显低于无心血管疾病的老年患者,差异均有统计学意义(P<0.05)。Logistic回归分析模型显示,睡眠不足(OR=2.575,95%CI:1.709~3.866)、睡眠过度(OR=1.377,95%CI:1.009~2.014)及睡眠质量很差(OR=4.371,95%CI:2.044~9.336)均为老年心血管疾病的独立风险因素(P均<0.05)。结论 老年人群睡眠状况影响心血管疾病的发生,重视老年人群睡眠状况对预防心血管疾病具有重要意义。
Abstract
Objective To explore the influence of sleep status on the incidence of cardiovascular diseases.Methods A total of 408 elderly patients who visited our hospital between May 2020 and February 2021 were selected as subjects. The demographic characteristics, physical health indicators, depression status, and biochemical indicators were collected using a questionnaire. The Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep status of the patients. A logistic multi-factor regression model was used to analyze the influence of sleep status on the occurrence of cardiovascular diseases in the elderly.Results A total of 401 valid questionnaires were collected from 408 elderly patients, so the recovery rate was 98.28%. Eighty-eight of these patients suffered from cardiovascular diseases, and the incidence was 21.95%. One hundred and forty-five of these patients (36.16%) experienced sleep deficiency, 118 (29.43%) experienced moderate sleep, and 138 (34.41%) experienced excessive sleep. Thirty-nine cases (44.32%) with cardiovascular diseases experienced sleep deficiency, and 37 cases (42.05%) experienced excessive sleep, compared with 106 cases (33.87%) and 101 cases (33.26%) respectively among elderly patients without cardiovascular diseases. Sleep quality of elders with cardiovascular diseases was significantly lower than that of elderly patients without cardiovascular diseases. The logistic regression analysis model showed that insufficient sleep (OR=2.575, 95% CI: 1.709-3.866), excessive sleep (OR=1.377, 95% CI: 1.009-2.014) and poor sleep quality (OR=4.371, 95% CI: 2.044-9.336) were independent risk factors for cardiovascular diseases in the elderly (P<0.05).Conclusions The sleep status of the elderly makes a difference to the occurrence of cardiovascular diseases. Monitoring the sleep status of the elderly is of great significance for prevention of cardiovascular diseases.
关键词
老年人群 /
心血管疾病 /
危险因素 /
睡眠状况 /
相关性
Key words
the elderly /
cardiovascular diseases /
risk factors /
sleep status /
correlation
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