老年高血压患者睡眠质量与抑郁情绪的研究  

The relationship between the sleep quality and depression in elderly patients with hypertension

作　　者：李耘[1] 马丽娜[1] 冯明[1] 钱玉英[1] 

机构地区：[1]首都医科大学宣武医院,北京100053

出　　处：《精神医学杂志》2011年第6期411-413,共3页Journal of Psychiatry

基　　金：北京市卫生局保健科研课题资助项目(编号:京09-05)

摘　　要：目的了解老年高血压患者睡眠质量及其与抑郁情绪的相关性。方法对73例老年高血压患者进行匹茨堡睡眠质量指数(PSQI)及汉密尔顿抑郁量表(HAMD)的测定。结果高血压合并抑郁症组在睡眠质量各项指标除对日间功能影响得分外均高于高血压不合并抑郁症组,其中主观睡眠质量(2.84±0.87 vs 1.82±0.83)、入睡时间(2.52±0.76 vs 1.50±0.67)、睡眠障碍(2.79±1.03 vs 1.90±0.99)、催眠药物应用(2.72±0.62 vs 2.02±1.03)和总分(16.24±5.32 vs 11.89±4.69)比较差异均有显著统计学意义(P<0.01)。PSQI总分与抑郁呈显著正相关(r=0.432,P<0.01)。结论老年高血压患者睡眠质量与抑郁情绪之间具有相关性。Objective To explore the relationship between sleep quality and depression in elderly patients with essential hypertension.Methods A total of 73 elderly patients with hypertension was investigated with with Pittsburgh Sleep Quality Index（PSQI） and Hamilton Depression Scale（HAMD）.Results All factors of PSQI but the daytime function in hypertension-with-depression group were higher than those in hypertension-without-depression group.There were significant differences in subjective sleep quality（2.84±0.87 vs.1.82±0.83）,time of falling asleep（2.52±0.76 vs.1.50±0.67）,sleep disorder（2.79±1.03 vs.1.90±0.99）,use of hypnotics（2.72±0.62 vs.2.02±1.03） and total score（16.24±5.32 vs.11.89±4.69） between the two groups（P0.01）.There was significant positive correlation between total score of PSQI and depression（r=0.432,P0.01）.Conclusion The sleep quality of elderly patients with hypertension is related with the depression combined with hypertension.

关 键 词：高血压 抑郁 老年人 睡眠质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]