睡眠质量对中青年高血压患者晨起血压的影响  

Effect of Sleep Quality on Early Morning Blood Pressure in Young and Middle-aged Hypertensive Patients

作　　者：张艳 

机构地区：[1]昌图县第二医院循环内科,辽宁铁岭112512

出　　处：《中国实用乡村医生杂志》2018年第1期59-61,共3页Chinese Practical Journal of Rural Doctor

摘　　要：目的探讨睡眠质量对中青年高血压患者晨起血压的影响。方法收集2015—2017年昌图县第二医院收治的高血压患者243例。依据匹兹堡睡眠质量指数量表分为轻度睡眠障碍组94例、中度睡眠障碍组81例和重度睡眠障碍组68例，比较不同组别患者夜间血压、晨起后2h血压和血压波动差值。结果三组患者夜间血压收缩压、舒张压及晨起后2h收缩压、舒张压和收缩压差值差异均有统计学意义（P〈0．05）；而舒张压差值差异无统计学意义（P〉0．05）。匹兹堡睡眠质量指数量表评分与夜间血压呈正相关（吨缩压=4．37、r舒张压=4．99，P〈O．05）；与晨起后2h血压亦呈正相关（r收缩压=4．98、r舒张压=5．03，P〈O．05）。结论不良睡眠质量导致中青年高血压患者夜间及晨起后2h血压偏高，收缩压波动亦较大。Objective To investigate the effect of sleep quality on early morning blood pressure in young and middle-aged hypertensive patients. Methods A total of 243 patients with hypertension were collected in No.2 Hospital of Changtu County from 2015 to 2017. All patients were divided into mild sleep disorder group （94 cases）, moderate sleep disorder group （81 cases）, and severe sleep disorder group （68 cases） according to the Pittsburgh sleep quality index（PSQI）. The nocturnal blood pressure, 2 hours morning blood pressure, and their fluctuations were compared. Results There were significant differences in nocturnal systolic blood pressure （SBP）, nocturnal diastolic blood pressure （DBP）, 2 hours morning SBP, 2 hours morning DBP, and their fluctuations in SBP （P〈0.05）, and no significant differences in the fluctuations of DBP （P〉0.05）. PSQI scores were positively correlated with nocturnal blood pressure （rsBp=4.37, rDBp=4.99, P〈0.05 ）, and also positively correlated with 2 hours morning blood pressure （rsBp=4.98, roBp=5.03, P〈0.05 ）. Conclusion The poor sleep quality caused high nocturnal blood pressure and 2 hours morning blood pressure in the young and middle-aged hypertensive patients, and induced more fluctuation of SBP.

关 键 词：高血压 中青年 睡眠 质量 影响 晨峰 

分 类 号：R54[医药卫生—心血管疾病]