基于胃不和则卧不安探讨Hp相关慢性胃炎对患者睡眠的影响  

Effect of Hp-associated Chronic Gastritis on Sleep Based on the Theory of Disharmony of Stomach Resulting in Restlessness of Sleep

作　　者：刘海华[1] 林唐唐[1] 唐杨[1] 谢云[1] 邓六香 刘金明[1] LIU Haihua;LIN Tangtang;TANG Yang;XIE Yun;DENG Liuxiang;LIU Jinming(Department of Traditional Chinese Medicine,The First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院中医科,江西赣州341000

出　　处：《中国中医药现代远程教育》2024年第15期95-98,共4页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药管理局科技计划项目【No.2022B259】;赣南医学院第一附属医院博士启动基金项目【No.QD069】;江西省卫生健康委科技计划项目【No.202130629】。

摘　　要：目的探讨幽门螺杆菌(Hp)相关慢性胃炎对患者睡眠的影响及具体表现形式。方法通过问卷调查,对比分析Hp相关慢性胃炎及非Hp相关慢性胃炎患者睡眠的具体特点。结果Hp相关慢性胃炎男性患者总体睡眠显著优于非Hp相关慢性胃炎男性患者及Hp相关慢性胃炎女性患者,明显较非Hp相关慢性胃炎男性患者睡眠质量好、睡眠时间长、睡眠效率高,明显较Hp相关慢性胃炎女性患者睡眠质量好、入睡时间短、睡眠效率高、睡眠障碍少、催眠药物使用少(P<0.05);Hp相关慢性胃炎男性患者较Hp相关慢性胃炎女性患者明显更少出现夜间易醒或早醒、呼吸不畅、感觉冷、做噩梦及其他影响睡眠的事情,更易咳嗽或鼾声高(P<0.05);Hp相关慢性胃炎女性患者催眠药物使用显著多于非Hp相关慢性胃炎女性患者,咳嗽或鼾声高显著多于非Hp相关慢性胃炎女性患者(P<0.05)。结论Hp相关慢性胃炎患者常有睡眠异常且具有一定的性别差异。Objective To explore the effect of Hp-associated chronic gastritis on sleep and its specific manifestations.Methods Through questionnaire survey,the specific characteristics of sleep in patients with Hp-associated chronic gastritis and non-Hp-associated chronic gastritis were compared and analyzed.Results The overall sleep quality of male patients with Hp-associated chronic gastritis was significantly better than that of male patients with non-Hp-associated chronic gastritis and female patients with Hp-associated chronic gastritis,and the sleep quality,sleep duration and sleep efficiency of male patients with Hp-associated chronic gastritis were significantly better than those of male patients with non-Hp-associated chronic gastritis.Compared with female patients with Hp-associated chronic gastritis,male patients with Hp-associated chronic gastritis had better sleep quality,shorter time to fall asleep,higher sleep efficiency,fewer sleep disorders and less use of hypnotic drugs(P<0.05).Compared with female patients with Hp-associated chronic gastritis,male patients with Hp-associated chronic gastritis are significantly less likely to wake up at night or early,breathe poorly,feel cold,have nightmares,other things that affect sleep,and are more likely to cough or snore(P<0.05).Female patients with Hp-associated chronic gastritis were more likely to use hypnotics than female patients with non-Hp-associated chronic gastritis,and are more likely to cough or snore(P<0.05).Conclusion Sleep disorders are common in patients with Hp-associated chronic gastritis,and there are certain gender differences.

关 键 词：慢性胃炎 幽门螺杆菌 睡眠 胃不和则卧不安 

分 类 号：R57[医药卫生—消化系统]