健康体检人群中血压水平与便携式睡眠呼吸监测参数指标相关性的研究  

Study on the Correlation Between Blood Pressure Level and Portable Monitor Device Parameters in Healthy Physical Examination Population

作　　者：赵泓渊 杨丹[1] 周小燕[1] 雷蓉[1] 李芸[1] Zhao Hongyuan;Yang Dan;Zhou Xiaoyan(Health Management Center,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,China)

机构地区：[1]川北医学院附属医院健康管理中心,四川南充637000

出　　处：《四川医学》2025年第2期163-167,共5页Sichuan Medical Journal

基　　金：南充市社会科学研究“十四五”规划2024年度项目(编号:NC24B266);川北医学院校级科研发展基金项目(编号:CBY23-QNB11)。

摘　　要：目的 探讨血压水平与便携式睡眠呼吸监测(PMD)参数指标的相关性。方法 选取2021年1至2023年12月我院健康管理中心完成便携式睡眠呼吸监测的健康体检者作为研究对象,根据血压分为高血压组与正常血压组,收集研究对象的一般资料[年龄、性别、身高、体质量、体质指数(BMI)]、血压、PMD参数[氧减指数(ODI)、夜间平均心率、夜间最低血氧值]。采用Person法进行相关行分析,Logistic回归分析高血压的独立危险因素。结果 共纳入517例研究对象,高血压组(143例)与正常血压组(374例)比较,年龄、性别、身高差异无统计学意义(P>0.05),而高血压组ODI、夜间平均心率、体质量、BMI高于正常血压组(P<0.05),高血压组夜间最低血氧值低于正常血压组(P<0.05);Pearson相关性分析显示,收缩压(SBP)、舒张压(DBP)与ODI、夜间平均心率、体质量、BMI成正相关,与夜间最低血氧值负相关(P<0.05);Logistics回归分析显示,ODI、夜间最低血氧水平是高血压的独立危险因素。结论 高血压与PMD参数指标(ODI、夜间最低血氧值)存在密切关系,ODI、夜间最低血氧值是高血压的独立影响因素,PMD可作为高血压合并阻塞性睡眠呼吸暂停综合征(OSAHS)患者的早期筛查工具。Objective To investigate the correlation between blood pressure levels and portable monitor device(PMD)index parameters.Methods Healthy physical examination subjects who completed portable sleep breathing monitoring in the health management center of our hospital from January 2021 to December 2023 were selected as the study subjects.The subjects were divided into a hypertension group and a normal blood pressure group based on their blood pressure levels.General data(age,sex,height,weight,body mass index),blood pressure readings,and PMD parameters(oxygen desaturation index(ODI),mean heart rate at night,minimum nocturnal oxygen saturation level)were collected.The Person method was used for correlation analysis,and the independent risk factors of hypertension were analyzed by Logistic regression.Results A total of 517 physical examination subjects were included.There was no difference in age,gender or height between the hypertension group(143 cases)and the normal blood pressure group(374 cases)(P>0.05).The ODI,mean heart rate at night,body weight and body mass index in the hypertension group were higher than those in the normal blood pressure group(P<0.05),and the minimum blood oxygen value at night in the hypertension group was lower than that in the normal blood pressure group(P<0.05).Pearson correlation analysis showed that systolic blood pressure(SBP)and diastolic blood pressure(DBP)were positively correlated with ODI,mean heart rate at night,body weight and body mass index,and negatively correlated with the minimum blood oxygen value at night(P<0.05).Logistic regression analysis showed that ODI and minimum blood oxygen level at night were independent risk factors for hypertension.Conclusion There is a close relationship between hypertension and PMD parameters(ODI and minimum blood oxygen level at night).ODI and minimum blood oxygen level are independent influencing factors for hypertension.PMD can be used as an early screening tool for hypertension complicated with OSAHS.

关 键 词：高血压 阻塞性睡眠呼吸暂停综合征 便携式睡眠呼吸监测 氧减指数 夜间最低血氧水平 

分 类 号：R544.1[医药卫生—心血管疾病]