2020 年第 4 期 第 15 卷

老年高血压患者睡眠时间及睡眠质量与血压变异性的关系

Relation between sleep quality and blood pressure variability in elderly hypertensive patients

作者：张鹏祥王蕊张爱爱李飞星李会贤李小宁李方江

英文作者：Zhang Pengxiang Wang Rui Zhang Aiai Li Feixing Li Huixian Li Xiaoning Li Fangjiang

单位：河北北方学院附属第一医院心血管内科，河北省张家口市075000

英文单位：Department of Cardiology the First Affiliated Hospital of Hebei North University Hebei Province Zhangjiakou 075000 China

关键词：高血压；阻塞性睡眠呼吸暂停低通气综合征；血压变异性

英文关键词：Hypertension；Obstructivesleepapneahypopneasyndrome；Bloodpressurevariability

• 摘要：

• 【摘要】目的    探讨睡眠时间及睡眠质量与老年高血压患者血压变异性的关系。方法    选取2018年1月至2019年1月河北北方学院附属第一医院诊断为老年原发性高血压的门诊及住院患者632例，按照夜间睡眠时间分为A组（≤5 h，198例)、B组（5 h＜夜间睡眠时间≤7 h，212例)、C组（7 h＜夜间睡眠时间≤8 h，222例)，按照是否存在阻塞性睡眠呼吸暂停低通气综合征（OSAHS）分为OSAHS组（264例）和无OSAHS组（368例）。比较不同睡眠时间和有无OSAHS患者的血压变异性。结果    A组患者24 h、日间、夜间收缩压变异系数及舒张压变异系数均明显高于B组及C组，B组患者24 h、日间、夜间收缩压变异系数及舒张压变异系数均明显高于C组(均P＜0.05)。OSAHS组24 h、日间及夜间收缩压变异系数和夜间舒张压变异系数均明显高于无OSAHS组［（9.4±2.3）比（8.0±2.0）、（12.1±2.8）比（10.9±2.4）、（12.4±3.1）比（11.1±2.8）、（13.1±3.5）比（11.4±2.9）］(均P＜0.05)。结论    睡眠时间短、睡眠质量差导致老年高血压患者血压变异性增加。

• 【Abstract】Objective    To investigate the relation among sleep quality, hours of sleep and blood pressure variability in elderly patients with hypertension. Methods    A total of 632 elderly patients with essential hypertension were enrolled from January 2018 to January 2019 at the First Affiliated Hospital of Hebei North University. According to the hours of nighttime sleep, the patients were divided into group A(≤5 h, 198 cases), group B(5 h＜the hours of nighttime sleep≤7 h, 212 cases) and group C(7 h＜the hours of nighttime sleep≤8 h, 222 cases). According to the presence or absence of obstructive sleep apnea hypopnea syndrome(OSAHS), they were divided into OSAHS group(264 cases) and non-OSAHS group(368 cases). Blood pressure variability was analyzed among different groups. Results    The 24 h, daytime and nocturnal variation coefficients of systolic and diastolic blood pressure decreased with the prolonging of nighttime sleep(all P＜0.05). The 24 h, daytime and nocturnal variation coefficients of systolic blood pressure and nocturnal variation coefficient of diastolic blood pressure in OSAHS group were higher than those in non-OSAHS group［（9.4±2.3） vs （8.0±2.0）, （12.1±2.8） vs （10.9±2.4）, （12.4±3.1） vs （11.1±2.8）, （13.1±3.5） vs （11.4±2.9）］(all P＜0.05). Conclusion    Poor sleep quality and short sleep time leads to high blood pressure variability in elderly hypertensive patients.