中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
1期
51-53
,共3页
周建妹%于恩彦%任爱华%朱利月%吴万振
週建妹%于恩彥%任愛華%硃利月%吳萬振
주건매%우은언%임애화%주리월%오만진
入睡和睡眠障碍%高血压%心率
入睡和睡眠障礙%高血壓%心率
입수화수면장애%고혈압%심솔
Sleep initiation and maintenance disorders%Hypertension%Heart rate
目的 探讨失眠对老年高血压患者心率变异性(HRV)的影响. 方法 入选老年患者259例,分为健康对照组74例、单纯高血压组71例、高血压并存失眠组114例,其中高血压并存失眠组按失眠病程分为<5年、5~9年和≥10年.进行24 h动态心电图检查,收集其HRV时域指标(SDNN、SDANN和ASDNN)进行对比分析. 结果 与健康对照组相比,单纯高血压组和高血压并存失眠组HRV各时域指标降低(F=12.02,10.54和4.27,P<0.01);与单纯高血压组相比,高血压并存失眠组HRV各时域指标降低(P<0.01).高血压并存失眠组中失眠5~9年和≥10年组的SDNN和SDANN均较失眠<5年降低(F=8.63和4.54,P<0.01);失眠≥10年的SDNN较5~9年进一步降低,差异具有统计学意义(P<0.01). 结论 失眠可加重高血压患者自主神经功能紊乱,失眠年限延长,高血压患者自主神经功能紊乱程度增加.
目的 探討失眠對老年高血壓患者心率變異性(HRV)的影響. 方法 入選老年患者259例,分為健康對照組74例、單純高血壓組71例、高血壓併存失眠組114例,其中高血壓併存失眠組按失眠病程分為<5年、5~9年和≥10年.進行24 h動態心電圖檢查,收集其HRV時域指標(SDNN、SDANN和ASDNN)進行對比分析. 結果 與健康對照組相比,單純高血壓組和高血壓併存失眠組HRV各時域指標降低(F=12.02,10.54和4.27,P<0.01);與單純高血壓組相比,高血壓併存失眠組HRV各時域指標降低(P<0.01).高血壓併存失眠組中失眠5~9年和≥10年組的SDNN和SDANN均較失眠<5年降低(F=8.63和4.54,P<0.01);失眠≥10年的SDNN較5~9年進一步降低,差異具有統計學意義(P<0.01). 結論 失眠可加重高血壓患者自主神經功能紊亂,失眠年限延長,高血壓患者自主神經功能紊亂程度增加.
목적 탐토실면대노년고혈압환자심솔변이성(HRV)적영향. 방법 입선노년환자259례,분위건강대조조74례、단순고혈압조71례、고혈압병존실면조114례,기중고혈압병존실면조안실면병정분위<5년、5~9년화≥10년.진행24 h동태심전도검사,수집기HRV시역지표(SDNN、SDANN화ASDNN)진행대비분석. 결과 여건강대조조상비,단순고혈압조화고혈압병존실면조HRV각시역지표강저(F=12.02,10.54화4.27,P<0.01);여단순고혈압조상비,고혈압병존실면조HRV각시역지표강저(P<0.01).고혈압병존실면조중실면5~9년화≥10년조적SDNN화SDANN균교실면<5년강저(F=8.63화4.54,P<0.01);실면≥10년적SDNN교5~9년진일보강저,차이구유통계학의의(P<0.01). 결론 실면가가중고혈압환자자주신경공능문란,실면년한연장,고혈압환자자주신경공능문란정도증가.
Objective To explore the effects of insomnia on heart rate variety(HRV) in aged hypertension patients. Methods 259 subjects were divided into healthy group (74 cases),simple hypertension group (71 cases),coexisting hypertension and insomnia group (114 cases) which was sub-grouped to <5 years,5-9 years and ≥-10 years according to the duration of insomnia.All subjects had 24 h recordings of ECG.The data of HRV time domain (SDNN,SDANN and ASDNN) were collected and compared. Results HRV time domain was lower in healthy group than in the other two groups (F=12.02,10.54 and 4.27,P<0.01),and decreased more significantly in coexisting hypertension and insomnia group compared with simple hypertension group(P<0.01).The values of SDNN and SDANN in 5-9 years and ≥ 10 years subgroups decreased as compared with < 5 years subgroup (F=8.63 and 4.54,P<0.01),and these values further lower in ≥10 years subgroup than in 5-9 years subgroup (P< 0.01 ). Conclusions Insomnia may lead to more serious disorder of automatic nervous system and further aggravated disorders appear in the elderly with hypertension along with increasing years of insomnia.