CAJ | 학술논문

目的：探讨抑郁和焦虑对老年心律失常患者睡眠质量及心率变异的影响。方法选择心律失常患者168例为研究对象，其中仅合并焦虑者41例，仅合并抑郁者52例，同时存在焦虑和抑郁者33例，共126例，为观察组，未合并抑郁、焦虑情绪者42例，为对照组，分析患者抑郁及焦虑对睡眠质量及心率变异的影响。结果观察组睡眠质量总分、睡眠有效、入睡时间、睡眠质量、睡眠障碍、睡眠时间等均显著高于对照组（P＜0.01），焦虑组、抑郁组、焦虑及抑郁组SDNN、SDANN、rMSSD、PNM50均显著对照组（P＜0.01）。结论老年心律失常患者焦虑、抑郁可影响患者睡眠质量，并对心律失常产生不利影响。
목적：탐토억욱화초필대노년심률실상환자수면질량급심솔변이적영향。방법선택심률실상환자168례위연구대상，기중부합병초필자41례，부합병억욱자52례，동시존재초필화억욱자33례，공126례，위관찰조，미합병억욱、초필정서자42례，위대조조，분석환자억욱급초필대수면질량급심솔변이적영향。결과관찰조수면질량총분、수면유효、입수시간、수면질량、수면장애、수면시간등균현저고우대조조（P＜0.01），초필조、억욱조、초필급억욱조SDNN、SDANN、rMSSD、PNM50균현저대조조（P＜0.01）。결론노년심률실상환자초필、억욱가영향환자수면질량，병대심률실상산생불리영향。
Objective To discuss impact of depression and anxiety on sleep quality and HRV in elderly patients with cardiac arrhythmias.Methods 168 cases with cardiac arrhythmias were selected. 41 cases complicated with anxiety, 52 cases complicated with depression, 33 cases complicated anxiety and depression, a total of 126 cases as observer group; And 42 cases didn’t complicate with anxiety and depression as control group. 40 healthy volunteers were selected as control group. Impact of depression and anxiety on sleep quality and HRV in elderly patients with cardiac arrhythmias was analyzed. Results Scores of total sleep quality, sleep effective sleep time, sleep quality, sleep disorders, sleep time in observer group group were significant higher than control group(P<0.01). SDNN, SDANN, rMSSD, PNM50 of observer group were significant lower than control group(P<0.01).Conclusion In elderly patients with cardiac arrhythmias, anxiety and depression can affect the quality of sleep, and adversely affect on the arrhythmia.