摘要
目的:分析老年原发性高血压伴睡眠障碍的病理机制及治疗方式,对综合提升睡眠时间方法的有效性作出研究。方法:选取2022年5月至2023年8月山东省德州市宁津县中医院收治的老年原发性高血压伴睡眠障碍患者68例作为研究对象,按照随机数字表法分为对照组和观察组,每组34例。对照组给予氨氯地平治疗;观察组给予综合改善睡眠时间方法治疗。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用健康调查简表(SF-36)比较2组患者干预前后生命质量的变化,并比较2组患者治疗前后舒张压、收缩压的变化。结果:治疗后,观察组患者SF-36评分均显著高于对照组,观察组PSQI评分显著低于对照组,观察组舒张压、收缩压均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:综合改善睡眠时间方法能够有效提高患者的睡眠质量和生命质量,降低患者的血压,值得临床推广应用。
Objective:To analyze the pathological mechanism and treatment methods of elderly primary hypertension with sleep disorders,and to study the effectiveness of comprehensive methods for improving sleep time.Methods:A total of 68 elderly patients with primary hypertension and sleep disorders,treated at Ningjin County Traditional Chinese Medicine Hospital from May 2022 to August 2023,were selected as research subjects.Participants were randomly assigned to a control group(n=34),which received amlodipine,and an observation group(n=34),treated with comprehensive sleep improvement methods.The Pittsburgh Sleep Quality Index(PSQI)was used to compare sleep quality between the two groups.The Short Form Health Survey(SF-36)was used to evaluate changes in quality of life before and after intervention,and changes in diastolic and systolic blood pressure were also compared between the groups.Results:After treatment,the SF-36 scores of the observation group were significantly higher than those in the control group,while the PSQI scores and both diastolic and systolic blood pressure were significantly lower in the observation group compared to the control group(P<0.05).Conclusion:Comprehensive sleep improvement methods effectively enhance sleep quality and quality of life in elderly patients with primary hypertension and sleep disorders,while also lowering blood pressure.This approach is worthy of further clinical promotion and application.
作者
韩小慧
HAN Xiaohui(Ningjin County Traditional Chinese Medicine Hospital,Ningjin 253400,China)
出处
《世界睡眠医学杂志》
2024年第9期1972-1974,共3页
World Journal of Sleep Medicine
基金
山东省医药卫生科技发展计划项目(2022KJ191)。
关键词
原发性高血压
睡眠障碍
综合改善睡眠时间方法
氨氯地平
老年人
心血管疾病
并发症
生命质量
Primary hypertension
Sleep disorders
Comprehensive sleep improvement methods
Amlodipine
Aged
Cardiovascular diseases
Complications
Quality of life
作者简介
韩小慧(1986.03-),女,本科,副主任医师,研究方向:心血管内科,老年病科,E-mail:hty88965@163.com。
