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急性冠脉综合征患者的睡眠障碍调查

Survey of sleep disorder in patients with acute coronary syndrome

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【作者】 陈炳海吴金黄鑫财

【Author】 CHEN Bing-hai,WU Jin,HUANG Xin-cai:Puning Oversease Chinese Hospital of Guangdong,Puning,Guangdong,515300,China

【机构】 广东省普宁华侨医院广东省普宁下架山卫生院 广东普宁市515300广东普宁市515300

【摘要】 目的:调查急性冠脉综合征(A cu te Coronary Syndrom es,ACS)患者睡眠障碍,研究其规律性。方法:73例ACS患者分别接受了睡眠质量调查和精神卫生症状自评量表(sym ptom check list-90,SCL-90)评估,并与正常对照组同期结果进行比较。结果:在睡眠质量比较中,ACS组的入睡(1.18±0.29)、睡眠维持(0.44±0.08)、睡眠自评(0.79±0.10)、睡眠总时间(1.15±0.24)等因子评分和睡眠质量总分(5.06±0.76)均明显高于对照组(t=2.127~3.350,P<0.05~<0.01)。ACS患者按睡眠质量总分分组后,高得分组(≥5.06分,39例)的平均住院时间、梗塞面积、合并症数目均明显少于低得分组(<5.06分,34例),而前者中的日常生活活能力得分却明显高于后者(t=2.117~2.358,P均<0.05)。睡眠质量高得分组SCL-90表中的躯体化、强迫、抑郁、焦虑、恐怖、偏执和精神病性等因子评分明显低于低得分组(t=2.129~2.057,P<0.05~0.01)。结论:ACS患者有明显的睡眠质量下降,后者常常影响到病情和预后。

【Abstract】 Objective:To survey the sleep disorder and its regularity in patients with acute coronary syndrome(ACS).Methods:A total of 73 ACS patients accepted survey of sleep quality and evaluation of symptom checklist-90,and compared with normal control group.Results:To fall asleep(1.18±0.29),sleep sustain(0.44±0.08),oneself evaluation of sleep(0.79±0.10),sleep cumulative time(1.15±0.24) and total score of sleep quality(5.06±0.76) in ACS group were more than those of normal control group(t=2.127~3.350,P<0.05~<0.01).The ACS patients were divided into high-score(≥5.06) group(39 cases) and low-score(<5.06) group(34 cases) according total score of sleep quality.The average length of stay,infact size,number of complication were less and activity of daily living was more in high-score group than those of low-score group(t=2.117~2.358,P<0.05 all).The scores of somatization,constraint,depression,anxiety,fear,paranoid state and psychiatric factor of SCL-90 scores in high-score group were less than those of low-score group(t=2.129~2.057,P<0.05~<0.01).Conclusion:The sleep quality of ACS patients significantly decrease,it often influence patients condition and prognoses.

  • 【文献出处】 心血管康复医学杂志 ,Chinese Journal of Cardiovascular Rehabilitation Medicine , 编辑部邮箱 ,2006年05期
  • 【分类号】R541.4
  • 【被引频次】8
  • 【下载频次】41
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