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老年眩晕患者睡眠质量及其相关影响因素分析

An analysis of sleep quality and relevant influencing factors in elderly patients with vertigo

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目的 分析老年眩晕患者睡眠质量及其相关影响因素.方法 依据匹兹堡睡眠质量指数(PSQI)评分将155例老年眩晕患者分为睡眠良好组(总分≤7分,49例)和睡眠不良组(总分>7分,106例).比较两组患者的眩晕严重程度、营养状况、生活自理能力以及衰弱情况.采用多因素logistic回归分析老年眩晕患者睡眠不良发生的影响因素.结果 155例老年眩晕患者PSQI评分为(11.09±2.67)分.其中,106例患者有睡眠不良,发生率为68.39%.与睡眠良好组相比,睡眠不良组患者年龄更大,女性较多,运动频次较少,婚姻异常(未婚/离异/丧偶)和合并症≥3种的比例较高,因眩晕再次入院比例较高,白蛋白≥35 g/L比例较低,眩晕更严重,有营养不良风险且生活自理能力较差,有衰弱比例较高(P<0.05).多因素logistic回归分析结果显示,年龄>80岁、女性、婚姻异常、合并症≥3种、重度眩晕、有营养不良风险是老年眩晕患者睡眠不良发生的独立危险因素(P<0.05),运动频次≥3次/周、未因眩晕再次入院、无衰弱是其保护性因素(P<0.05).结论 老年眩晕患者睡眠不良发生率高,应加强该人群的睡眠质量评估,并制定合理的干预措施预防和改善睡眠质量.
Objective To analyze the sleep quality and relevant influencing factors in elderly patients with vertigo.Methods According to Pittsburgh Sleep Quality Index(PSQI)score,155 elderly vertigo patients were divided into two groups of A(with good sleep quality,PSQI score≤7 points,49 cases)and B(with poor sleep quality,PSQI score>7 points,106 cases).The severity of vertigo,nutritional status,self-care ability and frailty of two groups were compared.Multivariate logistic regression was used to analyze the influencing factors for poor sleep quality in elderly patients with vertigo.Results The PSQI score of 155 elderly vertigo patients was(11.08±4.76)points.The incidence of poor sleep quality was 68.39%(106/155).Compared with group A,the patients in group B were older and had less frequent exercise,more severe vertigo,higher risk of malnutrition and poorer self-care ability(P<0.05).Compared with group A,the patients in group B had higher proportion of female,marital abnormalities(unmarried/divorced/widowed),≥3 complications,readmission due to vertigo,frailty,and lower proportion of albumin≥35 g/L(P<0.05).Multivariate logistic regression analysis showed that age>80 years old,female,marital abnormality,≥3 complications,severe vertigo and malnutrition risk were the independent risk factors for poor sleep in elderly vertigo patients(P<0.05),and the frequency of exercise≥3 times per week,no readmission due to vertigo and no frailty were the protective factors(P<0.05).Conclusion The incidence of poor sleep quality in elderly patients with vertigo is high.The sleep quality assessment should be strengthened,and reasonable intervention measures should be developed to prevent and improve sleep quality.

VertigoSleepGeriatrics

杨水琴、张明颖、刘红军

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314000 浙江嘉兴,浙江新安国际医院神经内科

眩晕 睡眠 老年

嘉兴市秀洲区科技计划项目

2022C004

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(6)