首页|老年急性心肌梗死患者PCI术后睡眠障碍影响因素分析

老年急性心肌梗死患者PCI术后睡眠障碍影响因素分析

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目的 探讨老年急性心肌梗死患者经皮冠状动脉介入(PCI)术后发生睡眠障碍的影响因素.方法 将62例老年急性心肌梗死患者根据PCI术后是否发生睡眠障碍分为睡眠障碍组和睡眠正常组.采用单因素分析及Logistic回归分析探讨老年急性心肌梗死患者PCI术后发生睡眠障碍的影响因素.结果 入组的62例老年急性心肌梗死患者中,PCI术后发生睡眠障碍21例,发生率为33.87%.睡眠障碍组患者在睡前摄入液体、穿刺部位疼痛及有焦虑、抑郁情绪方面占比,高于睡眠正常组(P<0.01).穿刺部位疼痛、睡前摄入液体、焦虑情绪、抑郁情绪均为老年急性心肌梗死患者PCI术后发生睡眠障碍的危险因素(P<0.05或0.01).结论 老年急性心肌梗死患者PCI术后睡眠障碍发生率较高,其影响因素较多,临床应根据其影响因素开展针对性干预,改善其睡眠状况.
Influencing factors of post-PCI sleep disorders in elderly patients with acute myocardial infarction
Objective To explore the influencing factors of sleep disorders in elderly patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods Sixty-two elderly patients with AMI were divided into sleep disorders(SD)and normal sleep(NS)group according to cormobid sleep disorders or not.Single factor and Logistic regression analysis were used to explore the influencing factors of post-PCI sleep disorders in elderly AMI patients.Results Among the 62 recruited patients 21 ones developed sleep disorders,with an incidence rate of 33.87%.The proportions of drinking fluids at bedtime,pain at the puncture site,and anxious and depressive emotions were higher in SD than NS group(P<0.01).Pain at the puncture site,drinking fluids at bedtime,and anxious and depressive emotions were all risk factors of post-PCI sleep disorders in elderly AMI patients(P<0.05 or 0.01).Conclusion The incidence of post-PCI sleep disorders in elderly patients with AMI is higher,their influencing factors are more,and clinically targeted interventions should be carried out according to its influencing factors to improve patients'sleep status.

acute myocardial infarctionelderly patientspercutaneous coronary interventionsleep disorders

王思思、曹杨、张艳芳、王浩然

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462000(河南·漯河)漯河市第一人民医院

急性心肌梗死 老年患者 经皮冠状动脉介入 睡眠障碍

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)