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老年高血压合并睡眠障碍人群认知功能特点分析

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目的 分析老年高血压合并睡眠障碍人群的认知功能特点,探讨高血压合并睡眠障碍对于认知功能的影响.方法 选取2021年8月至2022年12月在福建省第二人民医院体检者114例.根据是否高血压及是否伴有睡眠障碍分为高血压合并睡眠障碍组38例与单纯高血压组38例及血压与睡眠均正常组38例,使用蒙特利尔认知评价量表(MoCA)评估认知功能并比较3组之间的MoCA总分及各认知领域(包括视空间/执行能力、命名能力、注意力、语言能力、抽象能力、延迟记忆力及定向力)的差异.结果 3组MoCA评分比较,差异有统计学意义.高血压合并睡眠障碍组与高血压组及对照组MoCA评分比较,差异均有统计学意义,高血压组与对照组MoCA评分比较,差异有统计学意义.进一步分析各认知细项发现高血压组与对照组在视空间/执行能力、注意力及抽象能力等领域存在差异.高血压合并睡眠障碍组在视空间/执行能力、注意、语言、抽象及延迟记忆等领域与对照组比较,差异有统计学意义.结论 老年高血压人群存在多领域认知功能下降,且睡眠障碍进一步加重认知损害,高血压合并睡眠障碍人群认知功能下降主要表现在视空间与执行能力、注意、语言、抽象及延迟记忆等领域.
Characteristics of cognitive function in elderly patients with hypertension combined with sleep disorders
Objective To analyze the characteristics of cognitive function in elderly people with hypertension combined with sleep disorder and explore the influence of hypertension combined with sleep disorder on cognitive function.Methods A total of 114 patients were selected from the Second People's Hospital of Fujian Province from August 2021 to December 2022.According to whether there was hypertension or not and whether there was sleep disorder,the patients were divided into hypertension combined with sleep disorder group(38 cases),simple hypertension group(38 cases)and normal blood pressure and sleep group(38 cases).Cognitive function was assessed using the Montreal Cognitive Assessment Scale(MoCA)and differences in MoCA scores and cognitive domains including visuospatial/executive ability,naming ability,attention,language ability,abstraction,delayed memory,and orienta-tion were compared between the three groups.Results The MoCA scores of the 3 groups were compared,and the difference was sta-tistically significant.There were statistically significant differences in MoCA scores between the hypertension combined with sleep dis-order group and the hypertension group and the control group,and there were statistically significant differences in MoCA scores be-tween the hypertension group and the control group.Further analysis of each cognitive detail revealed differences between the hyper-tensive group and the control group in visuospatial/executive ability,attention and abstract ability.There were significant differences in visuospatial/executive ability,attention,language,abstraction and delayed memory between the hypertension and sleep disorder group and the control group.Conclusion Elderly people with hypertension have multi-domain cognitive function decline,and sleep disorders further exacerbate cognitive impairment.The cognitive function decline in people with hypertension combined with sleep disorders is mainly manifested in the fields of visuospatial and executive ability,attention,language,abstraction and delayed memory.

hypertensionsleep disorderscognitive functionthe aged

滕清燕、庄小津、伍丽娟、陈喆、尹莲花

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福建中医药大学附属第二人民医院 350001

高血压 睡眠障碍 认知功能 老年人

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(4)