【摘要】：目的:探討孕晚期睡眠困擾與心血管代謝風(fēng)險(xiǎn)因子即血壓(BP)、體質(zhì)數(shù)(BMI)間的關(guān)系。方法:采用失眠嚴(yán)重指數(shù)量表(ISI),Epworth嗜睡量表(ESS),匹茲堡睡眠質(zhì)量指數(shù)(PSQI)評估妊娠第三期孕婦的睡眠質(zhì)量;采集血壓,體重,身高數(shù)據(jù);分析失眠嚴(yán)重程度,日間嗜睡程度及睡眠效率(SE)與血壓及BMI間的關(guān)系。結(jié)果:ISI與血壓、孕前BMI、目前BMI均無明顯相關(guān);ESS與收縮壓(SBP)(r=-0.13,P0.05)及舒張壓(DBP)(r=-0.11,P0.05)有明顯負(fù)相關(guān),孕周與BMI后(r=0.20,P0.01)及舒張壓(r=0.21,P0.01)呈顯著正相關(guān);年齡與孕前后BMI(r=0.21,r=0.14,P0.01)及收縮壓(r=0.12,P0.01)均呈顯著正相關(guān)。在分組比較中,ISI總分≥8分組ESS得分明顯更高(t=-3.2,P0.01),SE更低(t=5.2,P0.01),血壓和BMI兩組間無明顯差異;ESS總分10分組,SBP(t=3.2,P0.01)及DBP(t=2.5,P0.01)均明顯更低,ISI明顯更高(t=-2.9,P0.01)。結(jié)論:孕婦失眠與日間嗜睡相互影響,失眠對血壓的影響尚不能定論,日間嗜睡可能會降低血壓升高的風(fēng)險(xiǎn),同時日間睡眠過多也易導(dǎo)致失眠的持續(xù)或加重,所以對失眠的干預(yù)需衡量日間嗜睡的利弊。
[Abstract]:Objective: to investigate the relationship between sleep disturbance in late pregnancy and cardiovascular metabolic risk factors, I. E. blood pressure (BP), body mass (BMI). Methods: sleep quality of pregnant women in the third trimester of pregnancy was evaluated by Epworth sleepiness scale (ESS) and Pittsburgh sleep quality index (PSQI), blood pressure, weight and height were collected, and the severity of insomnia was analyzed. Association of daytime sleepiness and sleep efficiency (SE) with blood pressure and BMI. Results there was no significant correlation between ESS and systolic blood pressure (SBP), diastolic blood pressure (DBP) and diastolic blood pressure (DBP) (r-0.11P 0.05). There was a significant positive correlation between gestational weeks and BMI (r 0.20 P 0.01) and diastolic blood pressure (r 0.21 P 0.01), age was positively correlated with BMI before pregnancy (r 0.21) and systolic blood pressure (r 0.12 P 0.01). In the group comparison, the total score of ISI 鈮，

本文編號：2120687