长时间白天小睡:对于高血压患者来说,这是一个隐藏的危险
Jinhong Wu1,2, Lishun Liu3,4, Zena Huang3
1Department of Cardiology, First Hospital of Shanxi Medical University, Taiyuan, China.
European journal of neurology
|June 15, 2024
概括
较长的白天小睡会增加高血压患者中风风险. 午睡超过30分钟,特别是在缺血性中风时,会显著增加危险.
科学领域:
- 心血管研究研究心血管研究
- 神经学 神经学
- 睡眠医学 睡眠医学
背景情况:
- 高血压是中风的主要危险因素.
- 以前的研究表明,白天小睡和中风之间存在联系.
- 关于白天小睡时间对高血压患者首次中风的具体影响的研究有限.
研究的目的:
- 调查白天小睡时间与高血压患者首次中风风险之间的关联.
- 为了确定睡眠时间是否存在关于中风风险的值效应.
- 为了区分小睡对缺血性与出血性中风的影响.
主要方法:
- 分析了一组11252名高血压患者,没有先前的中风病史.
- 数据收集时间为2013年8月至2022年12月.
- 统计分析包括值效应分析,Cox比例危险回归和Kaplan-Meier生存曲线.
主要成果:
- 白天小睡长达75分钟的时间与中风风险有积极的相关性.
- 睡眠时间为31-60分钟 (HR=1.27,95%CI=1.06-1.53) 和>60分钟 (HR=1.37,95%CI=1.14-1.65) 与睡眠时间为1-30分钟相比,第一次中风的风险显著增加.
- 增加的风险是特别观察到缺血性中风,而不是出血性中风.
- 卡普兰-梅尔曲线表明,日间午睡时间较长的中风发病率更高.
结论:
- 长时间白天小睡,特别是超过30分钟,与高血压患者中风风险增加有关.
- 这种风险主要与缺血性中风有关.
- 这些发现是正确的,不论其他有助于因素.
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