睡眠和血压变化:一个系统的文献综述
Yeonsu Kim1, Meghan Kathleen Mattos2, Jill Howie Esquivel3
1University of Virginia School of Nursing, 225 Jeanette Lancaster Way, Charlottesville, VA, 22903, USA.
Heart & lung : the journal of critical care
|September 1, 2024
概括
血压变化 (BPV),心血管疾病风险标志物,可能与睡眠有关. 本综述探讨了将睡眠特征与BPV联系在一起的证据,发现了与睡眠质量差和睡眠持续时间长的潜在联系.
科学领域:
- 心血管健康 心血管健康
- 睡眠科学 睡眠科学
- 生物医学工程 生物医学工程
背景情况:
- 血压变化 (BPV) 是心血管疾病 (CVD) 的关键预后指标.
- 睡眠障碍越来越多地被认为是心血管疾病的重要风险因素.
- 具体的睡眠特征和BPV之间的准确关系在很大程度上仍未被探索.
研究的目的:
- 系统地审查和描述测量BPV和睡眠的方法.
- 综合现有的关于睡眠参数与BPV之间的关联证据.
主要方法:
- 在主要的科学数据库 (CINAHL,PubMed,Web of Science,PsycINFO) 进行了系统的文献搜索.
- 搜索术语包括"睡眠"与"血压变化"或"健行血压监测器"相结合.
- 在最终分析中包括了22项研究.
主要成果:
- 使用多种方法进行睡眠评估 (多梦摄影,动作摄影,日记,问卷) 和血压测量 (节拍,24小时门诊,自动监视器).
- 包含的研究提出了关于睡眠参数 (质量,架构,持续时间) 和BPV之间的关联的异质发现.
- 观察到BPV增加的趋势是睡眠质量较差和睡眠时间较长,尽管结果各不相同.
结论:
- 虽然潜在的机制需要进一步阐明,但目前的证据表明,高血压值与睡眠质量受损或睡眠时间延长之间存在潜在联系.
- 睡眠和血压监测技术的进步需要在现实条件下进行进一步的研究.
- 在自由生活环境中研究睡眠和BPV对于全面了解它们复杂的相互作用和对心血管疾病风险的影响至关重要.
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