慢性心力衰竭患者轻度认知障碍与睡眠质量之间的关联:一个横截面研究
Yanmei Gan1, Tingting Liao1, Yao Du1
1Department of Cardiovascular Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Frontiers in psychiatry
|November 26, 2025
概括
轻度认知障碍 (MCI) 在慢性心力衰竭 (CHF) 患者中很常见. 睡眠质量不佳与MCI独立相关,这表明睡眠评估对心脏不全症患者的认知健康至关重要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 睡眠医学 睡眠医学
背景情况:
- 轻度认知障碍 (MCI) 是慢性心力衰竭 (CHF) 患者经常出现的并发症.
- MCI对CHF患者的预后和生活质量产生负面影响.
- 睡眠质量在MCI和CHF之间的关系中的作用尚未得到充分研究.
研究的目的:
- 为了确定MCI的患病率和CHF患者的睡眠质量差.
- 为了研究MCI和睡眠质量之间的联系,在这个人群中.
主要方法:
- 一项涉及329名CHF患者的横截面研究.
- 用蒙特利尔认知评估尺度 (MoCA-BJ) 的北京版本评估认知功能.
- 使用匹兹堡睡眠量表 (PSQI) 评估睡眠质量.
- 统计分析包括点二次相关性和等级回归.
主要成果:
- 在CHF患者中观察到MCI (58%) 和睡眠质量差 (70.52%) 的高患病率.
- 在MCI和睡眠质量差之间发现了显著的正相关性 (r = 0.322,P < 0.01).
- 在调整了混因素后,睡眠质量仍然是MCI的独立预测指标.
结论:
- 睡眠质量差与心血管疾病患者的MCI有着强烈而独立的关联.
- 睡眠评估应纳入CHF管理.
- 针对睡眠质量的干预措施可能有助于保持心血管疾病患者的认知功能.
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