布拉迪心律失常症患者的主观睡眠质量及其在心脏起器植入后的变化
Masaru Hiki1, Sharma Kattel1,2, Akihiro Sato1
1Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine.
概括
睡眠质量不佳在需要起器的勃拉迪亚律律症患者中很常见. 植入心脏起器可以改善睡眠质量和整体生活质量 (QOL).
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 医疗器械 医疗器械
背景情况:
- 布拉迪失常症患者经常经历睡眠质量差,影响他们的生活质量 (QOL).
- 潜在的原因包括心律失常本身,对心脏病的焦虑以及未被诊断的睡眠障碍.
研究的目的:
- 为了确定患有需要植入心脏起器的节律不良患者的主观睡眠质量差的患病率.
- 评估心脏起器植入物对睡眠质量和QOL的影响.
主要方法:
- 对89名接受永久心脏起器植入治疗的患者进行前性评估.
- 使用匹兹堡睡眠质量指数 (PSQI) 评估主观睡眠质量,使用植入前后简单表格-8 (SF-8) 评估与健康相关的睡眠质量.
- 睡眠质量差的定义是PSQI得分≥6.6.
主要成果:
- 60.7%的患者 (54/89) 在植入前报告主观睡眠质量差 (PSQI ≥6).
- 较高的PSQI得分与较大的左心室喷射率,使用通道阻塞剂和睡眠障碍症状相关.
- 植入后,PSQI中位数得分显著改善 (6.0至5.0;P=0.015),与改善的心理组件总结得分相关.
结论:
- 低主观睡眠质量在肌节律不良患者中普遍存在,并对QOL产生负面影响.
- 心脏起器植入证明对这些患者的主观睡眠质量和QOL产生积极影响.
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