伴发抑郁、焦虑的心律失常患者睡眠与心律失常的临床分析

摘要

Objective The effects of sleep on arrhythmia patients with depression and anxiety disorders on arrhythmias are analyzed and discussed briefly.Methods 160 cases of arrhythmia patients and 50 healthy as the control group, depression, the self rating Anxiety Scale and Pittsburgh sleep quality index evaluation. Results The index of HRV time domain indexes anxiety group, depression group, Comorbidity groups in sleep quality factor and total score to sleep is significantly higher than the control group in the total score and the time to fal asleep,In terms of total sleep and sleep time there exists obvious difference being statisticaly significant ,P<0.05.ConclusionArrhythmia patients with depression, anxiety and comorbid anxiety and depression wil decrease obviously in HRV time domain indexes, which also shows the autonomic nervous there may be some adverse effects on the heart adjustment.%目的 对伴抑郁及焦虑情绪障碍的心律失常患者的睡眠情况对心律失常的影响进行简要的分析和探讨.方法 将160例心律失常患者和50个健康将其作为对照组,对其进行抑郁、焦虑自评量表和匹茨堡睡眠质量指数量表进行测评,同时还要对HRV指标进行详细的分析.结果 HRV时域指标方面焦虑组、抑郁组、共病组的指标都要比正常组的值要高.共病组在睡眠质量因子上和睡眠总分方面要明显比对照组高,在睡眠总分和入睡时间等方面两者存在着较为明显的统计学差异,P<0.05.结论 伴抑郁、焦虑和焦虑抑郁共病的心律失常患者在HRV时域指标会出现非常明显的下降,这也说明自主神经对心脏的调节可能存在着一些不利影响.