云南省宁洱县农村老年人睡眠质量现状及与心血管疾病的关系研究

马国玉; 蔡乐; 杨家甜; 崔文龙; 李潇; 王旭明

doi:10.16462/j.cnki.zhjbkz.2019.04.013

云南省宁洱县农村老年人睡眠质量现状及与心血管疾病的关系研究

doi: 10.16462/j.cnki.zhjbkz.2019.04.013

马国玉¹,
蔡乐^1, ,,
杨家甜¹,
崔文龙¹,
李潇¹,
王旭明^{1, 2}

1.
650500 昆明, 云南省昆明医科大学公共卫生学院流行病与卫生统计学系
2.
650500 昆明, 云南省昆明医科大学第一附属医院呼吸科

基金项目:

国家自然科学基金资助项目 71663035

云南省科技厅-昆明医科大学联合专项重点项目 2017FE467(-002)

云南省高校科技创新团队支持计划 (2018)134

详细信息

通讯作者:
蔡乐, E-mail: caile002@hotmail.com

中图分类号: R1;R195.1
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出版历程
- 收稿日期: 2018-10-30
- 修回日期: 2019-01-20
- 刊出日期: 2019-04-10

Study on sleep quality status and its relationship with cardiovascular disease in rural elderly in Ning'er county, Yunnan province

1.
Department of Epidemiology and Health Statistics, School of Public Health, Kunming Medical University, Kunming, Yunnan 650500, China
2.
Department of Respiration, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650500, China

Funds:

The National Natural Science Foundation of China 71663035

The Major Specific Project Fund of the Yunnan Provincial Department of Science and Technology and Kunming Medical University 2017FE467(-002)

Program for Innovation Research Team in Science and Technology in University of Yunnan Province (2018)134

More Information

Corresponding author: CAI Le, E-mail: caile002@hotmail.com

摘要

摘要: 目的分析云南省农村老年人睡眠质量现状及与心血管疾病的关系。方法采用多阶段分层随机抽样方法，抽取1 629例宁洱县≥ 60岁农村老年人进行问卷调查和体检，采用多因素Logistic回归法分析睡眠质量与心血管疾病患病的关系。结果云南省宁洱县老年人匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index，PSQI)总分平均为(7.48±3.89)分，男性(6.67±3.69)分，女性(8.07±3.92)分；睡眠障碍、高血压、冠心病和脑卒中的患病率分别为56.78%、52.85%、8.16%和8.66%；女性睡眠障碍率高于男性(62.81%和48.55%，P < 0.001)；家庭人均年收入越低和医疗服务可及性越差的老年人其睡眠障碍率越高(P < 0.001)；有睡眠障碍的老年人其患高血压、冠心病和脑卒中的可能性越高(均有P < 0.05)。结论云南省农村老年人的睡眠障碍率较高，改善老年人的睡眠质量可能会在一定程度上预防和控制心血管疾病的发生。
- 老年人 /
- 睡眠质量 /
- 心血管疾病 /
- 农村
Abstract: Objective To analyze the sleep quality status and its relationship with cardiovascular disease in rural elderly in Yunnan Province. Methods Multistage stratified random sampling method was used to select 1629 residents aged 60 years and over from Ning Er County in Yunnan province. Each participant received questionnaire survey and physical examination. Multivariate logistic regression analysis was used to analyze the relationship between sleep quality status and cardiovascular disease. Results Among the study population, the overall Pittsburgh Sleep Quality Index (PSQI) score was 7.48±3.89, and was 6.67±3.69 for males and 8.07±3.92 for females. The prevalence of sleep disorder, hypertension, coronary heart disease and stroke were 56.78%, 52.85%, 8.16% and 8.66%, respectively. Females had higher prevalence of sleep disorder than males (62.81% and 48.55%, P < 0.001). The elderly with lower annual average family per capital income and bad access to medical services had higher prevalence of sleep disorder than their counterparts (P < 0.001).The elderly with sleep disorder was more likely to suffer from hypertension, coronary heart disease and stroke (P < 0.05). Conclusion The prevalence of sleep disorder is high in rural elderly in Yunnan Province. Improving sleep quality among the elderly can prevent and control cardiovascular diseases to a certain degree.
- Elderly /
- Sleeping quality /
- Cardiovascular disease /
- County

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表 1 云南省宁洱县农村老年人睡眠障碍和高血压患病情况分析

Table 1. Analysis on prevalence of sleep disorders and hypertension in rural elderly in Ning Er County, Yunnan Province

变量	睡眠障碍			高血压
变量	n(%)	χ²值	P值	n(%)	χ²值	P值
性别		32.928	＜0.001		0.547	0.459
男	334(48.55)			371(53.92)
女	591(62.81)			490(52.07)
年龄(岁)		30.881	＜0.001		26.391	＜0.001
60~	278(48.10)			256(44.29)
65~	270(60.81)			256(57.66)
70~	160(58.18)			159(57.82)
≥75	217(65.36)			190(57.23)
人均年收入水平		9.484	0.002		0.538	0.463
低	614(59.67)			551(53.55)
高	311(51.83)			310(51.67)
医疗服务可及性		18.648	＜0.001		2.549	0.110
差	416(63.22)			332(50.46)
好	509(52.42)			529(54.48)
合计	925(56.78)			861(52.85)

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表 2 云南省宁洱县农村老年人冠心病和脑卒中患病情况分析

Table 2. Analysis on prevalence of coronary heart disease and stroke in rural elderly in Ning Er County, Yunnan Province

变量	冠心病			脑卒中
变量	n(%)	χ²值	P值	n(%)	χ²值	P值
性别		0.898	0.343		6.644	0.010
男	51(7.41)			74(10.76)
女	82(8.71)			67(7.12)
年龄(岁)		12.868	0.005		21.690	＜0.001
60~	33(5.71)			25(4.33)
65~	34(7.66)			52(11.71)
70~	24(8.76)			29(10.55)
≥75	41(12.35)			35(10.54)
人均年收入水平		2.245	0.134		7.575	0.006
低	92(8.94)			74(7.19)
高	41(6.83)			67(11.17)
医疗服务可及性		2.927	0.087		0.035	0.851
差	63(9.57)			58(8.81)
好	70(7.21)			83(8.55)
合计	133(8.16)			141(8.66)

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表 3 多因素Logistic回归方法分析睡眠质量与高血压、冠心病和脑卒中患病的关系

Table 3. Multivariate Logistic regression analysis on the relationship between sleep quality and hypertension, coronary heart disease and stroke

疾病名称	影响因素	OR(95%CI)值	P值
高血压：(对照组：否OR=1)	性别	0.801(0.646~0.993)	0.043
	年龄组(岁)(对照组：60~)		0.002
	65~	0.663(0.498~0.882)	0.005
	70~	1.016(0.754~1.370)	0.914
	≥75	1.006(0.720~1.406)	0.971
	人均年收入水平	0.789(0.634~0.981)	0.033
	医疗服务可及性	1.212(0.980~1.500)	0.077
	肥胖	1.304(0.885~1.921)	0.179
	中心性肥胖	1.614(1.298~2.006)	< 0.001
	糖尿病	1.368(0.960~1.949)	0.083
	冠心病	1.635(1.110~2.409)	0.013
	脑卒中	2.885(1.902~4.376)	< 0.001
	睡眠障碍	0.772(0.625~0.953)	0.016
冠心病：(对照组：否OR=1)	性别	1.096(0.744~1.615)	0.644
	年龄组(岁)(对照组：60~)		0.039
	65~	0.506(0.308~0.832)	0.007
	70~	0.580(0.355~0.946)	0.029
	≥75	0.721(0.421~1.234)	0.233
	人均年收入水平	0.780(0.520~1.168)	0.228
	医疗服务可及性	0.819(0.562~1.192)	0.296
	肥胖	1.040(1.528~2.048)	0.909
	中心性肥胖	0.934(0.636~1.398)	0.770
	糖尿病	1.194(0.666~2.140)	0.552
	高血压	1.622(1.100~2.393)	0.015
	脑卒中	1.198(0.670~2.139)	0.542
	睡眠障碍	0.358(0.229~0.560)	< 0.001
脑卒中：(对照组：否OR=1)	性别	0.545(0.376~0.790)	0.001
	年龄组(岁)(对照组：60~)		0.009
	65~	0.507(0.293~0.879)	0.016
	70~	1.204(0.752~1.926)	0.440
	≥75	1.040(0.608~1.779)	0.885
	人均年收入水平	1.669(1.146~2.430)	0.008
	医疗服务可及性	0.797(0.545~1.165)	0.241
	肥胖	1.030(0.562~1.887)	0.923
	中心性肥胖	1.569(1.052~2.341)	0.027
	糖尿病	1.406(0.833~2.374)	0.201
	高血压	2.867(1.890~4.348)	< 0.001
	冠心病	1.226(0.688~2.185)	0.489
	睡眠障碍	0.702(0.477~1.032)	0.012

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