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上海方舱医院中新型冠状病毒肺炎感染患者及高血压急症患者睡眠时间对血压的影响

Effect of Sleep Duration on Blood Pressure in Patients with SARS-CoV-2 Infection and Hypertensive Urgencies in Shanghai Fangcang Shelter Hospital.

作者信息

Shi Jin-Hu, Ding Jian, Cheng Hu, Fang Huang, Zhu Jian

机构信息

Department of Cardiology, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China.

Department of Disinfection and Supply, General Hospital of Central Theater Command of the People's Liberation Army, Wuhan, People's Republic of China.

出版信息

Infect Drug Resist. 2023 Jun 21;16:3981-3988. doi: 10.2147/IDR.S420182. eCollection 2023.

Abstract

OBJECTIVE

To evaluate the effect of sleep duration on blood pressure in patients with hypertension urgencies combined with SARS-CoV-2 infection in a Fangcang shelter hospital.

METHODS

From April 10, 2020 to May 20, 2022, we statistically analyzed the blood pressure and sleep conditions of 52 patients with combined hypertension urgencies and SARS-CoV-2 infection admitted in Shanghai National Convention and Exhibition Center Fangcang shelter hospital. They were divided into the short-term (daily sleep duration: <7 h) and normal sleep group (7-9 h). We performed a comparison of the control effects of basic antihypertensive drugs. Additionally, patients in the short-term sleep group underwent drug therapy for sleep regulation and continuous monitoring of blood pressure.

RESULTS

Among these patients, the blood pressure was higher in the short-term sleep group than that of the normal sleep group, and also more difficult to control ( <0.05). Furthermore, the blood pressure of the patients in the short-term sleep group was more easily controlled after treatment with drugs for sleep regulation and basic antihypertensive drugs ( <0.05).

CONCLUSION

The blood pressure level in patients with combined SARS-CoV-2 infection and hypertension urgencies was higher in those with a shorter duration of daily sleep, and also more difficult to control in Fangcang shelter hospital. Drug therapy for sleep regulation should be administered early to obtain sufficient blood pressure control effects.

摘要

目的

评估在方舱医院中,睡眠时间对高血压急症合并新型冠状病毒肺炎(SARS-CoV-2)感染患者血压的影响。

方法

选取2020年4月10日至2022年5月20日在上海国家会展中心方舱医院收治的52例高血压急症合并SARS-CoV-2感染患者,统计分析其血压及睡眠状况。将其分为短期睡眠组(每日睡眠时间:<7小时)和正常睡眠组(7-9小时),比较基础降压药物的控制效果。此外,对短期睡眠组患者进行睡眠调节药物治疗并持续监测血压。

结果

这些患者中,短期睡眠组血压高于正常睡眠组,且更难控制(<0.05)。此外,短期睡眠组患者经睡眠调节药物和基础降压药物治疗后血压更容易控制(<0.05)。

结论

在方舱医院中,新型冠状病毒肺炎合并高血压急症患者每日睡眠时间较短者血压水平较高,且更难控制。应尽早给予睡眠调节药物治疗,以获得充分的血压控制效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43d8/10290844/04772f6173b6/IDR-16-3981-g0001.jpg

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