睡眠質(zhì)量與急性心肌梗死患者心血管事件復發(fā)風險的關聯(lián)研究

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AbstractObjective：Toexplore thecorelationbetweenris inrecurrenceofcardiovasculareventsand sleepquality inpatients withacutemyocardialinfarction（AM），andtoinvestigatetheroleofimprovingsleepqualityinreducingtheprobablityofadverse events.Methods：Atotalof8OAMIpatientsadmited inthehospital fromJanuary2O22to January2O24 wereselectedandrandomlydivided intoacontrolgroupandanobservationgroups byrandomnumbertable，with4Ocases ineachgroup.Thecontrol groupreceived theconventionaltreatment.Theobservation group was enhanced with sleep management basedonconventional treatment，andthesleepstatus was evaluatedbyPitsburgh SleepQualityIndex（PSQI）andhemodynamics，cardiacfunctionand recurrencerateofcardiovascular eventsweremonitored.Results：Theobservationgrouphadlowerheartrate，systolicbloodpressure and diastolic blood pressre，and higher LVEFcompared tothecontrol group.The PSQI scoreof theobservation group was obviouslylower than that of thecontrol groupandthere wasasignificantreductionintherecurrencerateofcardiovascular events from 30.00% to 12.50% ，showing a statistically significant difference. Conclusion：The reduced risk of cardiovascular event recurrence in AMI patients reflects the need to include systemic sleep management to improve the prognosis.

KeywordsAcute myocardial infarction; Sleep quality；Cardiovascular event中圖分類號：R278;R338.63 文獻標識碼：A doi：10.3969/j.issn.2095-7130.2025.04.005

作為嚴重心血管急癥的急性心肌梗死（AcuteMyocardialInfarction，AMI）有著高發(fā)病率與高死亡率，即便急性期治療方面有進展，然而長期預后依舊受睡眠質(zhì)量等相關因素左右1」。（剩余6600字）