睡眠质量与肝硬化心肌病的关系：一项前瞻性病例对照研究。

IF 3 2区医学 Q2 CLINICAL NEUROLOGY

Nature and Science of Sleep Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.2147/NSS.S482592

Fei Liu, Tianqing Cao, Yacong Liu, Dian Huang, Jingxin Zhang

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引用次数: 0

摘要

目的：探讨肝硬化心肌病（CCM）患者睡眠质量的变化。方法：选取扬州大学附属苏北人民医院18-75岁肝硬化患者为研究对象，收集其临床检查结果，评价CCM患者的临床特点及相关危险因素。结果：本研究发现CCM的发生与诱发肝硬化的病因无关。匹兹堡睡眠质量指数（PSQI）评分(优势比（OR) = 13.476, 95%可信区间(CI) = 1.514 ~ 119.923, P = 0.020）、绝对GLS （OR = 0.328, 95% CI = 0.210 ~ 0.510, P < 0.001）和n端前b型利钠肽（NT-proBNP）（OR = 1.050, 95% CI = 1.025 ~ 1.076, P < 0.001）被确定为诱发CCM的独立危险因素。结论：CCM患者常出现睡眠质量下降。当肝硬化患者睡眠质量也较差，同时整体左心室张力（GLS）绝对水平降低和NT-proBNP水平升高时，这些因素可能会增加CCM发展的风险。然而，这些研究结果需要在更大的样本量中进一步验证。

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Association Between Sleep Quality and Cirrhotic Cardiomyopathy: A Prospective Case-Control Study.

Objective: The main purpose of this study is to evaluate the changes in sleep quality among patients with cirrhotic cardiomyopathy (CCM).

Methods: The study included liver cirrhosis patients aged 18-75 from Northern Jiangsu People's Hospital Affiliated to Yangzhou University and collected their clinical examination results to assess the clinical characteristics and related risk factors of patients with CCM.

Results: The study found that the onset of CCM was not related to the etiology of inducing cirrhosis. Pittsburgh Sleep Quality Index (PSQI) score (odds ratio (OR) = 13.476, 95% confidence interval (CI) = 1.514-119.923, P = 0.020), absolute GLS (OR = 0.328, 95% CI = 0.210-0.510, P < 0.001), and N-terminal pro-B-type natriuretic peptide (NT-proBNP) (OR = 1.050, 95% CI = 1.025-1.076, P < 0.001) were identified as independent risk factors for inducing CCM.

Conclusion: In patients with CCM, a decrease in sleep quality often occurs. When cirrhotic patients also have poor sleep quality, along with a decrease in absolute Global Left Ventricular Strain (GLS) levels and an increase in NT-proBNP levels, these factors may pose a higher risk for CCM development. However, further validation of these research findings is required in larger sample sizes.

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来源期刊

Nature and Science of Sleep Neuroscience-Behavioral Neuroscience

CiteScore

5.70

自引率

5.90%

发文量

245

审稿时长

16 weeks

期刊介绍： Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animals Physiological and neurophysiological changes with sleep The genetics of sleep and sleep differences The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness Sleep changes with development and with age Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause) The science and nature of dreams Sleep disorders Impact of sleep and sleep disorders on health, daytime function and quality of life Sleep problems secondary to clinical disorders Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health) The microbiome and sleep Chronotherapy Impact of circadian rhythms on sleep, physiology, cognition and health Mechanisms controlling circadian rhythms, centrally and peripherally Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms Epigenetic markers of sleep or circadian disruption.