急性心肌梗死合并睡眠障碍的中西医风险因素分析：一项回顾性横断面研究

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AbstractObjective：Toinvestigate therisk factors fromthe viewof traditional Chinese medicineand westernmedicine in patients with acute myocardialinfarctionandsleepdisorders.Methods：Aretrospectiveanalysiswasconductedon168patients with acutemyocardialinfarctionwhohadcoronaryintervention treatmentintheCardiovascularDepartmentofChangzhou Hospitalof Traditional Chinese Medicinefrom January2O21toJune2024.These patients were dividedintoanobservationgroup（81casesof acute myocardial infarction with sleepdisorders）andacontrolgroup（87cases of acute myocardialinfarctio without slepdisorders）basedon theoccurrenceof sleep disorders withinone week.Themulti-factor randomforest Boruta algorithm was used to scren theinfluencing factorsofslep disorders during hospitalizationafterPCIforacute myocardial infarction.ResultsAmong the 168patients，38weremalesand3Owerefemales.Therewasnosatisticallsignificantdiference ingender，age，and Hs CRP between the two groups（ P>0.05 ）. There were significant differences between the two groups in TCM syndromes ，neutrophil，NLR et al. （ P<0.05 ）.Nine important related variables were screened by Boruta，namely TCM syndrome type，neutrophils，NLR et al.Theseweretheriskfactorsforsleepdisordersafteracute myocardial infarction.Multipleregreionanalysiswasthenconducted ontheselected9variables，ndtheresultsshowedthatthesyndromeof phlegmbloodstasis，NR，fasting bloodglucoseandtriglyceridelevels weretheriskfactorsforsleepdisorders patientsduring hospitalizationwithacute myocardial infarctionafterPCI procedures.SHAPanalysissuggestedthatthe importanceofrisk factors inorderwere traditional Chinesemedicinesyndromes， NLR，fasting blood glucose，and riglycerides.Conclusion;Theoccurrenceof sleepdisordersafteracute myocardial infarctionis influencedbymanyfactorsandNLRfasting blood glucose，elevatedtriglycerides，andthesyndromeof plegmbloodstasiscanincrease the risk of sleep disorders during hospitalization for patients with acute myocardial infarction after PCI.

KeywordsAcute myocardial infarction； Sleep disorders；Risk factors；Traditional Chinese Medicine Syndromes中图分类号：R338.63；R542.2 文献标识码：A doi：10.3969/j. issn. 2095 -7130.2025.04.002

随着社会经济的快速发展和人民物质文化需求的不断增长，不良的生活方式和过重的精神压力日益突出，睡眠障碍、高血脂、糖尿病等情况已成为当代社会的流行病，这些疾病同时也是心血管疾病的危险因素，对民众生命健康造成了极大的影响。（剩余7819字）