睡眠质量与急性心肌梗死患者心血管事件复发风险的关联研究

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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中图分类号：R278;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.04.005

作为严重心血管急症的急性心肌梗死（AcuteMyocardialInfarction，AMI）有着高发病率与高死亡率，即便急性期治疗方面有进展，然而长期预后依旧受睡眠质量等相关因素左右1」。（剩余6600字）