急性心肌梗死合并睡眠障礙的中西醫(yī)風險因素分析：一項回顧性橫斷面研究

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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中圖分類號：R338.63；R542.2 文獻標識碼：A doi：10.3969/j. issn. 2095 -7130.2025.04.002

隨著社會經(jīng)濟的快速發(fā)展和人民物質(zhì)文化需求的不斷增長，不良的生活方式和過重的精神壓力日益突出，睡眠障礙、高血脂、糖尿病等情況已成為當代社會的流行病，這些疾病同時也是心血管疾病的危險因素，對民眾生命健康造成了極大的影響。（剩余7819字）