Correlation Analysis Of Elderly Patients' Sleep Status, TCM Syndromes, Heart Rate Variability, Weakness, Etc

Purpose:In order to provide new information for the study of sleep,insomnia,heart rate variability and frailty syndromes of elderly patients,the analysis method of heart rate variability was used.Material and method : Collect aged inpatients who had 24 h ambulatory electrocardiogram examination in the affiliated hospital,cardiology and geriatrics department of Liaoning university of traditional Chinese medicine from November 2019 to the end of January 2020;According to the criteria of diagnosis and inclusion,50 non-insomnia patients were randomly selected to form non-insomnia group,and 50 patients were randomly selected to form insomnia group.Insomnia was evaluated by Pittsburgh sleep quality index;24 h dynamic electrocardiogram was used to collect heart rate variability;self-made four-diagnosis scale of traditional Chinese medicine was used to collect the syndrome type of elderly insomnia patients.Statistical analysis of elderly patients sleep,insomnia TCM syndrome type and heart rate variability,frailty syndromes and other statistical differences,and then assess the patients sleep,insomnia TCM syndrome and heart rate variability,frailty syndromes and other correlation.Results:1.Sleep status and frailty syndromes and HRV analysis in elderly patients:(1)Age is no statistically different : insomnia group(75.64 years ±11.23 years),non-dissomnia group(71.76 years±9.51 years),insomnia group > non-insomnia group;the number of remaining sex and BMI ? number of cases was not statistically different.(2)frailty syndromes is no statistically different:48%(n=24)in insomnia group,36%(n=18)in non-dissomnias group,insomnia group > non-insomnias group.(3)HRV:SDNN(P =0.002<0.05),VLF(P =0.010)and LF(P=0.009<0.05)?HF(P=0.010<0.05)were statistically different with HRV numerical insomnia group < non-insomnia group.2.TCM syndromes in elderly patients with insomnia:(1)12%(n=6)of liver depression and fire,10%(n=5)of phlegm heat internal disturbance,30%(n=15)of yin deficiency and fire flourishing,40%(n=20)heart and spleen deficiency,8%(n=4)of heart deficiency and timidity;general data(sex,number of BMI?number of diseases,PSQI score)did not have statistical difference.(2)frailty syndromes(P=0.464>0.05),no statistical difference.(3)HRV time domain index: PNN50%(P=0.038<0.05)had statistical difference,the remaining SDNN?RMSSD?HR did not have statistical difference.(4)HRV frequency domain index: VLF(P=0.028<0.05),had statistical difference the remaining LF?HF?LF/HF did not have statistical difference.3.The analysis of heart rate variability of frailty syndromes in insomnia group :(1)Time domain index: PNN50(P=0.015<0.05)? RMSSD(P=0.045<0.05),were statistically different;HR(P=0.933>0.05)? SDNN(P=0.404>0.05),were not statistically different.(2)Frequency domain indicators: LF(P=0.009<0.05)? HF(P=0.010<0.05),were statistically different;VLF(P=0.135>0.05)?LF/HF(P=0.351>0.05),no statistical difference.Conclusion:1.There HRV statistical difference between the elderly insomnia patients and the non-insomnia patients.The age mean of the elderly insomnia patients is larger,the proportion of frailty syndromes is more,and the HRV value is low,which suggests that the relationship between insomnia and age,frailty syndromes has a positive correlation,and the autonomic nervous dynamic balance of the elderly insomnia patients is worse than that of the non-insomnia patients.2.The proportion of patients with deficiency syndrome of heart and spleen is the most,and the proportion of deficiency and timidity is the least.heart rate variability(HRV)analysis:only PNN50% ? VLF have statistical differences.The PNN50% phlegm heat internal disturbance syndrome value is lowest;the HR yin deficiency fire prosperous syndrome type is fastest;the SDNN?RMSSD heart deficiency timidity syndrome value is highest,the phlegm fire internal disturbance syndrome value is lowest.The VLF?LF?HF are the highest value of the syndrome of deficiency of heart and timidity,the lowest value of internal disturbance of phlegm and fire,and the highest value of LF/HF deficiency of yin and fire.3.Heart rate variability(HRV)in debilitating patients with elderly insomnia is mostly reduced compared to non-aging.