milmedВоенная медицинаMilitary Medicine2074-5044Белорусский государственный медицинский университет10.51922/2074-5044.2021.2.64milmed-930Research ArticleОРИГИНАЛЬНЫЕ НАУЧНЫЕ ПУБЛИКАЦИИ. Лечебно-профилактические вопросыORIGINAL SCIENTIFIC PUBLICATIONS. Medical and preventive questionsДиагностика нарушений сна и кардиоваскулярная профилактикаDiagnosis of sleep disorders and cardiovascular preventionНехайчикТ. А.NekhaichikT. A.ПастуховаТ. С.PastukhovaT. S.Кафедра военно-полевой терапии военно-медицинского факультета в УО «Белорусский государственный медицинский университет»Belarus202130102026026470Copyright © Нехайчик Т.А., Пастухова Т.С., 20262026Нехайчик Т.А., Пастухова Т.С.Nekhaichik T.A., Pastukhova T.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://milmed.ejournal.by/jour/article/view/930

Исследования последних лет позволяют рассматривать нарушения сна не только как признак соматической патологии, но и как независимый фактор риска сердечно-сосудистых заболеваний. Однако в общеклинической практике оценке нарушений сна не уделяется достаточного внимания. Этим упускается возможность улучшения кардиоваскулярного прогноза у пациентов, которые имеют устранимые факторы нарушения сна. Целью исследования стала оценка длительности и качества сна у 73 пациентов кардиологических отделений 432 ГВКМЦ в различных возрастных группах методом интервьюирования и заполнения анкеты для оценки качества сна. Установлено, что данный метод может быть использован для первичной оценки качества сна. К недостатку метода можно отнести его субъективный характер, что может быть скорректировано с помощью оценки сна по программам, заложенным в фитнес-трекерах. Предложен алгоритм диагностики и тактики ведения пациентов с нарушением сна в различных возрастных группах.

Recent studies allow us to consider sleep disorders not only as a sign of somatic pathology, but also as an independent risk factor for cardiovascular diseases.

However, general clinical practice does not pay sufficient attention to the evaluation of sleep disorders. This misses the opportunity to improve cardiovascular prognosis in patients who have avoidable sleep disturbance factors. The aim of the study was to assess the duration and quality of sleep in 73 patients of the cardiology departments of 432 Main military clinical medical center in various age groups by interviewing and filling out a questionnaire to assess the quality of sleep. It is established that this method can be used for the primary assessment of sleep quality. The disadvantage of this method is its subjective nature, which can be corrected by evaluating sleep based on programs embedded in fitness trackers. An algorithm for diagnosis and management of patients with sleep disorders in different age groups is proposed.

длительность и качество снадиагностикакардиоваскулярная профилактикаduration and quality of sleepdiagnosticscardiovascular preventionReferencesЦентрадзе, С. Л. Влияние нарушений сна на здоровье и возможности их коррекции / С. Л. Центрадзе, М. Г. Полуэктов // Медицинский совет. – 2018. – № 18. – С. 30–33.Центрадзе, С. Л. Влияние нарушений сна на здоровье и возможности их коррекции / С. Л. Центрадзе, М. Г. Полуэктов // Медицинский совет. – 2018. – № 18. – С. 30–33.Association of Sleep Duration and Quality with Subclinical Atherosclerosis / F. Domínguez [et al.] // Journal of the american college of cardiology. – 2019. – № 73 (2). – Р. 134–144.Association of Sleep Duration and Quality with Subclinical Atherosclerosis / F. Domínguez [et al.] // Journal of the american college of cardiology. – 2019. – № 73 (2). – Р. 134–144.Broken sleep predicts hardened blood vessels / R. Vallat [et al.] // PLoS Biology. – 2020. – № 18 (6).Broken sleep predicts hardened blood vessels / R. Vallat [et al.] // PLoS Biology. – 2020. – № 18 (6).Carskadon, M. A. Sleep fragmentation in the elderly: relationship to daytime sleep tendency / M. A. Carskadon, E. D. Brown, W. C. Dement // Neurobiol Aging. – 1982. – № 3 (4). – Р. 321–327.Carskadon, M. A. Sleep fragmentation in the elderly: relationship to daytime sleep tendency / M. A. Carskadon, E. D. Brown, W. C. Dement // Neurobiol Aging. – 1982. – № 3 (4). – Р. 321–327.Chronically Alternating Light Cycles Increase Breast Cancer Risk in Mice / K. C. G. Van Dycke [et al.] // Current Biology. – 2015. – № 25 (14). – Р. 1932–1937.Chronically Alternating Light Cycles Increase Breast Cancer Risk in Mice / K. C. G. Van Dycke [et al.] // Current Biology. – 2015. – № 25 (14). – Р. 1932–1937.Increasing sleep duration to lower beat-tobeat blood pressure: a pilot study/ M. Haack[et al.] // Journal of Sleep Research. – 2013. – № 22 (3). – Р. 295–304.Increasing sleep duration to lower beat-tobeat blood pressure: a pilot study/ M. Haack[et al.] // Journal of Sleep Research. – 2013. – № 22 (3). – Р. 295–304.J-curve relation between daytime nap duration and type 2 diabetes or metabolic syndrome: A dose-response metaanalysis / Т. Yamada [et al.] // Scientific Reporst. – 2016.J-curve relation between daytime nap duration and type 2 diabetes or metabolic syndrome: A dose-response metaanalysis / Т. Yamada [et al.] // Scientific Reporst. – 2016.Mortality associated with sleep duration and insomnia / D. F. Kripke [et al.] // Archives of General Psychiatry. – 2002. – № 59 (2). – Р. 131–136.Mortality associated with sleep duration and insomnia / D. F. Kripke [et al.] // Archives of General Psychiatry. – 2002. – № 59 (2). – Р. 131–136.National Sleep Foundation’s sleep time duration recommendations: methodology and results summary / М. Hirshkowitz [et al.] // Sleep Health: Journal of the National Sleep Foundation. – 2015. – № 1 (1). – Р. 40–43.National Sleep Foundation’s sleep time duration recommendations: methodology and results summary / М. Hirshkowitz [et al.] // Sleep Health: Journal of the National Sleep Foundation. – 2015. – № 1 (1). – Р. 40–43.Sleep and aging: 1. Sleep disorders commonly found in older people / N. Wolkove[et al.] // Canadian Medical Association Journal. – 2007. – № 176 (9). – Р. 1299–1304.Sleep and aging: 1. Sleep disorders commonly found in older people / N. Wolkove[et al.] // Canadian Medical Association Journal. – 2007. – № 176 (9). – Р. 1299–1304.Sleep Duration and Myocardial Infarction / I. Daghlas[et al.] // Journal of the american college of cardiology. – 2019. – № 74 (10). – Р. 1304–1314.Sleep Duration and Myocardial Infarction / I. Daghlas[et al.] // Journal of the american college of cardiology. – 2019. – № 74 (10). – Р. 1304–1314.Sleep duration and quality: impact on lifestyle behaviors and cardiometabolic health: a scientific statement from the American Heart Association / M. P. St-Onge [et al.] // Circulation. – 2016. – № 134 (18). – Р. 367–386.Sleep duration and quality: impact on lifestyle behaviors and cardiometabolic health: a scientific statement from the American Heart Association / M. P. St-Onge [et al.] // Circulation. – 2016. – № 134 (18). – Р. 367–386.Sleep duration and risk of fatal coronary heart disease, sudden cardiac death, cancer death and allcause mortality/ H. Khan[et al.]// Journal of the american college of cardiology. – 2018. – № 131 (12). – Р. 1499–1505.Sleep duration and risk of fatal coronary heart disease, sudden cardiac death, cancer death and allcause mortality/ H. Khan[et al.]// Journal of the american college of cardiology. – 2018. – № 131 (12). – Р. 1499–1505.Sleep duration and subclinical atherosclerosis: The Aragon Workers‘ Health Study/ E. Blasco-Colmenares [et al.]// Atherosclerosis. – 2018. – № 274. – Р. 35–40.Sleep duration and subclinical atherosclerosis: The Aragon Workers‘ Health Study/ E. Blasco-Colmenares [et al.]// Atherosclerosis. – 2018. – № 274. – Р. 35–40.Sleepdisordered breathing and agitation in institutionalized adults with Alzheimer disease / P. R. Gehrman [et al.] // Am J Geriatr Psychiatry. – 2003. – № 11 (4). – Р. 426–433.Sleepdisordered breathing and agitation in institutionalized adults with Alzheimer disease / P. R. Gehrman [et al.] // Am J Geriatr Psychiatry. – 2003. – № 11 (4). – Р. 426–433.Sufficient sleep duration contributes to lower cardiovascular disease risk in addition to four traditional lifestyle factors: the MORGEN study / M. P. Hoevenaar-Blom[et al.]// European Journal of Preventive Cardiology. – 2014. – № 21 (11). – Р. 1367–1375.Sufficient sleep duration contributes to lower cardiovascular disease risk in addition to four traditional lifestyle factors: the MORGEN study / M. P. Hoevenaar-Blom[et al.]// European Journal of Preventive Cardiology. – 2014. – № 21 (11). – Р. 1367–1375.The effects of extended bedtimes on sleep duration and food desire in overweight young adults: a home-based intervention / E. Tasali [et al.] // Appetite. – 2014. – № 80 (9). – Р. 220–224.The effects of extended bedtimes on sleep duration and food desire in overweight young adults: a home-based intervention / E. Tasali [et al.] // Appetite. – 2014. – № 80 (9). – Р. 220–224.

The authors declare that there are no conflicts of interest present.