摘要
目的:通过“网球法”体位睡眠观察对轻中度OSAS患者血压的影响。方法:给予“网球法”体位睡眠,要求患者在睡眠时穿上一件背部缝有一个网球的背心,睡眠时被迫其侧身而不能仰卧姿势。坚持3月以上成为习惯者31例,9例放弃。同时劝阻患者戒烟、酒,减肥。40例OSAS患者均在治疗前及3个月后进行24 h的动态血压监测。结果:①AH I从18.9±4降至9.8±3;②平均血氧饱和度从90.1±2增加至94.3±1;③最低血氧饱和度(SaO2%)从80.8±3增加至91.6±4;④31例OSAS患者平均收缩压从140降至135 mmHg,舒张压从90降至88 mmHg;睡眠血压收缩压从150降至142 mmHg,舒张压从100降至93 mmHg;醒后收缩压从160降至148 mmHg,舒张压从100降至91 mmHg;⑤体重下降,BM I从28 kg.m-2,降至24.3 kg.m-2。结论:由于体位的变化使患者血氧升高,改变了睡眠时血压的异常昼夜节律,使夜间睡眠血压曲线呈勺型。三个月的结果显示,能坚持者,侧身睡眠可成为习惯。症状均有不同程度的改善,睡眠血压、醒后血压、平均血压均降低。
Objective： To investige the effect of avoiding the supine position during sleep for a 3 month period on systemic Blood pressure （Bp） in 40 obstructive sleep apnea syndrome （OSAS） patients who by polysomnography （PSG） were found to have their sleep-related breathing disturbances mainly in the supine position. Method： Bp monitoring was performed by 24-h ambulatory Bp measurements before and after 3 months intervention period. A simple, inexpensive method for avoiding the supine posture dtthng sleep were used, namely the tennis ball technique, Result： Of the 31 patients, whose the mean 24-h SBP fell from 140 to 135 mmHg,DBP from 90 to 88 mmHg , the mean awake SBP/DBP fell by 12/9 mm Hg and the mean sleeping SBP/DBP fell by 8/7 mmHg respectively; The AHI fell from 18. 9 ±4 to 9. 8 ±3 ; the mean SAO2% increase from 90.1 ± 2 to 94.3 ±1 ; BMI fell from 28 to 24, 3kg · m^-2 Conclusion： Since about a third of all hypertensive patients have OSAS, avoiding the supine position during sleep could have improved content of oxygen in body and become a normal rhythm of sleep, The result showed that after 3 months the mean 24-h systolic pressure/ diastolic pressure, the mean awake SBP/DBP, mean sleeping SBP/DBP significantly fell.
出处
《沈阳医学院学报》
2006年第1期4-5,18,共3页
Journal of Shenyang Medical College
基金
辽宁省科技厅科研基金资助项目(2004225003-10)
关键词
阻塞性睡眠呼吸暂停综合征
高血压
网球法
睡眠体位
obstructive sleep apnea synelrome
hypertension
tennis ball technigue
body posiaion during sleep
