摘要
目的:比较不同程度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的发病危险因素及阻塞点截面积与睡眠呼吸参数的相关性,证实OSAHS病情程度最密切的影响因素。方法:将126例经多导睡眠监测确诊的阻塞性睡眠呼吸暂停低通气综合征患者按照病情严重程度分组,比较各测量因素与睡眠呼吸参数的相关系数。结果:(1)重度OSAHS的影响因素主要是阻塞点截面积、体重指数(BMI)和颈围(P<0.05);(2)中度OSAHS的夜间平均血氧饱和度仅与阻塞点截面积存在一定相关性(P<0.05);(3)轻中度OSAHS的呼吸紊乱指数(AHI)、夜间最低血氧饱和度与各指标均无相关性(P>0.05)。结论:阻塞点截面积是评价中重度OSAHS更加敏感的指标。
Objective： To compare the dependablities of the parameters of respiratory disturbance with the risk factors and the cross sectional area of the chokepoint. And then to confirm what is the closed influential factor of obstructive sleep apnea-hypopnea. Method： Select 126 cases, confirmed as patients with obstructive sleep apnea-hypopnea by PSG. And divided them in to three teams, according to the different levels. Compare the correlations of the parameters of respiratory disturbance with every factor. Results： The major influential factors of the severer obstructive sleep apnea-hypopnea syndrome patients were the cross sectional area of the chokepoint, body mass index, the neck circumference （P 〈0. 05）. Among the midrange obstructive sleep apnea-hypopnea syndrome patients, the average oxygen saturation at night has no significant correlation with the cross sectional area of the chokepoint （P 〈0.05）. Among the non-severest obstructive sleep apnea-hypopnea syndrome patients, apnea hypopnea index （AHI） and the average oxygen saturation at night has no correlation with every index （P 〈0. 05）. Conclusion： The cross sectional area of the chokepoint is the more sensitive and ideal index to evaluate the midrange and sever obstructive sleep apnea-hypopnea patients.
出处
《新疆医科大学学报》
CAS
2009年第7期898-900,共3页
Journal of Xinjiang Medical University
