期刊文献+

持续正压通气治疗急性脑梗死合并OSAHS疗效研究

Efficacy of Continuous Positive Airway Pressure in the Treatment of Acute Cerebral Infarction with Obstructive Sleep Apnea-hypopnea Syndrome
暂未订购
导出
摘要 目的分析持续正压通气治疗急性脑梗死合并阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的疗效,为临床更好地治疗该病提供指导性意见。方法 OSAHS患者78例,分为对照组37例和治疗组41例,进行夜间多导睡眠监测。结果两组患者治疗前后NIHSS、收缩压、舒张压、AHI和最低血氧饱和度比较,差异有统计学意义(P<0.05);治疗组治疗后NIHSS、收缩压、舒张压、AHI和最低血氧饱和度的改善程度明显优于对照组,差异有统计学意义(P<0.05)。结论持续正压通气可以有效改善患者NIHSS、收缩压、舒张压、AHI和最低血氧饱和度。 Objective To analyze the effieacy of continuous positive airway pressure (CPAP) in the treatment of aente cerebral in- farction with obstructive sleep apnea-hypopnea syndrome (OSAHS),and provide opinions for better clinical treatment of this disease. Methods Seventy-eight patients with OSAHS were divided into control group (37 cases) and the treatment group (41 cases) for night polysomnography. Results The differences of NIHSS,systolic blood pressure,diastolic blood pressure,AHI and lowest oxygen saturation of two groups before and after treatment were statistically significant (P〈0.05);After treatment,improvement degrees of NIHSS, systolic blood pressure, diastolic blood pressure,AHl and lowest oxygen saturation of the treatment group were significantly better than those of the control group,and the differences were statistically significant (P〈0.05). Conclusion CPAP can effectively improve NIHSS, systolic blood pressure, diastolic blood pressure, AH1 and lowest oxygen saturation of OSAHS patients.
作者 顾亮
出处 《中国现代医生》 2011年第36期44-45,48,共3页 China Modern Doctor
关键词 OSAHS 持续正压通气 美国国立卫生研究院卒中量表 Obstructive sleep apnea-hypopnea syndrome Continuous positive airway pressure NIH Stroke Scale
  • 相关文献

参考文献9

  • 1各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量:33100
  • 2中华医学会呼吸病学分会睡眠呼吸疾病学组.阻塞性睡眠呼吸暂停低通气综合征诊治指南(草案)[J].中华结核和呼吸杂志,2002,25(4):195-198. 被引量:1851
  • 3Lavie P,Silverberg D,Oksenberg A,et al. Obstructive sleep apnea and hypertension:from correlative to causative relationship[J]. J Clin Hypertens(Greenwich),2001,3(5) : 296-301.
  • 4Pepperell JC,Ramdassingh-Dow S, Crosthwaite N,et al. Ambulatory blood pressure after therapeutic and subtherapeutic nasal continuous positive airway pressure for obstructive sleep apnoea:a randomised parallel trial[J]. Lancet,2002,359(9302) :204-210.
  • 5Marin JM, Carrizo SJ,Vicente E,et al. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study[J]. Lancet,2005,365(9464):1046-1053.
  • 6Antic NA,Catcheside P,Buchan C,et al. The effect of CPAP in normalizing daytime sleepiness,quality of life,and neurocognitive function in patients with moderate to severe OSA[J]. Sleep,2011,34( 1 ): 111-119.
  • 7Johnson CB,Beanlands RS,Yoshinaga K,et al. effects of continuous positive airway pressure Acute and chronic therapy on left ventricular systolic and diastolic function in patients with obstructive sleep apnea and congestive heart failure[J]. Can J Cardiol,2008,24 ( 9 ) : 697-704.
  • 8梁剑,陈于荦,陈小燕.经鼻持续正压通气治疗合并胰岛素抵抗的阻塞性睡眠呼吸暂停低通气综合征[J].广东医学,2010,31(8):1004-1006. 被引量:3
  • 9富琴琴,谭稼荣,陈静,林梅芳.鼻塞持续气道正压通气治疗新生儿呼吸窘迫综合征的评价[J].现代实用医学,2009,21(10):1062-1063. 被引量:1

二级参考文献9

  • 1OVCHINSKY A,RAO M,LOTWIN I,et al.The familial aggregation of Pediatric obstructive sleep apnea syndrome[J].Arch Otolaryngol Head Neck Surg,2002,128(7):815-818.
  • 2YOUNG T,PAEPPARD P E,GOTTLIEB D J.Epidemiology of obstructive sleep apnea:a population health perspective[J].Am J Respir Crit Care Med,2002,165(9):1217-1239.
  • 3YOUNG T PALTA M,DEMPSEY J,et al.The occurrence of sleep-disordered breathing among middle-aged adults[J].N Engl J Med,1993,328(17):1230-1235.
  • 4RECHTSCHAFFEN A,KALES A.A manual of standardized terminology,techniques and scoring system for sleep stages of human subjects[M].Washington DC:US Government Printing Offices,1968:1-57.
  • 5Anonynous.Sleep-related breathing disordersin adults:recommendations for syndrome definition and measurement techniques in clinical research.The Report of an American Academy of Sleep Medicine Task Force[J].Sleep,1999,22(5):667.
  • 6HARSCH I A,SCHAHIN S P,BRUCKNER K,et al.The effect of continuous positive airway pressure treatment on insulin sensitivity in patients with obstructive sleep apnea syndrome and type 2 diabetes[J].Respiration,2004,71(3):252-259.
  • 7YEE B,LIU P,PHILIPS C,et al.Neuroendocrine change in sleep apnea[J].Curr Opin Pulm Med,2004,10(6):475-481.
  • 8REICHMUTH K J,AUSTIN D,SKATRUD J B,et al.Association of sleep apnea and type II diabetes:a population-based study[J].Am J Respir Crit Care Med,2005,172(12):1590-1595.
  • 9中华医学会呼吸病学分会睡眠呼吸疾病学组.阻塞性睡眠呼吸暂停低通气综合征诊治指南(草案)[J].中华结核和呼吸杂志,2002,25(4):195-198. 被引量:1851

共引文献34920

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部