摘要
目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与心律失常及高血压的相关性。方法:应用多导睡眠图监测系统(PSG)行至少7h睡眠呼吸监测,长程心电图(Holter)同步记录心电动态变化,动态血压监测仪监测24h血压波动。结果:OSAHS组心律失常及高血压的发生率明显高于对照组(P<0.05),病情分度越重者,其心律失常及高血压的发生率也越高(P<0.05);重度OSAHS伴高血压与单纯高血压组比较,日间平均收缩压(DABPS)、日间平均舒张压(DABPD)、夜间平均收缩压(NABPS)、夜间平均舒张压(NABPD)、血压变异率水平均具有统计学差异。结论:心律失常及高血压的发生与OSAHS的严重程度相关,是导致心血管疾病及增加心血管意外的危险因素之一。
Objective：To analyze the correlation between obstructive sleep apnea hypopnea syndrome （OSAHS） and hypertension and cardiac arrhythmia. Method： The patientsr respirations were monitored by polysomnography for at least 7 hours and the dynamic ECGs were recorded by Holter at the same time. The blood pressures were subjected to ABPM monitoring for 24 hours. Result.. The incidences of hypertension and cardiac arrhythmia in patients with OSAHS were sig- nificantly higher than those in control group （P〈0.05）, and increased gradually along with aggravation of the disease condition. Compared with simple hypertension group, average systolic blood pressure （DABPS） in the day, the day average diastolic blood pressure （DABPD）, average systolic blood pressure （NABPS） at night, the night average diastolic blood pressure （NABPD）, blood pressure variation rate had significant difference in severe OSAHS accompanied hypertension. Conclusion： The incidence of cardiac arrhythmia and hypertension are associated with the severity of OSAHS that is a risk factor for cardiovascular disease and increase cardiovascular accident.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2014年第3期201-203,共3页
Journal of Clinical Cardiology
