摘要
目的:分析阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与脑梗死并发脑出血的相关性分析。方法:选取2017年3月至2019年3月湖北省襄阳市谷城县第二人民医院收治的脑梗死并发脑出血患者92例作为研究对象,按照患者是否合并OSAHS分为观察组和对照组,每组46例。观察组为合并OSAHS的脑梗死并发脑出血患者,对照组为同期未合并OSAHS的脑梗死并发脑出血患者,比较2组患者发病后的相关指标、昏迷程度以及预后情况。结果:治疗前,对照组患者的各项临床指标显著优于观察组患者,差异有统计学意义(P<0.05);观察组患者的昏迷程度显著重于对照组患者,差异有统计学意义(P<0.05);对照组患者的预后情况显著优于观察组患者,差异有统计学意义(P<0.05);2组患者发病后的HCT、MAO、LDL-C、SaO2和Fg存在明显的相关性,均为正相关性,差异有统计学意义(P<0.05)。结论:合并OSAHS脑梗死患者发生脑出血的几率更大,并且其昏迷状况更为严重,预后较差。
Objective:To analyze the correlation between obstructive sleep apnea hypopnea syndrome(OSAHS)and cerebral hemorrhage.Methods:A total of 92 patients with cerebral infarction complicated with cerebral hemorrhage admitted to the second people′s Hospital of Gucheng County from March 2017 to March 2019 were selected as the study object.According to whether the patients were combined with OSAHS,they were divided into observation group and control group,with 46 cases in each group.The observation group was the patients with cerebral infarction complicated with cerebral hemorrhage,while the control group was the patients without cerebral infarction complicated with cerebral hemorrhage in the same period.Results:Before treatment,the clinical indexes of the patients in the control group were significantly better than those in the observation group(P<0.05);the coma degree of the patients in the observation group was significantly higher than that of the patients in the control group(P<0.05);the prognosis of the patients in the control group was significantly better than that of the patients in the observation group(P<0.05);the HCT、MAO、LDL-C、SaO2 and FG of the patients in the two groups were positively correlated(P<0.05).Conclusion:Patients with OSAHS cerebral infarction are more likely to have cerebral hemorrhage,and their coma is more serious,and their prognosis is poor.
作者
郑志虎
ZHENG Zhihu(The second people′s Hospital of Gucheng County of Hubei Province,Xiangyang 441705,China)
出处
《世界睡眠医学杂志》
2020年第4期726-728,共3页
World Journal of Sleep Medicine
