本文關(guān)鍵詞：81例老年阻塞性睡眠呼吸暫停低通氣綜合征臨床特點(diǎn)分析　出處：《重慶醫(yī)學(xué)》2016年11期 　論文類型：期刊論文

  更多相關(guān)文章： 睡眠呼吸暫停 阻塞性 低通氣綜合征 多導(dǎo)睡眠圖 特征

【摘要】：目的探討老年阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS)與中年OSAHS臨床特點(diǎn)和多導(dǎo)睡眠監(jiān)測特征的差異,為診斷及個體化干預(yù)老年OSAHS提供參考依據(jù)。方法分析81例老年OSAHS和123例中年OSAHS的一般情況、臨床表現(xiàn)和多導(dǎo)睡眠圖特點(diǎn),并按BMI匹配比較兩組臨床表現(xiàn)及多導(dǎo)睡眠指標(biāo)差異。結(jié)果老年及中年OSAHS患者均以男性居多,老年組BMI及頸腹圍均小于中年組(P0.05),而胸圍大于中年組(P0.05)。老年組的臨床癥狀如嗜睡、打鼾、晨起頭痛、口干及夜間憋醒發(fā)生率均低于中年組,差異具有統(tǒng)計學(xué)意義(P0.05),而并發(fā)癥如高血壓、糖尿病等患病率明顯高于中年組,差異具有統(tǒng)計學(xué)意義(P0.05)。老年組OSAHS患病程度主要分布于輕中度,中年組主要分布于中重度,但差異無統(tǒng)計學(xué)意義(P0.05)。REM期AHI老年組大于中年組(P0.05),AHI低于中年組(P0.05);NREMⅠ+Ⅱ期大于中年組,差異有統(tǒng)計學(xué)意義(P0.05);而NREMⅢ+Ⅳ期、REM期、平均SaO2(%)、MAI小于中年組,LSAT(%)大于中年組,但差異均無統(tǒng)計學(xué)意義(P0.05)。結(jié)論老年OSAHS患者典型臨床表現(xiàn)的發(fā)生率低于中年組,然而高血壓、糖尿病等并發(fā)癥患病率明顯高于中年組,二者OSAHS嚴(yán)重程度相近,PSG監(jiān)測結(jié)果與中年組存在差異,且REM期AHI與中年組差異明顯。
[Abstract]:Objective to investigate the differences between the clinical features and polysomnography monitoring of obstructive sleep apnea hypopnea syndrome (OSAHS) and middle-aged OSAHS. Methods the general situation, clinical manifestation and polysomnography of 81 cases of senile OSAHS and 123 cases of middle-aged OSAHS were analyzed. The clinical manifestations and polysomnography indexes of the two groups were compared according to BMI matching. Results the male was the majority of the elderly and middle-aged patients with OSAHS, and the BMI and the abdominal circumference of the neck in the elderly group were smaller than those in the middle-aged group (P0.05). The incidence of clinical symptoms such as lethargy, snoring, headache, dry mouth and nocturnal strangulation in the elderly group was lower than that in the middle age group (P 0.05). The morbidity of complications such as hypertension and diabetes was significantly higher than that of middle age group, the difference was statistically significant (P 0.05). The prevalence of OSAHS in the elderly group was mainly distributed in mild to moderate. The middle age group was mainly distributed in moderate and severe degree, but the difference was not statistically significant (P 0.05). The AHI in the aged group was higher than that in the middle age group (P 0.05), but it was lower than that in the middle age group (P 0.05). The NREM 鈪，

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