【摘要】：目的:探討主動(dòng)脈夾層(AD)與阻塞性睡眠呼吸暫停綜合征(OSAS)之間的關(guān)系。方法:使用STOPBang評(píng)分表及多導(dǎo)睡眠圖檢查,了解125例AD患者(AD組)中合并OSAS(OSAS組/非OSAS組)的比例并分析其發(fā)病特征。結(jié)果:AD組中患OSAS的比例明顯高于對(duì)照組(41.6%∶20.8%,P0.01)。AD患者中OSAS組與非OSAS組比較顯示,OSAS組患者的平均年齡較非OSAS組患者更小(P0.05),OSAS組男女比率明顯較非OSAS高(P0.01),OSAS組BMI指數(shù)較非OSAS組更高(P0.05),兩組AD破口數(shù)目和夾層是否存在螺旋形撕裂差異無(wú)統(tǒng)計(jì)學(xué)意義。多導(dǎo)睡眠圖檢查顯示,OSAS組患者呼吸暫停低通氣指數(shù)(AHI)和≥4%氧減指數(shù)(4%ODI)均明顯高于非OSAS組(P0.01)。結(jié)論:AD患者更容易合并OSAS;合并OSAS的AD患者較非OSAS的AD患者往往年齡更小且肥胖,以男性為主;OSAS可能是相對(duì)年輕且肥胖的男性AD患者的重要危險(xiǎn)因素。
[Abstract]:Objective: to investigate the relationship between aortic dissection (AD) and obstructive sleep apnea syndrome (OSAS). Methods: STOPBang score scale and polysomnography were used to study the ratio of OSAS (OSAS / non-OSAS in 125 patients with AD (AD group) and analyze the characteristics of the disease. Results: the proportion of patients with OSAS in AD group was significantly higher than that in control group (41.6% vs 20.8%, P0.01). The average age of OSAS group was significantly younger than that of non-OSAS group (P0.05) in AD patients compared with non-OSAS group. The ratio of male to female in OSAS group was significantly higher than that in non-OSAS group (P0.01). The BMI index in), OSAS group was higher than that in non-OSAS group (P0.05). There was no significant difference in the number of AD breaks and the existence of spiral tear in interlayer between the two groups. Polysomnography showed that apnea hypopnea index (AHI) and 鈮，

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