国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2011年
1期
13-17
,共5页
马彦%孙书臣%方业明%汪卫东
馬彥%孫書臣%方業明%汪衛東
마언%손서신%방업명%왕위동
体质量指数%阻塞性睡眠呼吸暂停低通气综合征%血氧饱和度%动态血压%相关性
體質量指數%阻塞性睡眠呼吸暫停低通氣綜閤徵%血氧飽和度%動態血壓%相關性
체질량지수%조새성수면호흡잠정저통기종합정%혈양포화도%동태혈압%상관성
BMI%Obstructive sleep apnea-hypopnea syndrome%SaO2%Ambulatory blood pressure%Correlation
目的 本研究旨在探讨阻塞型睡眠呼吸暂停低通气综合征(OSAHS)患者的睡眠呼吸紊乱指数(AHI)、夜间血氧饱和度及昼夜血压变异性之间的关系.方法 记录51例OSAHS患者的体质量指数、睡眠监测结果(包括呼吸紊乱指数、夜间最低血氧饱和度、夜间平均血氧饱和度)、24 h动态血压结果(包括昼夜平均收缩压和舒张压、白天平均收缩压和舒张压)等.将OSAHS患者的血压变异性分为三组进行讨论.通过SPSS 13.0进行数据统计,分析相关性.结果 本研究共招募患者51例(48.8±13.3)岁.统计结果表明,血压波动类型与OSAHS严重程度有关,重度OSAHS组中,出现异常血压波动的人数比例明显高于另外两组.AHI与昼夜平均收缩压和舒张压、白天平均收缩压、夜间平均收缩压、舒张压均显著相关(P＜0.01),与白天平均舒张压相关(P＜0.05);睡眠中最低血氧饱和度与昼夜平均舒张压相关(P＜0.05),与夜间平均舒张压显著相关(P＜0.01).结论 OSAHS的严重程度是夜间血压升高的一个重要因素,并且影响昼夜血压变异性.无论患者是否被诊断为高血压,24 h动态血压监测在OSAHS患者中都是必要的检查之一.
目的 本研究旨在探討阻塞型睡眠呼吸暫停低通氣綜閤徵(OSAHS)患者的睡眠呼吸紊亂指數(AHI)、夜間血氧飽和度及晝夜血壓變異性之間的關繫.方法 記錄51例OSAHS患者的體質量指數、睡眠鑑測結果(包括呼吸紊亂指數、夜間最低血氧飽和度、夜間平均血氧飽和度)、24 h動態血壓結果(包括晝夜平均收縮壓和舒張壓、白天平均收縮壓和舒張壓)等.將OSAHS患者的血壓變異性分為三組進行討論.通過SPSS 13.0進行數據統計,分析相關性.結果 本研究共招募患者51例(48.8±13.3)歲.統計結果錶明,血壓波動類型與OSAHS嚴重程度有關,重度OSAHS組中,齣現異常血壓波動的人數比例明顯高于另外兩組.AHI與晝夜平均收縮壓和舒張壓、白天平均收縮壓、夜間平均收縮壓、舒張壓均顯著相關(P＜0.01),與白天平均舒張壓相關(P＜0.05);睡眠中最低血氧飽和度與晝夜平均舒張壓相關(P＜0.05),與夜間平均舒張壓顯著相關(P＜0.01).結論 OSAHS的嚴重程度是夜間血壓升高的一箇重要因素,併且影響晝夜血壓變異性.無論患者是否被診斷為高血壓,24 h動態血壓鑑測在OSAHS患者中都是必要的檢查之一.
목적 본연구지재탐토조새형수면호흡잠정저통기종합정(OSAHS)환자적수면호흡문란지수(AHI)、야간혈양포화도급주야혈압변이성지간적관계.방법 기록51례OSAHS환자적체질량지수、수면감측결과(포괄호흡문란지수、야간최저혈양포화도、야간평균혈양포화도)、24 h동태혈압결과(포괄주야평균수축압화서장압、백천평균수축압화서장압)등.장OSAHS환자적혈압변이성분위삼조진행토론.통과SPSS 13.0진행수거통계,분석상관성.결과 본연구공초모환자51례(48.8±13.3)세.통계결과표명,혈압파동류형여OSAHS엄중정도유관,중도OSAHS조중,출현이상혈압파동적인수비례명현고우령외량조.AHI여주야평균수축압화서장압、백천평균수축압、야간평균수축압、서장압균현저상관(P＜0.01),여백천평균서장압상관(P＜0.05);수면중최저혈양포화도여주야평균서장압상관(P＜0.05),여야간평균서장압현저상관(P＜0.01).결론 OSAHS적엄중정도시야간혈압승고적일개중요인소,병차영향주야혈압변이성.무론환자시부피진단위고혈압,24 h동태혈압감측재OSAHS환자중도시필요적검사지일.
Objective This study was designed to evaluate the correlations among AHI, night-time SaO2 min,average nocturnal SaO2, HT and 24-h ambulatory blood pressure (24 h-ABP) patterns. Methods All subjects were advised to take a whole night PSG and 24 h-ABP. All data (including average nocturnal SBP and DBP,daytime SBP and DBP) were collected in subjects who met the inclusion criteria.The 24 h-ABP patterns in OSAHS patients were classified into three types. Data analysis was performed using SPSS 13.0 for windows. Results 51 participants (48.8±13.3) y were enrolled in the study.Statistic results suggest that individuals with moderate to severe SDB showed significantly more BP variation. There was statistically significant association between AHI and 24-hour average BP, daytime SBP, nighttime DBP and SBP ( P ＜0.01) ,and also relation between AHI and SBP ( P ＜0. 05). AHI was significantly correlated with increased nighttime BP. Conclusions The severity of OSAHS is an important factor in nocturnal elevation of BP, hence affecting the circadian variation of BP. Noninvasive 24 h-ABP monitoring is an important procedure for understanding the clinical features of OSAHS patients with or without hypertension.
