国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2008年
23期
1424-1426
,共3页
赵莹%回银娜%张永祥%王海英
趙瑩%迴銀娜%張永祥%王海英
조형%회은나%장영상%왕해영
阻塞性睡眠呼吸暂停低通气综合征%慢性阻塞性肺疾病%肺功能%高碳酸血症
阻塞性睡眠呼吸暫停低通氣綜閤徵%慢性阻塞性肺疾病%肺功能%高碳痠血癥
조새성수면호흡잠정저통기종합정%만성조새성폐질병%폐공능%고탄산혈증
Obstructive sleep apnea-hypopnea syndrome%Chronic obstructive pulmonary disease%Pulmonary function%Hypercapnia
目的 比较单纯阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)与合并慢性阻塞性肺疾病即重叠综合征(overlap syndrome,OS)患者肺功能变化,日间高碳酸血症与睡眠呼吸紊乱之间的关系.方法 42例OSAHS患者,23例为单纯OSAHS患者组,19例为OS患者组,两组均做多导睡眠仪监测、肺功能检测、血气分析检测.比较两组睡眠紊乱指标、肺功能及PaCO2情况并做相关性分析.结果 两组患者在睡眠呼吸暂停低通气指数相似的情况下,OS组的PaCO2明显高于OSAHS组;OS组的肺功能指标明显差于OSAHS组;两组患者的日间PaCO2与睡眠呼吸暂停严蘑程度之间无明显线性相关关系.结论 OS组患者的肺功能较OSAHS组差;OS组的日问高PaCO2与是否台并OSAHS无关.
目的 比較單純阻塞性睡眠呼吸暫停低通氣綜閤徵(obstructive sleep apnea-hypopnea syndrome,OSAHS)與閤併慢性阻塞性肺疾病即重疊綜閤徵(overlap syndrome,OS)患者肺功能變化,日間高碳痠血癥與睡眠呼吸紊亂之間的關繫.方法 42例OSAHS患者,23例為單純OSAHS患者組,19例為OS患者組,兩組均做多導睡眠儀鑑測、肺功能檢測、血氣分析檢測.比較兩組睡眠紊亂指標、肺功能及PaCO2情況併做相關性分析.結果 兩組患者在睡眠呼吸暫停低通氣指數相似的情況下,OS組的PaCO2明顯高于OSAHS組;OS組的肺功能指標明顯差于OSAHS組;兩組患者的日間PaCO2與睡眠呼吸暫停嚴蘑程度之間無明顯線性相關關繫.結論 OS組患者的肺功能較OSAHS組差;OS組的日問高PaCO2與是否檯併OSAHS無關.
목적 비교단순조새성수면호흡잠정저통기종합정(obstructive sleep apnea-hypopnea syndrome,OSAHS)여합병만성조새성폐질병즉중첩종합정(overlap syndrome,OS)환자폐공능변화,일간고탄산혈증여수면호흡문란지간적관계.방법 42례OSAHS환자,23례위단순OSAHS환자조,19례위OS환자조,량조균주다도수면의감측、폐공능검측、혈기분석검측.비교량조수면문란지표、폐공능급PaCO2정황병주상관성분석.결과 량조환자재수면호흡잠정저통기지수상사적정황하,OS조적PaCO2명현고우OSAHS조;OS조적폐공능지표명현차우OSAHS조;량조환자적일간PaCO2여수면호흡잠정엄마정도지간무명현선성상관관계.결론 OS조환자적폐공능교OSAHS조차;OS조적일문고PaCO2여시부태병OSAHS무관.
Objective To investigate the relations between pulmonary function,hypercapnia and nocturnal respiratory disorders in the patients with obstructive sleep apnea-hypopnea syndrome(OSAHS) and overlap syndrome(OS).Methods Forty-two subjects who were diagnosed as OSAHS bv polysomnography were studied.Their pulmonary functions and blood gas analysis in the daytime were measured.The subjects were divided into two groups in relation to the presence of pure OSAHS patients and OS patients.Comparisions were made in pulmonary function,AHI and PaCO2 between 23 OSAHS Datients and 19 OS patients.Results There was no difference in terms of Ahl between two groups,but pulmonary functions and PaCO2 were significantly different.The patients with OS experienced worse pulmoilary functions and higher PaCO2 than OSA HS patients.A HI and LSaO2 of OSAHS patients and OS patients are unrelated to daytime hypercapnia.Conclusions Pulmonary functions are more severe in OS patients than OSAHS patients.Daytime hypercapnia in COPD patients is unrelated to in the patients with OSAHS or not.
